Mastoids complete 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.
$85.22 with Aetna vs $286.15 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 |
|---|---|---|---|
| Aetna | QHP Exchange | $85.22 | — |
| Cigna | Surefit EPO | $99.25 | — |
| Florida Health Care Plan | Medicare Managed Care - HMO | $103.72 | — |
| Health First Health Plans | Medicare Managed Care - HMO | $109.17 | — |
| Freedom Health | Medicare Managed Care - HMO | $111.36 | — |
| BCBS | Medicare Managed Care - HMO | $112.45 | — |
| Humana | CarePlus Medicare Managed Care - HMO | $113.54 | — |
| Optimum Healthcare | Medicare Managed Care - HMO | $114.63 | — |
| Simply Healthcare | Medicare Managed Care - HMO | $115.73 | — |
| Aetna | Medicare Managed Care - HMO/PPO | $116.82 | — |
| Aetna | HMO/PPO | $128.91 | — |
| Cigna | County of Volusia HMO Employee | $136.94 | — |
| Allegiance | CastCare Disney HMO | $136.94 | — |
| Cigna | HMO/PPO | $136.94 | — |
| Oscar | Individual EPO | $233.19 | — |
| UnitedHealthCare | HMO/PPO | $286.15 | — |
| UnitedHealthCare | Compass Exchange | $286.15 | — |
| UnitedHealthCare | NEXUS HMO | $286.15 | — |
| UnitedHealthCare | Neighborhood Health Partnership (NHP) HMO | $286.15 | — |
Visitor-reported prices
Comments
Mastoids complete at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast | Palm Coast | not published | $85.22 – $233.19 |
| Adventhealth Port Charlotte | Port Charlotte | $485.27 | $80.04 – $199.35 |
| cleveland clinic florida weston hospital | Weston | $694.20 | $14.07 – $780.30 |
| martin north hospital | Stuart | $694.20 | $12.58 – $459.00 |
| indian river hospital | Vero Beach | $596.70 | $13.05 – $734.40 |
| Boca Raton Regional Hospital | BOCA RATON | $329.55 | $107.21 – $331.07 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $1,890.02 | $245.18 – $930.53 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $217.19 | $102.47 – $235.69 |