Lower Back (Lumbar Spine) CT scan (with contrast) at Adventhealth Palm Coast Parkway
1 Adventhealth Way, Palm Coast, FL · AdventHealth · · NPI 1861102345
$4,801.86
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.
$4,801.86
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.
$346.11 with Florida Health Care Plan vs $1,140.93 with UnitedHealthCare — 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 | $346.11 | ↓ -93% |
| Health First Health Plans | Medicare Managed Care - HMO | $364.32 | ↓ -92% |
| Aetna | QHP Exchange | $370.00 | ↓ -92% |
| Freedom Health | Medicare Managed Care - HMO | $371.61 | ↓ -92% |
| BCBS | Medicare Managed Care - HMO | $375.25 | ↓ -92% |
| Humana | CarePlus Medicare Managed Care - HMO | $378.89 | ↓ -92% |
| Optimum Healthcare | Medicare Managed Care - HMO | $382.54 | ↓ -92% |
| Simply Healthcare | Medicare Managed Care - HMO | $386.18 | ↓ -92% |
| Aetna | Medicare Managed Care - HMO/PPO | $389.82 | ↓ -92% |
| Cigna | Surefit EPO | $430.95 | ↓ -91% |
| Aetna | HMO/PPO | $559.69 | ↓ -88% |
| Cigna | County of Volusia HMO Employee | $594.57 | ↓ -88% |
| Allegiance | CastCare Disney HMO | $594.57 | ↓ -88% |
| Cigna | HMO/PPO | $594.57 | ↓ -88% |
| Oscar | Individual EPO | $778.15 | ↓ -84% |
| UnitedHealthCare | HMO/PPO | $1,140.93 | ↓ -76% |
| UnitedHealthCare | Compass Exchange | $1,140.93 | ↓ -76% |
| UnitedHealthCare | NEXUS HMO | $1,140.93 | ↓ -76% |
| UnitedHealthCare | Neighborhood Health Partnership (NHP) HMO | $1,140.93 | ↓ -76% |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) CT scan (with contrast) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast | Palm Coast | $4,801.86 | $346.11 – $778.15 |
| Adventhealth Daytona Beach | Daytona Beach | $4,644.91 | $346.11 – $608.05 |
| Adventhealth Lake Wales | Lake Wales | $9,676.14 | $337.22 – $958.38 |
| Adventhealth Tampa | Tampa | $8,472.61 | $332.53 – $808.79 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $2,880.34 | $346.11 – $795.86 |
| Adventhealth Port Charlotte | Port Charlotte | $8,035.82 | $347.52 – $665.25 |
| cleveland clinic florida weston hospital | Weston | $2,351.05 | $50.71 – $2,618.00 |
| martin north hospital | Stuart | $2,002.00 | $45.37 – $1,540.00 |