Nm imaging hepatobiliary system w/pharmacologic intervention at Adventhealth Palm Coast Parkway
1 Adventhealth Way, Palm Coast, FL · AdventHealth · · NPI 1861102345
$1,275.05
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.
$1,275.05
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.
$538.66 with Florida Health Care Plan vs $1,211.08 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 | $538.66 | ↓ -58% |
| Aetna | QHP Exchange | $553.62 | ↓ -57% |
| Health First Health Plans | Medicare Managed Care - HMO | $567.01 | ↓ -56% |
| Freedom Health | Medicare Managed Care - HMO | $578.35 | ↓ -55% |
| BCBS | Medicare Managed Care - HMO | $584.02 | ↓ -54% |
| Humana | CarePlus Medicare Managed Care - HMO | $589.69 | ↓ -54% |
| Optimum Healthcare | Medicare Managed Care - HMO | $595.36 | ↓ -53% |
| Simply Healthcare | Medicare Managed Care - HMO | $601.03 | ↓ -53% |
| Aetna | Medicare Managed Care - HMO/PPO | $606.70 | ↓ -52% |
| Cigna | Surefit EPO | $644.82 | ↓ -49% |
| Aetna | HMO/PPO | $837.44 | ↓ -34% |
| Cigna | County of Volusia HMO Employee | $889.64 | ↓ -30% |
| Allegiance | CastCare Disney HMO | $889.64 | ↓ -30% |
| Cigna | HMO/PPO | $889.64 | ↓ -30% |
| UnitedHealthCare | HMO/PPO | $1,132.70 | ↓ -11% |
| UnitedHealthCare | Compass Exchange | $1,132.70 | ↓ -11% |
| UnitedHealthCare | NEXUS HMO | $1,132.70 | ↓ -11% |
| UnitedHealthCare | Neighborhood Health Partnership (NHP) HMO | $1,132.70 | ↓ -11% |
| Oscar | Individual EPO | $1,211.08 | ↓ -5% |
Visitor-reported prices
Comments
Nm imaging hepatobiliary system w/pharmacologic intervention at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast | Palm Coast | $1,275.05 | $538.66 – $1,211.08 |
| Adventhealth Daytona Beach | Daytona Beach | $1,203.02 | $538.66 – $946.34 |
| Adventhealth Lake Wales | Lake Wales | $3,484.26 | $504.57 – $1,258.77 |
| Adventhealth Tampa | Tampa | $4,656.91 | $497.56 – $1,258.77 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,765.34 | $538.66 – $1,238.64 |
| Adventhealth Port Charlotte | Port Charlotte | $3,665.85 | $519.99 – $1,035.36 |
| cleveland clinic florida weston hospital | Weston | $3,275.35 | $35.78 – $3,946.55 |
| martin north hospital | Stuart | $3,275.35 | $32.02 – $2,321.50 |