Ghs clsd red med malleolus fx without manip 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.
$244.71 with Florida Health Care Plan vs $550.19 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 | $244.71 | — |
| Health First Health Plans | Medicare Managed Care - Hmo | $257.59 | — |
| Bcbs | Medicare Managed Care - Hmo | $265.32 | — |
| Humana | Careplus Medicare Managed Care - Hmo | $267.89 | — |
| Unitedhealthcare | Medicare Managed Care - Hmo/Ppo | $270.47 | — |
| Simply Healthcare | Medicare Managed Care - Hmo | $273.04 | — |
| Aetna | Medicare Managed Care - Hmo/Ppo | $275.62 | — |
| Humana | Medicare Managed Care - Hmo | $286.44 | — |
| Oscar | Individual Epo | $550.19 | — |
Visitor-reported prices
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Ghs clsd red med malleolus fx without manip at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $244.71 – $550.19 |
| Adventhealth Tampa | Tampa | $2,536.71 | $257.59 – $571.85 |
| cleveland clinic florida weston hospital | Weston | $896.35 | $151.89 – $1,172.15 |
| martin north hospital | Stuart | $896.35 | $234.07 – $963.00 |
| indian river hospital | Vero Beach | $896.35 | $151.89 – $1,103.20 |
| Adventhealth Waterman | Tavares | $731.04 | $257.59 – $519.76 |
| AdventHealth Orlando | Orlando | $777.00 | $257.59 – $682.61 |
| Adventhealth Riverview | Riverview | $2,536.71 | not published |