Assay of sialic acid at HCA FLORIDA LEHIGH HOSPITAL
1500 LEE BLVD, LEHIGH ACRES, FL · HCA Florida Healthcare · · NPI 1982426615
$11.33
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.
$11.33
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.
$0.88 with Optimum Healthcare vs $20.70 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 |
|---|---|---|---|
| Optimum Healthcare | MCRPPO | $0.88 | ↓ -92% |
| Optimum Healthcare | PFFS | $0.88 | ↓ -92% |
| Optimum Healthcare | MCRHMO | $0.88 | ↓ -92% |
| Freedom Health Care | MGMGR | $0.88 | ↓ -92% |
| Simply Healthcare | MGMCR | $1.74 | ↓ -85% |
| United | OptionsPPO | $1.86 | ↓ -84% |
| Evolutions Healthcare Systems | PrimeTier1 | $2.61 | ↓ -77% |
| Sunshine State Health Plan | QHP | $2.89 | ↓ -74% |
| Aetna | ASA | $3.40 | ↓ -70% |
| Evolutions Healthcare Systems | PRIMENETWORK | $5.67 | ↓ -50% |
| Plotkin Health | COMM | $5.67 | ↓ -50% |
| Evolutions Healthcare Systems | SELECTNETWORK | $8.50 | ↓ -25% |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $8.50 | ↓ -25% |
| Evolutions Healthcare Systems | CHOICENETWORK | $10.42 | ↓ -8% |
| Humana | TRICARE | $12.18 | ↑ +8% |
| CareSource | Tricare | $12.56 | ↑ +11% |
| WellMed | MCR | $13.44 | ↑ +19% |
| Aetna | MCR | $13.44 | ↑ +19% |
| United | MGMCD | $13.44 | ↑ +19% |
| United | AllPayerAppendix | $13.44 | ↑ +19% |
| BCBS | MCRPPO | $13.71 | ↑ +21% |
| BCBS | MGMCRHMO | $13.71 | ↑ +21% |
| United | MCR | $13.71 | ↑ +21% |
| HUMANA | MGMCRPPO | $14.11 | ↑ +25% |
| WellCare | MCR | $14.25 | ↑ +26% |
| HUMANA | MGMCRHMO | $14.78 | ↑ +30% |
| Simply Healthcare | HIX | $15.86 | ↑ +40% |
| Longevity Health Plan | MCR | $16.13 | ↑ +42% |
| Oscar | HIX | $20.70 | ↑ +83% |
| Aetna | GatedCOMM | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | NonGatedCOMM | not published by hospital | — |
Visitor-reported prices
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Assay of sialic acid at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $95.55 | $5.78 – $124.95 |
| martin north hospital | Stuart | $95.55 | $6.08 – $110.25 |
| Boca Raton Regional Hospital | BOCA RATON | $53.30 | $13.44 – $53.55 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $20.06 | $12.18 – $36.82 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $12.03 | $13.44 – $50.96 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $12.03 | $13.44 – $50.96 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City | $12.03 | $13.44 – $50.96 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | $404.00 | $13.31 – $39.55 |