Encephalitis, western equine igg/igm at Adventhealth Palm Coast
60 Memorial Medical Pkwy, Palm Coast, FL · AdventHealth · · NPI 1679678486
$35.20
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.
$35.20
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.
$12.53 with Florida Health Care Plan vs $28.17 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 | $12.53 | ↓ -64% |
| Health First Health Plans | Medicare Managed Care - Hmo | $13.19 | ↓ -63% |
| Bcbs | Medicare Managed Care - Hmo | $13.59 | ↓ -61% |
| Humana | Careplus Medicare Managed Care - Hmo | $13.72 | ↓ -61% |
| Unitedhealthcare | Medicare Managed Care - Hmo/Ppo | $13.85 | ↓ -61% |
| Simply Healthcare | Medicare Managed Care - Hmo | $13.98 | ↓ -60% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $14.11 | ↓ -60% |
| Humana | Medicare Managed Care - Hmo | $14.67 | ↓ -58% |
| Oscar | Individual Epo | $28.17 | ↓ -20% |
Visitor-reported prices
Comments
Encephalitis, western equine igg/igm at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast Parkway | Palm Coast | $35.20 | $12.53 – $28.17 |
| Adventhealth Daytona Beach | Daytona Beach | $55.80 | $12.53 – $22.01 |
| Adventhealth Tampa | Tampa | $203.58 | $13.19 – $29.28 |
| Adventhealth Port Charlotte | Port Charlotte | $87.93 | $13.19 – $24.08 |
| cleveland clinic florida weston hospital | Weston | $36.40 | $4.75 – $19.00 |
| martin north hospital | Stuart | $36.40 | $5.50 – $19.00 |
| indian river hospital | Vero Beach | $35.75 | $5.23 – $44.00 |
| Boca Raton Regional Hospital | BOCA RATON | $91.65 | $11.16 – $20.92 |