Fetal hemoglobin rosette at Adventhealth Palm Coast Parkway
1 Adventhealth Way, Palm Coast, FL · AdventHealth · · NPI 1861102345
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$8.89 with Florida Health Care Plan vs $19.99 with Oscar — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Florida Health Care Plan | Medicare Managed Care - HMO | $8.89 | — |
| Health First Health Plans | Medicare Managed Care - HMO | $9.36 | — |
| Freedom Health | Medicare Managed Care - HMO | $9.55 | — |
| BCBS | Medicare Managed Care - HMO | $9.64 | — |
| Humana | CarePlus Medicare Managed Care - HMO | $9.73 | — |
| Optimum Healthcare | Medicare Managed Care - HMO | $9.83 | — |
| Simply Healthcare | Medicare Managed Care - HMO | $9.92 | — |
| Aetna | Medicare Managed Care - HMO/PPO | $10.02 | — |
| Oscar | Individual EPO | $19.99 | — |
Visitor-reported prices
Comments
Fetal hemoglobin rosette at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast | Palm Coast | not published | $8.89 – $19.99 |
| Adventhealth Daytona Beach | Daytona Beach | $179.24 | $8.89 – $15.62 |
| Adventhealth Tampa | Tampa | $96.16 | $9.36 – $20.78 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $187.00 | $7.49 – $100.00 |
| Adventhealth Port Charlotte | Port Charlotte | $68.94 | $9.36 – $17.09 |
| cleveland clinic florida weston hospital | Weston | $48.10 | $2.81 – $62.90 |
| martin north hospital | Stuart | $78.65 | $2.96 – $90.75 |
| indian river hospital | Vero Beach | $48.10 | $2.81 – $59.20 |