Bld prd mix 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.
$4.32 with Optimum vs $208.82 with BCBS — 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 | $4.32 | — |
| Freedom Health | MCR | $4.32 | — |
| Simply | MGMCR | $9.24 | — |
| Oscar | HIX | $9.60 | — |
| Simply Healthcare | HIX | $10.02 | — |
| Molina Healthcare | MGMCR | $11.40 | — |
| Humana | HMO | $12.00 | — |
| Humana | PPO | $12.00 | — |
| Evolutions | TieredNetwork | $13.80 | — |
| AvMed | HMOFI | $14.40 | — |
| Sunshine State Health Plan | QHP | $15.30 | — |
| AvMed | ASOEO | $16.80 | — |
| Aetna | ASA | $18.00 | — |
| Molina Healthcare | HIX | $19.20 | — |
| United | OptionsPPO | $20.04 | — |
| Florida Health Care Plan | COMM | $22.62 | — |
| United | GlobalBenefitPlan | $27.00 | — |
| Prime Health Sheriff | COMM | $30.00 | — |
| Plotkin Health | COMM | $30.00 | — |
| AvMed | HIXOON | $30.00 | — |
| Prime Health Sheriff | WORKERSCOMP | $30.00 | — |
| Multiplan | PRIMARYPPO | $45.00 | — |
| Three Rivers Provider Network | WorkersComp | $45.00 | — |
| Multiplan | Primary | $46.80 | — |
| Multiplan | Complementary | $51.00 | — |
| Multiplan | COMPLEMENTARYPPO | $51.00 | — |
| PPO Next | COMM | $51.00 | — |
| PPO Next | PPO | $51.00 | — |
| NovaNet | COMM | $54.00 | — |
| CorVel Corporation | WORKERSCOMP | $79.82 | — |
| Prime Health | WC | $81.50 | — |
| Truli for Health | BSL | $83.72 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $84.02 | — |
| BCBS | BSL | $85.69 | — |
| BCBS | MBN | $85.69 | — |
| BCBS | SBN | $85.69 | — |
| BCBS | PPO | $123.13 | — |
| BCBS | NWB | $123.13 | — |
| BCBS | HMO | $132.97 | — |
| United | AllPayerAppendix | $149.16 | — |
| Cigna | PPO | $171.39 | — |
| Cigna | ManagedCareHMO | $171.39 | — |
| BCBS | PHS | $208.82 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Bld prd mix at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Port Charlotte | Port Charlotte | $1,101.73 | $177.91 – $324.87 |
| cleveland clinic florida weston hospital | Weston | $117.00 | $46.62 – $195.71 |
| martin north hospital | Stuart | $117.00 | $50.94 – $195.71 |
| Baptist Hospital | MIAMI | $40.95 | $4.32 – $199.26 |
| Bethesda Hospital East | BOYNTON BEACH | $40.95 | $12.66 – $185.03 |
| Boca Raton Regional Hospital | BOCA RATON | $349.05 | $27.51 – $298.42 |
| Doctors Hospital | CORAL GABLES | $40.95 | $11.03 – $199.26 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $40.95 | $10.96 – $195.71 |