Administration vaccine pneumococcal 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.
$28.82 with Freedom Health vs $360.23 with NovaNet — 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 |
|---|---|---|---|
| Freedom Health | MCR | $28.82 | — |
| Optimum | MGMCR | $28.82 | — |
| Truli for Health | BSL | $34.02 | — |
| BCBS | SBN | $34.82 | — |
| BCBS | BSL | $34.82 | — |
| BCBS | MBN | $34.82 | — |
| BCBS | PPO | $50.03 | — |
| BCBS | NWB | $50.03 | — |
| BCBS | HMO | $54.03 | — |
| Simply | MGMCR | $61.64 | — |
| Oscar | HIX | $64.04 | — |
| Simply Healthcare | HIX | $66.84 | — |
| CorVel Corporation | WORKERSCOMP | $68.28 | — |
| Cigna | ManagedCareHMO | $69.64 | — |
| Cigna | PPO | $69.64 | — |
| Prime Health | WC | $69.71 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $71.87 | — |
| Molina Healthcare | MGMCR | $76.05 | — |
| Aetna | QHP | $79.25 | — |
| Humana | HMO | $80.05 | — |
| Humana | PPO | $80.05 | — |
| BCBS | PHS | $84.85 | — |
| Aetna | HMO | $90.46 | — |
| Aetna | PPO | $90.46 | — |
| Evolutions | TieredNetwork | $92.06 | — |
| AvMed | HMOFI | $96.06 | — |
| Sunshine State Health Plan | QHP | $102.06 | — |
| AvMed | ASOEO | $112.07 | — |
| Aetna | ASA | $120.08 | — |
| Molina Healthcare | HIX | $128.08 | — |
| United | OptionsPPO | $133.68 | — |
| Florida Health Care Plan | COMM | $150.89 | — |
| United | GlobalBenefitPlan | $180.11 | — |
| AvMed | HIXOON | $200.13 | — |
| Prime Health Sheriff | COMM | $200.13 | — |
| Prime Health Sheriff | WORKERSCOMP | $200.13 | — |
| Plotkin Health | COMM | $200.13 | — |
| Multiplan | PRIMARYPPO | $300.19 | — |
| Three Rivers Provider Network | WorkersComp | $300.19 | — |
| Multiplan | Primary | $312.19 | — |
| PPO Next | COMM | $340.21 | — |
| PPO Next | PPO | $340.21 | — |
| Multiplan | Complementary | $340.21 | — |
| Multiplan | COMPLEMENTARYPPO | $340.21 | — |
| NovaNet | COMM | $360.23 | — |
Visitor-reported prices
Comments
Administration vaccine pneumococcal at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | $199.00 | $71.58 – $73.09 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $52.63 | $83.60 – $83.60 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville | $52.63 | $83.60 – $83.60 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | $210.00 | $74.33 – $75.89 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | $79.70 | $63.42 – $66.76 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness | $206.91 | $64.39 – $65.75 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON | $97.43 | $69.21 – $70.66 |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | NAVARRE | $110.05 | $68.91 – $72.54 |