Chrom analysis at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$214.50
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.
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What you pay up front if you don't use insurance.
$214.50
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.
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The hospital's undiscounted list price — almost no one pays this.
$15.44 with Optimum vs $193.05 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 | $15.44 | ↓ -93% |
| Freedom Health | MCR | $15.44 | ↓ -93% |
| Humana | TRICARE | $31.55 | ↓ -85% |
| Simply | MGMCR | $33.03 | ↓ -85% |
| United | AllPayerAppendix | $34.81 | ↓ -84% |
| Devoted Health | MCR | $34.81 | ↓ -84% |
| Humana | MGMCRHMO | $34.81 | ↓ -84% |
| United | VACCN | $34.81 | ↓ -84% |
| NDMS Definitive Care | MGMCR | $34.81 | ↓ -84% |
| Wellmed | MGMCR | $34.81 | ↓ -84% |
| United | MCR | $35.51 | ↓ -83% |
| FL Health Care Plan | MCR | $35.51 | ↓ -83% |
| BCBS | MCRPPO | $35.51 | ↓ -83% |
| BCBS | MCRHMO | $35.51 | ↓ -83% |
| Aetna | MCR | $35.68 | ↓ -83% |
| Sunshine State | MCR | $36.55 | ↓ -83% |
| WellCare | MCR | $36.55 | ↓ -83% |
| AvMed | MGMCR | $36.90 | ↓ -83% |
| American Health Plan | MCR | $36.90 | ↓ -83% |
| Florida Complete Care | MCR | $37.25 | ↓ -83% |
| Cigna Healthspring | MCR | $37.25 | ↓ -83% |
| Align Senior Care | MGMCR | $37.25 | ↓ -83% |
| Gold Kidney of Florida | MCR | $37.94 | ↓ -82% |
| Seminole County Sheriffs Office | MGMCR | $38.29 | ↓ -82% |
| Clear Spring Health | MCR | $38.29 | ↓ -82% |
| Centurion | GVT | $38.29 | ↓ -82% |
| CarePlus | MGMCR | $39.68 | ↓ -82% |
| Ultimate Health Plan | MCR | $40.03 | ↓ -81% |
| Molina Healthcare | MGMCR | $40.76 | ↓ -81% |
| Longevity Health Plan | MCR | $41.77 | ↓ -81% |
| Humana | HMO | $42.90 | ↓ -80% |
| Humana | PPO | $42.90 | ↓ -80% |
| Evolutions | TieredNetwork | $49.34 | ↓ -77% |
| Oscar | HIX | $50.47 | ↓ -76% |
| Solis Health Plan | MCR | $50.47 | ↓ -76% |
| AvMed | HMOFI | $51.48 | ↓ -76% |
| Simply Healthcare | HIX | $54.30 | ↓ -75% |
| Sunshine State Health Plan | QHP | $54.70 | ↓ -74% |
| AvMed | ASOEO | $60.06 | ↓ -72% |
| Aetna | ASA | $64.35 | ↓ -70% |
| Molina Healthcare | HIX | $68.64 | ↓ -68% |
| United | OptionsPPO | $71.64 | ↓ -67% |
| Florida Health Care Plan | COMM | $80.87 | ↓ -62% |
| United | GlobalBenefitPlan | $96.53 | ↓ -55% |
| Prime Health Sheriff | COMM | $107.25 | ↓ -50% |
| AvMed | HIXOON | $107.25 | ↓ -50% |
| Plotkin Health | COMM | $107.25 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $107.25 | ↓ -50% |
| Humana | MGMCRPPO | $139.24 | ↓ -35% |
| Multiplan | PRIMARYPPO | $160.88 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $160.88 | ↓ -25% |
| Multiplan | Primary | $167.31 | ↓ -22% |
| Multiplan | COMPLEMENTARYPPO | $182.32 | ↓ -15% |
| Multiplan | Complementary | $182.32 | ↓ -15% |
| PPO Next | PPO | $182.32 | ↓ -15% |
| PPO Next | COMM | $182.32 | ↓ -15% |
| NovaNet | COMM | $193.05 | ↓ -10% |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
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Chrom analysis at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $350.00 | $27.85 – $50.47 |
| Adventhealth Port Charlotte | Port Charlotte | $232.62 | $34.81 – $63.56 |
| martin north hospital | Stuart | $89.05 | $23.49 – $102.75 |
| Baptist Hospital | MIAMI | $32.50 | $8.65 – $45.00 |
| Bethesda Hospital East | BOYNTON BEACH | $32.50 | $10.05 – $45.00 |
| Boca Raton Regional Hospital | BOCA RATON | $174.20 | $34.81 – $130.60 |
| Doctors Hospital | CORAL GABLES | $32.50 | $8.75 – $45.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $32.50 | $8.70 – $45.00 |