Bacterial meningitis antigen at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$29.25
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.
$29.25
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.
$2.11 with Optimum vs $121.48 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 |
|---|---|---|---|
| Optimum | MGMCR | $2.11 | ↓ -93% |
| Freedom Health | MCR | $2.11 | ↓ -93% |
| Simply | MGMCR | $4.50 | ↓ -85% |
| Molina Healthcare | MGMCR | $5.56 | ↓ -81% |
| Humana | PPO | $5.85 | ↓ -80% |
| Humana | HMO | $5.85 | ↓ -80% |
| Evolutions | TieredNetwork | $6.73 | ↓ -77% |
| AvMed | HMOFI | $7.02 | ↓ -76% |
| Sunshine State Health Plan | QHP | $7.46 | ↓ -74% |
| AvMed | ASOEO | $8.19 | ↓ -72% |
| Aetna | ASA | $8.78 | ↓ -70% |
| Molina Healthcare | HIX | $9.36 | ↓ -68% |
| United | OptionsPPO | $9.77 | ↓ -67% |
| Humana | TRICARE | $10.46 | ↓ -64% |
| Florida Health Care Plan | COMM | $11.03 | ↓ -62% |
| Humana | MGMCRHMO | $11.54 | ↓ -61% |
| Devoted Health | MCR | $11.54 | ↓ -61% |
| Wellmed | MGMCR | $11.54 | ↓ -61% |
| NDMS Definitive Care | MGMCR | $11.54 | ↓ -61% |
| United | VACCN | $11.54 | ↓ -61% |
| United | AllPayerAppendix | $11.54 | ↓ -61% |
| United | MCR | $11.77 | ↓ -60% |
| BCBS | MCRHMO | $11.77 | ↓ -60% |
| FL Health Care Plan | MCR | $11.77 | ↓ -60% |
| BCBS | MCRPPO | $11.77 | ↓ -60% |
| Aetna | MCR | $11.83 | ↓ -60% |
| Sunshine State | MCR | $12.12 | ↓ -59% |
| WellCare | MCR | $12.12 | ↓ -59% |
| American Health Plan | MCR | $12.23 | ↓ -58% |
| AvMed | MGMCR | $12.23 | ↓ -58% |
| Florida Complete Care | MCR | $12.35 | ↓ -58% |
| Align Senior Care | MGMCR | $12.35 | ↓ -58% |
| Cigna Healthspring | MCR | $12.35 | ↓ -58% |
| Gold Kidney of Florida | MCR | $12.58 | ↓ -57% |
| Seminole County Sheriffs Office | MGMCR | $12.69 | ↓ -57% |
| Clear Spring Health | MCR | $12.69 | ↓ -57% |
| Centurion | GVT | $12.69 | ↓ -57% |
| CarePlus | MGMCR | $13.16 | ↓ -55% |
| United | GlobalBenefitPlan | $13.16 | ↓ -55% |
| Ultimate Health Plan | MCR | $13.27 | ↓ -55% |
| Longevity Health Plan | MCR | $13.85 | ↓ -53% |
| Plotkin Health | COMM | $14.63 | ↓ -50% |
| AvMed | HIXOON | $14.63 | ↓ -50% |
| Prime Health Sheriff | COMM | $14.63 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $14.63 | ↓ -50% |
| Oscar | HIX | $16.73 | ↓ -43% |
| Solis Health Plan | MCR | $16.73 | ↓ -43% |
| Simply Healthcare | HIX | $18.00 | ↓ -38% |
| Three Rivers Provider Network | WorkersComp | $21.94 | ↓ -25% |
| Multiplan | PRIMARYPPO | $21.94 | ↓ -25% |
| Multiplan | Primary | $22.82 | ↓ -22% |
| Multiplan | COMPLEMENTARYPPO | $24.86 | ↓ -15% |
| PPO Next | COMM | $24.86 | ↓ -15% |
| Multiplan | Complementary | $24.86 | ↓ -15% |
| PPO Next | PPO | $24.86 | ↓ -15% |
| NovaNet | COMM | $26.32 | ↓ -10% |
| Humana | MGMCRPPO | $46.16 | ↑ +58% |
| CorVel Corporation | WORKERSCOMP | $115.41 | ↑ +295% |
| Prime Health | WC | $117.84 | ↑ +303% |
| Careworks (Rockport Community) | WORKERSCOMP | $121.48 | ↑ +315% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Bacterial meningitis antigen at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $57.94 | $10.96 – $19.26 |
| Adventhealth Lake Wales | Lake Wales | $66.76 | $11.54 – $25.62 |
| Adventhealth Palm Coast Parkway | Palm Coast | $62.40 | $10.96 – $24.65 |
| Adventhealth Tampa | Tampa | $178.12 | $11.54 – $25.62 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $47.30 | $10.96 – $25.21 |
| Adventhealth Port Charlotte | Port Charlotte | $84.94 | $11.54 – $21.07 |
| cleveland clinic florida weston hospital | Weston | $86.45 | $4.25 – $17.00 |
| martin north hospital | Stuart | $86.45 | $4.98 – $31.00 |