Calculus analysis qual at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$12.75
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.
?
What you pay up front if you don't use insurance.
$12.75
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.92 with Freedom Health vs $77.95 with Careworks (Rockport Community) — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $0.92 | ↓ -93% |
| Optimum | MGMCR | $0.92 | ↓ -93% |
| Simply | MGMCR | $1.96 | ↓ -85% |
| Molina Healthcare | MGMCR | $2.42 | ↓ -81% |
| Humana | PPO | $2.55 | ↓ -80% |
| Humana | HMO | $2.55 | ↓ -80% |
| Evolutions | TieredNetwork | $2.93 | ↓ -77% |
| AvMed | HMOFI | $3.06 | ↓ -76% |
| Sunshine State Health Plan | QHP | $3.25 | ↓ -75% |
| AvMed | ASOEO | $3.57 | ↓ -72% |
| Aetna | ASA | $3.83 | ↓ -70% |
| Molina Healthcare | HIX | $4.08 | ↓ -68% |
| United | OptionsPPO | $4.26 | ↓ -67% |
| Florida Health Care Plan | COMM | $4.81 | ↓ -62% |
| United | GlobalBenefitPlan | $5.74 | ↓ -55% |
| AvMed | HIXOON | $6.38 | ↓ -50% |
| Plotkin Health | COMM | $6.38 | ↓ -50% |
| Prime Health Sheriff | COMM | $6.38 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $6.38 | ↓ -50% |
| Multiplan | PRIMARYPPO | $9.56 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $9.56 | ↓ -25% |
| Multiplan | Primary | $9.95 | ↓ -22% |
| Humana | TRICARE | $10.50 | ↓ -18% |
| Multiplan | COMPLEMENTARYPPO | $10.84 | ↓ -15% |
| PPO Next | PPO | $10.84 | ↓ -15% |
| Multiplan | Complementary | $10.84 | ↓ -15% |
| PPO Next | COMM | $10.84 | ↓ -15% |
| NovaNet | COMM | $11.47 | ↓ -10% |
| NDMS Definitive Care | MGMCR | $11.58 | ↓ -9% |
| Humana | MGMCRHMO | $11.58 | ↓ -9% |
| United | VACCN | $11.58 | ↓ -9% |
| United | AllPayerAppendix | $11.58 | ↓ -9% |
| Devoted Health | MCR | $11.58 | ↓ -9% |
| Wellmed | MGMCR | $11.58 | ↓ -9% |
| United | MCR | $11.81 | ↓ -7% |
| BCBS | MCRHMO | $11.81 | ↓ -7% |
| BCBS | MCRPPO | $11.81 | ↓ -7% |
| FL Health Care Plan | MCR | $11.81 | ↓ -7% |
| Aetna | MCR | $11.87 | ↓ -7% |
| WellCare | MCR | $12.16 | ↓ -5% |
| Sunshine State | MCR | $12.16 | ↓ -5% |
| American Health Plan | MCR | $12.27 | ↓ -4% |
| AvMed | MGMCR | $12.27 | ↓ -4% |
| Align Senior Care | MGMCR | $12.39 | ↓ -3% |
| Cigna Healthspring | MCR | $12.39 | ↓ -3% |
| Florida Complete Care | MCR | $12.39 | ↓ -3% |
| Gold Kidney of Florida | MCR | $12.62 | ↓ -1% |
| Seminole County Sheriffs Office | MGMCR | $12.74 | ↓ -0% |
| Centurion | GVT | $12.74 | ↓ -0% |
| Clear Spring Health | MCR | $12.74 | ↓ -0% |
| CarePlus | MGMCR | $13.20 | ↑ +4% |
| Ultimate Health Plan | MCR | $13.32 | ↑ +4% |
| Longevity Health Plan | MCR | $13.90 | ↑ +9% |
| Solis Health Plan | MCR | $16.79 | ↑ +32% |
| Oscar | HIX | $16.79 | ↑ +32% |
| Simply Healthcare | HIX | $18.06 | ↑ +42% |
| Humana | MGMCRPPO | $46.32 | ↑ +263% |
| CorVel Corporation | WORKERSCOMP | $74.05 | ↑ +481% |
| Prime Health | WC | $75.61 | ↑ +493% |
| Careworks (Rockport Community) | WORKERSCOMP | $77.95 | ↑ +511% |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Calculus analysis qual at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $53.79 | $11.00 – $19.33 |
| Adventhealth Palm Coast Parkway | Palm Coast | $23.33 | $11.00 – $24.73 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $74.73 | $11.00 – $25.30 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $10.52 | $11.58 – $43.36 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $8.82 | $11.58 – $43.36 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH | $165.00 | $11.46 – $82.30 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON | $11.93 | $10.50 – $76.63 |
| HCA FLORIDA SOUTH SHORE HOSPITAL | PARRISH | $35.25 | $10.50 – $76.63 |