3d recon without postprocess indpndt at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
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.
$164.46 with Aetna vs $15,000.00 with American Health Plan — 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 |
|---|---|---|---|
| Aetna | MCR | $164.46 | — |
| BCBS | MCRPPO | $169.23 | — |
| BCBS | MCRHMO | $169.94 | — |
| Optimum | MGMCR | $171.61 | — |
| Freedom Health | MCR | $171.61 | — |
| Simply | MGMCR | $367.06 | — |
| Molina Healthcare | MGMCR | $452.87 | — |
| Humana | HMO | $476.70 | — |
| Humana | PPO | $476.70 | — |
| CorVel Corporation | WORKERSCOMP | $479.88 | — |
| Prime Health | WC | $489.99 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $505.14 | — |
| Evolutions | TieredNetwork | $548.21 | — |
| AvMed | HMOFI | $572.04 | — |
| Sunshine State Health Plan | QHP | $607.79 | — |
| AvMed | ASOEO | $667.38 | — |
| Aetna | ASA | $715.05 | — |
| Molina Healthcare | HIX | $762.72 | — |
| United | OptionsPPO | $796.09 | — |
| Florida Health Care Plan | COMM | $898.58 | — |
| United | GlobalBenefitPlan | $1,072.58 | — |
| Aetna | QHP | $1,186.00 | — |
| Prime Health Sheriff | WORKERSCOMP | $1,191.75 | — |
| Prime Health Sheriff | COMM | $1,191.75 | — |
| AvMed | HIXOON | $1,191.75 | — |
| Plotkin Health | COMM | $1,191.75 | — |
| Aetna | HMO | $1,460.00 | — |
| Aetna | PPO | $1,460.00 | — |
| Three Rivers Provider Network | WorkersComp | $1,787.63 | — |
| Multiplan | PRIMARYPPO | $1,787.63 | — |
| Multiplan | Primary | $1,859.13 | — |
| PPO Next | PPO | $2,025.97 | — |
| Multiplan | COMPLEMENTARYPPO | $2,025.97 | — |
| Multiplan | Complementary | $2,025.97 | — |
| PPO Next | COMM | $2,025.97 | — |
| NovaNet | COMM | $2,145.15 | — |
| American Health Plan | MCR | $15,000.00 | — |
Visitor-reported prices
Comments
3d recon without postprocess indpndt at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $483.53 | not published |
| Adventhealth Tampa | Tampa | $686.09 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $830.55 | not published |
| cleveland clinic florida weston hospital | Weston | $517.40 | $8.38 – $601.80 |
| martin north hospital | Stuart | $517.40 | $7.50 – $354.00 |
| indian river hospital | Vero Beach | $460.20 | $7.43 – $566.40 |
| Baptist Hospital | MIAMI | $185.90 | $47.06 – $244.80 |
| Bethesda Hospital East | BOYNTON BEACH | $176.80 | $54.67 – $272.00 |