Surgical pathology level 4 gross & microscopic examination at Adventhealth Palm Coast Parkway
1 Adventhealth Way, Palm Coast, FL · AdventHealth · · NPI 1861102345
$405.00
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.
$405.00
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.
$51.70 with Florida Health Care Plan vs $116.23 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 | $51.70 | ↓ -87% |
| Health First Health Plans | Medicare Managed Care - HMO | $54.42 | ↓ -87% |
| Freedom Health | Medicare Managed Care - HMO | $55.51 | ↓ -86% |
| BCBS | Medicare Managed Care - HMO | $56.05 | ↓ -86% |
| Humana | CarePlus Medicare Managed Care - HMO | $56.60 | ↓ -86% |
| Optimum Healthcare | Medicare Managed Care - HMO | $57.14 | ↓ -86% |
| Simply Healthcare | Medicare Managed Care - HMO | $57.68 | ↓ -86% |
| Aetna | Medicare Managed Care - HMO/PPO | $58.23 | ↓ -86% |
| Oscar | Individual EPO | $116.23 | ↓ -71% |
Visitor-reported prices
Comments
Surgical pathology level 4 gross & microscopic examination at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast | Palm Coast | $405.00 | $51.70 – $116.23 |
| Adventhealth Daytona Beach | Daytona Beach | $557.21 | $51.70 – $90.82 |
| Adventhealth Lake Wales | Lake Wales | $157.26 | $54.42 – $120.81 |
| Adventhealth Tampa | Tampa | $1,206.51 | $54.42 – $120.81 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $463.46 | $51.70 – $118.88 |
| Adventhealth Port Charlotte | Port Charlotte | $405.00 | $54.42 – $99.37 |
| indian river hospital | Vero Beach | $209.95 | $19.72 – $323.00 |
| Baptist Hospital | MIAMI | $560.30 | $15.22 – $79.20 |