Boot j walker l at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$472.90
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.
$472.90
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.
$93.63 with Aetna vs $783.56 with Humana — 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 |
|---|---|---|---|
| Aetna | QHP | $93.63 | ↓ -80% |
| Aetna | HMO | $106.88 | ↓ -77% |
| Aetna | PPO | $106.88 | ↓ -77% |
| Aetna | ASA | $141.87 | ↓ -70% |
| Molina Healthcare | HIX | $151.33 | ↓ -68% |
| United | OptionsPPO | $157.95 | ↓ -67% |
| Humana | TRICARE | $190.01 | ↓ -60% |
| Wellmed | MGMCR | $195.89 | ↓ -59% |
| NDMS Definitive Care | MGMCR | $195.89 | ↓ -59% |
| Devoted Health | MCR | $195.89 | ↓ -59% |
| United | VACCN | $195.89 | ↓ -59% |
| Humana | MGMCRHMO | $195.89 | ↓ -59% |
| BCBS | MCRHMO | $199.81 | ↓ -58% |
| BCBS | MCRPPO | $199.81 | ↓ -58% |
| FL Health Care Plan | MCR | $199.81 | ↓ -58% |
| United | MCR | $199.81 | ↓ -58% |
| Aetna | MCR | $200.79 | ↓ -58% |
| WellCare | MCR | $205.68 | ↓ -57% |
| Sunshine State | MCR | $205.68 | ↓ -57% |
| American Health Plan | MCR | $207.64 | ↓ -56% |
| AvMed | MGMCR | $207.64 | ↓ -56% |
| Align Senior Care | MGMCR | $209.60 | ↓ -56% |
| Cigna Healthspring | MCR | $209.60 | ↓ -56% |
| Florida Complete Care | MCR | $209.60 | ↓ -56% |
| United | GlobalBenefitPlan | $212.81 | ↓ -55% |
| Gold Kidney of Florida | MCR | $213.52 | ↓ -55% |
| Seminole County Sheriffs Office | MGMCR | $215.48 | ↓ -54% |
| Centurion | GVT | $215.48 | ↓ -54% |
| Clear Spring Health | MCR | $215.48 | ↓ -54% |
| CarePlus | MGMCR | $223.31 | ↓ -53% |
| Ultimate Health Plan | MCR | $225.27 | ↓ -52% |
| Longevity Health Plan | MCR | $235.07 | ↓ -50% |
| AvMed | HIXOON | $236.45 | ↓ -50% |
| Plotkin Health | COMM | $236.45 | ↓ -50% |
| Prime Health Sheriff | COMM | $236.45 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $236.45 | ↓ -50% |
| Solis Health Plan | MCR | $284.04 | ↓ -40% |
| Multiplan | PRIMARYPPO | $354.68 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $354.68 | ↓ -25% |
| Multiplan | Primary | $368.86 | ↓ -22% |
| Multiplan | COMPLEMENTARYPPO | $401.96 | ↓ -15% |
| PPO Next | PPO | $401.96 | ↓ -15% |
| PPO Next | COMM | $401.96 | ↓ -15% |
| Multiplan | Complementary | $401.96 | ↓ -15% |
| NovaNet | COMM | $425.61 | ↓ -10% |
| Humana | MGMCRPPO | $783.56 | ↑ +66% |
Visitor-reported prices
Comments
Boot j walker l at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON | $210.25 | $190.01 – $284.04 |
| HCA FLORIDA NORTHSIDE HOSPITAL | ST PETERSBURG | $252.11 | $190.01 – $284.04 |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | Tampa | $1,095.46 | $190.01 – $284.04 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $156.71 – $235.07 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $190.01 – $284.04 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $186.10 – $284.04 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $190.01 – $411.37 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | not published | $190.01 – $333.01 |