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HOSPITALVoluntary non-profit - Private

Adventhealth Palm Coast Parkway

Palm Coast, FL

1 ADVENTHEALTH WAY, Palm Coast, FL 32137386-302-1800

4 of 5

CMS star rating

100

Beds

5,918

Inpatient discharges a year

$139.5M

Net patient revenue a year

30

In-network payers

About this hospital

Adventhealth Palm Coast Parkway is a 100-bed voluntary non-profit - private hospital in Palm Coast, FL. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 335 disclosed rate categories.

CCN
100363
NPI
1861102345
Teaching
No Medicare-funded residents
County
Flagler County
Metro area
Deltona-Daytona Beach-Ormond Beach, FL MSA
Medicare contractor
Jurisdiction N, First Coast Service Options (09001)
In Medicare since
2023
Last CMS survey
2023

Prices for common services

The 24 services Adventhealth Palm Coast Parkway most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$7,240 - $12,064

from 4 insurers · median $10,407

Blue Cross$7,240
Insurer A*$9,351
Insurer B*$11,464
Insurer C*$12,064
Medicare $5,802

21 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$632 - $3,987

from 4 insurers · median $881

Aetna$921
Insurer A*$632
Insurer B*$842
Insurer C*$3,987
Medicare $335

Common here, based on CMS Medicare volume

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$809 - $2,649

from 4 insurers · median $2,053

Aetna$809
Insurer A*$1,590
Insurer B*$2,517
Insurer C*$2,649
Medicare $870

Common here, based on CMS Medicare volume

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$1,617 - $6,251

from 4 insurers · median $2,627

Aetna$6,251
Insurer A*$1,617
Insurer B*$2,560
Insurer C*$2,694
Medicare $1,148

Common here, based on CMS Medicare volume

How the insurers pay at Adventhealth Palm Coast Parkway

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*23
354%
00
Insurer B*24
294%
00
Insurer C*23
266%
00
Insurer D*23
257%
00

How we chose these services: 4 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Adventhealth Palm Coast Parkway, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

  • Quality

    4 of 5 stars

    • 164 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.23%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 484 affiliated clinicians
    See doctors and services
  • Finances

    $139.5M net patient revenue

    • Operating margin on patient care 1.1%
    • $10.9M unreimbursed and uncompensated care
    • $7.2M net income
    See finances
  • Ownership and leadership

    Owned by Adventist Health System Sunbelt Healthcare Corporation

    • Private (not for profit)
    • Denyse Bales-Chubb, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Adventhealth Palm Coast Parkway in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
88-2288563Adventhealth Palm Coast Parkway INC60Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 55 more1861102345 Adventhealth Palm Coast Parkway Inc

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

1 ADVENTHEALTH WAY, Palm Coast, FL 32137

386-302-1800

Get directions

Frequently asked questions

About Adventhealth Palm Coast Parkway's rates and hospital price transparency.

How much does an MRI cost at Adventhealth Palm Coast Parkway?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Adventhealth Palm Coast Parkway range from $894 to $2,284 across 4 insurers. Blue Cross Blue Shield's rate is $2,284. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Adventhealth Palm Coast Parkway?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Adventhealth Palm Coast Parkway range from $632 to $3,987 across 4 insurers. Aetna's rate is $921. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Adventhealth Palm Coast Parkway?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Adventhealth Palm Coast Parkway range from $1,617 to $6,251 across 4 insurers. Aetna's rate is $6,251. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Adventhealth Palm Coast Parkway?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Adventhealth Palm Coast Parkway range from $192 to $254 across 4 insurers. Aetna's rate is $209. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Adventhealth Palm Coast Parkway's CMS star rating?

Adventhealth Palm Coast Parkway has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Adventhealth Palm Coast Parkway a teaching hospital?

CMS reports no Medicare-funded interns or residents at Adventhealth Palm Coast Parkway for fiscal year 2027.

Does Medicare penalize Adventhealth Palm Coast Parkway for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Adventhealth Palm Coast Parkway's base inpatient payments by an estimated 0.23% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Adventhealth Palm Coast Parkway?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (227 discharges), heart failure and shock with mcc (97 discharges), septicemia or severe sepsis without mv >96 hours without mcc (52 discharges).

What is Adventhealth Palm Coast Parkway's case mix index?

Adventhealth Palm Coast Parkway's Medicare case mix index is 1.49 for fiscal year 2027, higher than 26% of hospitals paid under the inpatient prospective payment system.

How many patients does Adventhealth Palm Coast Parkway admit?

Adventhealth Palm Coast Parkway reported 5,918 inpatient discharges and 23,583 inpatient days from Jul 1, 2024 to Jun 30, 2025.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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CodingPricingPayer contractsCompliance
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  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
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