Amikacin 4 mg/ml intravitreal injection - cnr 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.
$0.58 with Humana 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 |
|---|---|---|---|
| Humana | TRICARE | $0.58 | — |
| United | AllPayerAppendix | $1.02 | — |
| Aetna | MCR | $2.07 | — |
| BCBS | MCRPPO | $2.13 | — |
| BCBS | MCRHMO | $2.14 | — |
| Truli for Health | BSL | $2.55 | — |
| BCBS | MBN | $2.61 | — |
| BCBS | SBN | $2.61 | — |
| BCBS | BSL | $2.61 | — |
| BCBS | NWB | $3.75 | — |
| BCBS | PPO | $3.75 | — |
| BCBS | HMO | $4.05 | — |
| Simply | MGMCR | $4.62 | — |
| BCBS | PHS | $6.36 | — |
| Evolutions | TieredNetwork | $6.90 | — |
| Aetna | ASA | $9.00 | — |
| Molina Healthcare | HIX | $9.60 | — |
| United | OptionsPPO | $10.02 | — |
| Florida Health Care Plan | COMM | $11.31 | — |
| United | GlobalBenefitPlan | $13.50 | — |
| Prime Health Sheriff | COMM | $15.00 | — |
| Plotkin Health | COMM | $15.00 | — |
| AvMed | HIXOON | $15.00 | — |
| Prime Health Sheriff | WORKERSCOMP | $15.00 | — |
| Three Rivers Provider Network | WorkersComp | $22.50 | — |
| Multiplan | PRIMARYPPO | $22.50 | — |
| Multiplan | Primary | $23.40 | — |
| Multiplan | Complementary | $25.50 | — |
| Multiplan | COMPLEMENTARYPPO | $25.50 | — |
| PPO Next | PPO | $25.50 | — |
| PPO Next | COMM | $25.50 | — |
| NovaNet | COMM | $27.00 | — |
| American Health Plan | MCR | $15,000.00 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Amikacin 4 mg/ml intravitreal injection - cnr at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $23.02 | $0.81 – $0.81 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $40.28 | $0.81 – $1.78 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $8.23 | $0.81 – $1.79 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City | $10.54 | $0.73 – $0.81 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville | $20.46 | $0.73 – $1.18 |
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg | $50.00 | $0.73 – $0.81 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness | $61.00 | $0.58 – $1.33 |
| HCA FLORIDA FAWCETT HOSPITAL | FORT MYERS | $73.65 | $0.58 – $1.33 |