Chmotx admn plrl cav thrcnts at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$513.25
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.
$513.25
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.
$36.95 with Optimum vs $461.93 with NovaNet — 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 | $36.95 | ↓ -93% |
| Freedom Health | MCR | $36.95 | ↓ -93% |
| Simply | MGMCR | $79.04 | ↓ -85% |
| Oscar | HIX | $82.12 | ↓ -84% |
| Simply Healthcare | HIX | $85.71 | ↓ -83% |
| Cigna | PPO | $89.31 | ↓ -83% |
| Cigna | ManagedCareHMO | $89.31 | ↓ -83% |
| Molina Healthcare | MGMCR | $97.52 | ↓ -81% |
| Humana | HMO | $102.65 | ↓ -80% |
| Humana | PPO | $102.65 | ↓ -80% |
| Evolutions | TieredNetwork | $118.05 | ↓ -77% |
| AvMed | HMOFI | $123.18 | ↓ -76% |
| Sunshine State Health Plan | QHP | $130.88 | ↓ -74% |
| AvMed | ASOEO | $143.71 | ↓ -72% |
| CorVel Corporation | WORKERSCOMP | $148.20 | ↓ -71% |
| Prime Health | WC | $151.32 | ↓ -71% |
| Aetna | ASA | $153.97 | ↓ -70% |
| Careworks (Rockport Community) | WORKERSCOMP | $156.00 | ↓ -70% |
| Molina Healthcare | HIX | $164.24 | ↓ -68% |
| United | OptionsPPO | $171.43 | ↓ -67% |
| Florida Health Care Plan | COMM | $193.50 | ↓ -62% |
| United | GlobalBenefitPlan | $230.96 | ↓ -55% |
| Plotkin Health | COMM | $256.63 | ↓ -50% |
| AvMed | HIXOON | $256.63 | ↓ -50% |
| Prime Health Sheriff | COMM | $256.63 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $256.63 | ↓ -50% |
| Multiplan | PRIMARYPPO | $384.94 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $384.94 | ↓ -25% |
| Multiplan | Primary | $400.33 | ↓ -22% |
| PPO Next | COMM | $436.26 | ↓ -15% |
| Multiplan | Complementary | $436.26 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $436.26 | ↓ -15% |
| PPO Next | PPO | $436.26 | ↓ -15% |
| NovaNet | COMM | $461.93 | ↓ -10% |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
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Chmotx admn plrl cav thrcnts at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $1,859.65 | $82.83 – $2,431.85 |
| martin north hospital | Stuart | $1,859.65 | $112.48 – $1,430.50 |
| indian river hospital | Vero Beach | $1,859.65 | $82.83 – $2,288.80 |
| Baptist Hospital | MIAMI | $288.60 | $76.81 – $672.37 |
| Bethesda Hospital East | BOYNTON BEACH | $288.60 | $119.88 – $672.37 |
| Boca Raton Regional Hospital | BOCA RATON | $757.90 | $294.30 – $1,166.00 |
| Doctors Hospital | CORAL GABLES | $288.60 | $77.70 – $670.41 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $288.60 | $77.26 – $670.41 |