Assay toxin or antitoxin at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$21.75
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.
$21.75
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.
$1.57 with Freedom Health vs $114.39 with Careworks (Rockport Community) — 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 | $1.57 | ↓ -93% |
| Optimum | MGMCR | $1.57 | ↓ -93% |
| Simply | MGMCR | $3.35 | ↓ -85% |
| Molina Healthcare | MGMCR | $4.13 | ↓ -81% |
| Humana | PPO | $4.35 | ↓ -80% |
| Humana | HMO | $4.35 | ↓ -80% |
| Evolutions | TieredNetwork | $5.00 | ↓ -77% |
| AvMed | HMOFI | $5.22 | ↓ -76% |
| Sunshine State Health Plan | QHP | $5.55 | ↓ -74% |
| AvMed | ASOEO | $6.09 | ↓ -72% |
| Aetna | ASA | $6.53 | ↓ -70% |
| Molina Healthcare | HIX | $6.96 | ↓ -68% |
| United | OptionsPPO | $7.26 | ↓ -67% |
| Florida Health Care Plan | COMM | $8.20 | ↓ -62% |
| United | GlobalBenefitPlan | $9.79 | ↓ -55% |
| AvMed | HIXOON | $10.88 | ↓ -50% |
| Plotkin Health | COMM | $10.88 | ↓ -50% |
| Prime Health Sheriff | COMM | $10.88 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $10.88 | ↓ -50% |
| Multiplan | PRIMARYPPO | $16.31 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $16.31 | ↓ -25% |
| Multiplan | Primary | $16.96 | ↓ -22% |
| Humana | TRICARE | $17.90 | ↓ -18% |
| Multiplan | COMPLEMENTARYPPO | $18.49 | ↓ -15% |
| PPO Next | PPO | $18.49 | ↓ -15% |
| Multiplan | Complementary | $18.49 | ↓ -15% |
| PPO Next | COMM | $18.49 | ↓ -15% |
| NovaNet | COMM | $19.57 | ↓ -10% |
| NDMS Definitive Care | MGMCR | $19.74 | ↓ -9% |
| Humana | MGMCRHMO | $19.74 | ↓ -9% |
| United | VACCN | $19.74 | ↓ -9% |
| United | AllPayerAppendix | $19.74 | ↓ -9% |
| Devoted Health | MCR | $19.74 | ↓ -9% |
| Wellmed | MGMCR | $19.74 | ↓ -9% |
| United | MCR | $20.13 | ↓ -7% |
| BCBS | MCRHMO | $20.13 | ↓ -7% |
| BCBS | MCRPPO | $20.13 | ↓ -7% |
| FL Health Care Plan | MCR | $20.13 | ↓ -7% |
| Aetna | MCR | $20.23 | ↓ -7% |
| WellCare | MCR | $20.73 | ↓ -5% |
| Sunshine State | MCR | $20.73 | ↓ -5% |
| American Health Plan | MCR | $20.92 | ↓ -4% |
| AvMed | MGMCR | $20.92 | ↓ -4% |
| Align Senior Care | MGMCR | $21.12 | ↓ -3% |
| Cigna Healthspring | MCR | $21.12 | ↓ -3% |
| Florida Complete Care | MCR | $21.12 | ↓ -3% |
| Gold Kidney of Florida | MCR | $21.52 | ↓ -1% |
| Seminole County Sheriffs Office | MGMCR | $21.71 | ↓ -0% |
| Centurion | GVT | $21.71 | ↓ -0% |
| Clear Spring Health | MCR | $21.71 | ↓ -0% |
| CarePlus | MGMCR | $22.50 | ↑ +3% |
| Ultimate Health Plan | MCR | $22.70 | ↑ +4% |
| Longevity Health Plan | MCR | $23.69 | ↑ +9% |
| Solis Health Plan | MCR | $28.62 | ↑ +32% |
| Oscar | HIX | $28.62 | ↑ +32% |
| Simply Healthcare | HIX | $30.79 | ↑ +42% |
| Humana | MGMCRPPO | $78.96 | ↑ +263% |
| CorVel Corporation | WORKERSCOMP | $108.67 | ↑ +400% |
| Prime Health | WC | $110.96 | ↑ +410% |
| Careworks (Rockport Community) | WORKERSCOMP | $114.39 | ↑ +426% |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Assay toxin or antitoxin at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast Parkway | Palm Coast | $221.48 | $18.75 – $42.16 |
| Adventhealth Tampa | Tampa | $304.69 | $19.74 – $43.82 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $516.00 | $15.79 – $110.78 |
| Adventhealth Port Charlotte | Port Charlotte | $131.33 | $19.74 – $36.05 |
| cleveland clinic florida weston hospital | Weston | $102.05 | $4.02 – $133.45 |
| martin north hospital | Stuart | $102.05 | $4.23 – $117.75 |
| Boca Raton Regional Hospital | BOCA RATON | $150.15 | $19.74 – $51.59 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $196.20 | $17.90 – $112.46 |