ER Visit (level 5, high severity) at Adventhealth Palm Coast
60 Memorial Medical Pkwy, Palm Coast, FL · AdventHealth · · NPI 1679678486
$3,097.46
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.
$3,097.46
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.
$590.81 with Florida Health Care Plan vs $1,328.32 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 | $590.81 | ↓ -81% |
| Health First Health Plans | Medicare Managed Care - Hmo | $621.90 | ↓ -80% |
| Bcbs | Medicare Managed Care - Hmo | $640.56 | ↓ -79% |
| Humana | Careplus Medicare Managed Care - Hmo | $646.78 | ↓ -79% |
| Unitedhealthcare | Medicare Managed Care - Hmo/Ppo | $653.00 | ↓ -79% |
| Simply Healthcare | Medicare Managed Care - Hmo | $659.21 | ↓ -79% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $665.43 | ↓ -79% |
| Humana | Medicare Managed Care - Hmo | $691.55 | ↓ -78% |
| Oscar | Individual Epo | $1,328.32 | ↓ -57% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast Parkway | Palm Coast | $3,097.46 | $590.81 – $1,328.32 |
| Adventhealth Daytona Beach | Daytona Beach | $3,418.53 | $590.81 – $1,037.95 |
| Adventhealth Lake Wales | Lake Wales | $4,722.24 | $621.90 – $1,380.62 |
| Adventhealth Tampa | Tampa | $5,579.62 | $621.90 – $1,380.62 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $4,868.04 | $590.81 – $1,358.54 |
| Adventhealth Port Charlotte | Port Charlotte | $7,102.65 | $621.90 – $1,135.59 |
| cleveland clinic florida weston hospital | Weston | $3,437.20 | $89.52 – $4,494.80 |
| martin north hospital | Stuart | $3,437.20 | $129.22 – $2,644.00 |