Diagnostic radio unlisted proc at Adventhealth Palm Coast
60 Memorial Medical Pkwy, Palm Coast, FL · AdventHealth · · NPI 1679678486
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 $194.11 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 |
|---|---|---|---|
| Aetna | Qhp Exchange | $85.22 | — |
| Florida Health Care Plan | Medicare Managed Care - Hmo | $86.33 | — |
| Health First Health Plans | Medicare Managed Care - Hmo | $90.88 | — |
| Bcbs | Medicare Managed Care - Hmo | $93.60 | — |
| Humana | Careplus Medicare Managed Care - Hmo | $94.51 | — |
| Unitedhealthcare | Medicare Managed Care - Hmo/Ppo | $95.42 | — |
| Simply Healthcare | Medicare Managed Care - Hmo | $96.33 | — |
| Aetna | Medicare Managed Care - Hmo/Ppo | $97.24 | — |
| Cigna | Surefit Epo | $99.25 | — |
| Humana | Medicare Managed Care - Hmo | $101.06 | — |
| Aetna | Hmo/Ppo | $128.91 | — |
| Cigna | County Of Volusia Hmo Employee | $136.94 | — |
| Cigna | Hmo/Ppo | $136.94 | — |
| Unitedhealthcare | Neighborhood Health Partnership (Nhp) Hmo | $155.30 | — |
| Unitedhealthcare | Nexus Hmo | $155.30 | — |
| Unitedhealthcare | Compass Exchange | $155.30 | — |
| Unitedhealthcare | Hmo/Ppo | $155.30 | — |
| Oscar | Individual Epo | $194.11 | — |
Visitor-reported prices
Comments
Diagnostic radio unlisted proc at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $85.22 – $194.11 |
| Boca Raton Regional Hospital | BOCA RATON | $799.50 | $89.25 – $162.60 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $284.00 | $88.38 – $194.81 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $355.60 | $94.66 – $194.81 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | $1,396.00 | $182.03 – $411.54 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | $183.70 | $182.03 – $362.02 |
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION | $2,534.00 | $182.03 – $414.94 |
| HCA FLORIDA OSCEOLA HOSPITAL | ORLANDO | $2,284.05 | $182.03 – $389.74 |