Tbs techl calculation only at Adventhealth Palm Coast Parkway
1 Adventhealth Way, Palm Coast, FL · AdventHealth · · NPI 1861102345
$215.13
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.
$215.13
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.
$86.33 with Florida Health Care Plan vs $206.53 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 | $86.33 | ↓ -60% |
| Health First Health Plans | Medicare Managed Care - HMO | $90.88 | ↓ -58% |
| Freedom Health | Medicare Managed Care - HMO | $92.70 | ↓ -57% |
| BCBS | Medicare Managed Care - HMO | $93.60 | ↓ -56% |
| Humana | CarePlus Medicare Managed Care - HMO | $94.51 | ↓ -56% |
| Optimum Healthcare | Medicare Managed Care - HMO | $95.42 | ↓ -56% |
| Simply Healthcare | Medicare Managed Care - HMO | $96.33 | ↓ -55% |
| Aetna | Medicare Managed Care - HMO/PPO | $97.24 | ↓ -55% |
| Oscar | Individual EPO | $194.11 | ↓ -10% |
| UnitedHealthCare | Neighborhood Health Partnership (NHP) HMO | $206.53 | ↓ -4% |
| UnitedHealthCare | Compass Exchange | $206.53 | ↓ -4% |
| UnitedHealthCare | HMO/PPO | $206.53 | ↓ -4% |
| UnitedHealthCare | NEXUS HMO | $206.53 | ↓ -4% |
Visitor-reported prices
Comments
Tbs techl calculation only at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast | Palm Coast | $215.13 | $86.33 – $194.11 |
| Adventhealth Daytona Beach | Daytona Beach | $220.51 | $86.33 – $151.68 |
| Adventhealth Tampa | Tampa | $299.00 | $90.88 – $201.75 |
| cleveland clinic florida weston hospital | Weston | $494.00 | $3.08 – $646.00 |
| martin north hospital | Stuart | $494.00 | $27.47 – $380.00 |
| indian river hospital | Vero Beach | $494.00 | $3.08 – $608.00 |
| Baptist Hospital | MIAMI | $253.50 | $47.84 – $351.00 |
| Bethesda Hospital East | BOYNTON BEACH | $253.50 | $47.84 – $351.00 |