#cf-97variants at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$422.50
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.
$422.50
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.
$30.42 with Freedom Health vs $2,226.40 with Humana — 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 | $30.42 | ↓ -93% |
| Optimum | MGMCR | $30.42 | ↓ -93% |
| Simply | MGMCR | $65.06 | ↓ -85% |
| Molina Healthcare | MGMCR | $80.28 | ↓ -81% |
| Humana | PPO | $84.50 | ↓ -80% |
| Humana | HMO | $84.50 | ↓ -80% |
| Evolutions | TieredNetwork | $97.17 | ↓ -77% |
| AvMed | HMOFI | $101.40 | ↓ -76% |
| CorVel Corporation | WORKERSCOMP | $105.31 | ↓ -75% |
| Prime Health | WC | $107.52 | ↓ -75% |
| Sunshine State Health Plan | QHP | $107.74 | ↓ -74% |
| Careworks (Rockport Community) | WORKERSCOMP | $110.85 | ↓ -74% |
| AvMed | ASOEO | $118.30 | ↓ -72% |
| Aetna | ASA | $126.75 | ↓ -70% |
| Molina Healthcare | HIX | $135.20 | ↓ -68% |
| United | OptionsPPO | $141.12 | ↓ -67% |
| Florida Health Care Plan | COMM | $159.28 | ↓ -62% |
| United | GlobalBenefitPlan | $190.13 | ↓ -55% |
| Prime Health Sheriff | COMM | $211.25 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $211.25 | ↓ -50% |
| AvMed | HIXOON | $211.25 | ↓ -50% |
| Plotkin Health | COMM | $211.25 | ↓ -50% |
| Multiplan | PRIMARYPPO | $316.88 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $316.88 | ↓ -25% |
| Multiplan | Primary | $329.55 | ↓ -22% |
| Multiplan | Complementary | $359.13 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $359.13 | ↓ -15% |
| PPO Next | COMM | $359.13 | ↓ -15% |
| PPO Next | PPO | $359.13 | ↓ -15% |
| NovaNet | COMM | $380.25 | ↓ -10% |
| Humana | TRICARE | $504.49 | ↑ +19% |
| NDMS Definitive Care | MGMCR | $556.60 | ↑ +32% |
| Humana | MGMCRHMO | $556.60 | ↑ +32% |
| United | VACCN | $556.60 | ↑ +32% |
| United | AllPayerAppendix | $556.60 | ↑ +32% |
| Devoted Health | MCR | $556.60 | ↑ +32% |
| Wellmed | MGMCR | $556.60 | ↑ +32% |
| United | MCR | $567.73 | ↑ +34% |
| BCBS | MCRPPO | $567.73 | ↑ +34% |
| BCBS | MCRHMO | $567.73 | ↑ +34% |
| FL Health Care Plan | MCR | $567.73 | ↑ +34% |
| Aetna | MCR | $570.51 | ↑ +35% |
| WellCare | MCR | $584.43 | ↑ +38% |
| Sunshine State | MCR | $584.43 | ↑ +38% |
| American Health Plan | MCR | $590.00 | ↑ +40% |
| AvMed | MGMCR | $590.00 | ↑ +40% |
| Cigna Healthspring | MCR | $595.56 | ↑ +41% |
| Florida Complete Care | MCR | $595.56 | ↑ +41% |
| Align Senior Care | MGMCR | $595.56 | ↑ +41% |
| Gold Kidney of Florida | MCR | $606.69 | ↑ +44% |
| Clear Spring Health | MCR | $612.26 | ↑ +45% |
| Seminole County Sheriffs Office | MGMCR | $612.26 | ↑ +45% |
| Centurion | GVT | $612.26 | ↑ +45% |
| CarePlus | MGMCR | $634.52 | ↑ +50% |
| Ultimate Health Plan | MCR | $640.09 | ↑ +52% |
| Longevity Health Plan | MCR | $667.92 | ↑ +58% |
| Oscar | HIX | $807.07 | ↑ +91% |
| Solis Health Plan | MCR | $807.07 | ↑ +91% |
| Simply Healthcare | HIX | $868.30 | ↑ +106% |
| Humana | MGMCRPPO | $2,226.40 | ↑ +427% |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
#cf-97variants at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,691.38 | $528.77 – $928.97 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,580.47 | $528.77 – $1,188.84 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,194.28 | $528.77 – $1,215.89 |
| Adventhealth Port Charlotte | Port Charlotte | $3,717.42 | $556.60 – $1,016.35 |
| cleveland clinic florida weston hospital | Weston | $518.70 | $170.10 – $681.00 |
| martin north hospital | Stuart | $518.70 | $163.20 – $612.26 |
| indian river hospital | Vero Beach | $375.05 | $135.02 – $612.26 |
| Baptist Hospital | MIAMI | $455.00 | $121.10 – $630.00 |