X-ray sinus tract/fistula/abscess at Adventhealth Palm Coast Parkway
1 Adventhealth Way, Palm Coast, FL · AdventHealth · · NPI 1861102345
$1,025.42
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.
?
What you pay up front if you don't use insurance.
$1,025.42
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.
?
The hospital's undiscounted list price — almost no one pays this.
$472.40 with Aetna vs $1,218.77 with Oscar — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $472.40 | ↓ -54% |
| Florida Health Care Plan | Medicare Managed Care - HMO | $542.08 | ↓ -47% |
| Cigna | Surefit EPO | $550.22 | ↓ -46% |
| Health First Health Plans | Medicare Managed Care - HMO | $570.61 | ↓ -44% |
| UnitedHealthCare | HMO/PPO | $580.78 | ↓ -43% |
| UnitedHealthCare | Neighborhood Health Partnership (NHP) HMO | $580.78 | ↓ -43% |
| UnitedHealthCare | Compass Exchange | $580.78 | ↓ -43% |
| UnitedHealthCare | NEXUS HMO | $580.78 | ↓ -43% |
| Freedom Health | Medicare Managed Care - HMO | $582.02 | ↓ -43% |
| BCBS | Medicare Managed Care - HMO | $587.73 | ↓ -43% |
| Humana | CarePlus Medicare Managed Care - HMO | $593.43 | ↓ -42% |
| Optimum Healthcare | Medicare Managed Care - HMO | $599.14 | ↓ -42% |
| Simply Healthcare | Medicare Managed Care - HMO | $604.85 | ↓ -41% |
| Aetna | Medicare Managed Care - HMO/PPO | $610.55 | ↓ -40% |
| Aetna | HMO/PPO | $714.58 | ↓ -30% |
| Cigna | HMO/PPO | $759.12 | ↓ -26% |
| Allegiance | CastCare Disney HMO | $759.12 | ↓ -26% |
| Cigna | County of Volusia HMO Employee | $759.12 | ↓ -26% |
| Oscar | Individual EPO | $1,218.77 | ↑ +19% |
Visitor-reported prices
Comments
X-ray sinus tract/fistula/abscess at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast | Palm Coast | $1,025.42 | $472.40 – $1,218.77 |
| Adventhealth Daytona Beach | Daytona Beach | $781.96 | $523.23 – $952.35 |
| Adventhealth Tampa | Tampa | $1,837.79 | $394.93 – $1,266.75 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $446.60 | $542.08 – $1,246.50 |
| Adventhealth Port Charlotte | Port Charlotte | $1,378.20 | $394.93 – $1,041.93 |
| cleveland clinic florida weston hospital | Weston | $3,214.25 | $22.30 – $4,019.65 |
| martin north hospital | Stuart | $3,073.85 | $19.95 – $2,364.50 |
| indian river hospital | Vero Beach | $3,073.85 | $19.68 – $3,783.20 |