Cell marker study at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$40.75
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.
$40.75
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.
$2.93 with Optimum vs $162.98 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 | $2.93 | ↓ -93% |
| Freedom Health | MCR | $2.93 | ↓ -93% |
| Simply | MGMCR | $6.28 | ↓ -85% |
| Oscar | HIX | $6.52 | ↓ -84% |
| Simply Healthcare | HIX | $6.81 | ↓ -83% |
| Molina Healthcare | MGMCR | $7.74 | ↓ -81% |
| Humana | HMO | $8.15 | ↓ -80% |
| Humana | PPO | $8.15 | ↓ -80% |
| Evolutions | TieredNetwork | $9.37 | ↓ -77% |
| AvMed | HMOFI | $9.78 | ↓ -76% |
| Sunshine State Health Plan | QHP | $10.39 | ↓ -75% |
| AvMed | ASOEO | $11.41 | ↓ -72% |
| Aetna | ASA | $12.22 | ↓ -70% |
| Molina Healthcare | HIX | $13.04 | ↓ -68% |
| United | OptionsPPO | $13.61 | ↓ -67% |
| Florida Health Care Plan | COMM | $15.36 | ↓ -62% |
| United | GlobalBenefitPlan | $18.34 | ↓ -55% |
| AvMed | HIXOON | $20.38 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $20.38 | ↓ -50% |
| Prime Health Sheriff | COMM | $20.38 | ↓ -50% |
| Plotkin Health | COMM | $20.38 | ↓ -50% |
| Three Rivers Provider Network | WorkersComp | $30.56 | ↓ -25% |
| Multiplan | PRIMARYPPO | $30.56 | ↓ -25% |
| Multiplan | Primary | $31.79 | ↓ -22% |
| PPO Next | COMM | $34.64 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $34.64 | ↓ -15% |
| PPO Next | PPO | $34.64 | ↓ -15% |
| Multiplan | Complementary | $34.64 | ↓ -15% |
| NovaNet | COMM | $36.67 | ↓ -10% |
| United | AllPayerAppendix | $49.76 | ↑ +22% |
| CorVel Corporation | WORKERSCOMP | $154.83 | ↑ +280% |
| Prime Health | WC | $158.09 | ↑ +288% |
| Careworks (Rockport Community) | WORKERSCOMP | $162.98 | ↑ +300% |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Cell marker study at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $91.00 | $49.76 – $157.84 |
| Adventhealth Port Charlotte | Port Charlotte | $332.79 | $54.42 – $99.37 |
| cleveland clinic florida weston hospital | Weston | $415.35 | $11.52 – $175.00 |
| martin north hospital | Stuart | $415.35 | $12.13 – $221.05 |
| indian river hospital | Vero Beach | $415.35 | $11.52 – $511.20 |
| Boca Raton Regional Hospital | BOCA RATON | $664.95 | $25.20 – $70.00 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $36.66 | $49.76 – $160.23 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $37.74 | $49.47 – $283.73 |