Consult comp w/report rfrd material at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$432.00
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.
$432.00
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.
$31.10 with Freedom Health vs $388.80 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 |
|---|---|---|---|
| Freedom Health | MCR | $31.10 | ↓ -93% |
| Optimum | MGMCR | $31.10 | ↓ -93% |
| Truli for Health | BSL | $36.72 | ↓ -92% |
| BCBS | SBN | $37.58 | ↓ -91% |
| BCBS | BSL | $37.58 | ↓ -91% |
| BCBS | MBN | $37.58 | ↓ -91% |
| BCBS | PPO | $54.00 | ↓ -88% |
| BCBS | NWB | $54.00 | ↓ -88% |
| BCBS | HMO | $58.32 | ↓ -87% |
| Simply | MGMCR | $66.53 | ↓ -85% |
| Oscar | HIX | $69.12 | ↓ -84% |
| Simply Healthcare | HIX | $72.14 | ↓ -83% |
| Cigna | ManagedCareHMO | $75.17 | ↓ -83% |
| Cigna | PPO | $75.17 | ↓ -83% |
| Molina Healthcare | MGMCR | $82.08 | ↓ -81% |
| Humana | HMO | $86.40 | ↓ -80% |
| Humana | PPO | $86.40 | ↓ -80% |
| BCBS | PHS | $91.58 | ↓ -79% |
| Evolutions | TieredNetwork | $99.36 | ↓ -77% |
| AvMed | HMOFI | $103.68 | ↓ -76% |
| Sunshine State Health Plan | QHP | $110.16 | ↓ -75% |
| AvMed | ASOEO | $120.96 | ↓ -72% |
| Aetna | ASA | $129.60 | ↓ -70% |
| Molina Healthcare | HIX | $138.24 | ↓ -68% |
| United | OptionsPPO | $144.29 | ↓ -67% |
| United | AllPayerAppendix | $149.16 | ↓ -65% |
| Florida Health Care Plan | COMM | $162.86 | ↓ -62% |
| United | GlobalBenefitPlan | $194.40 | ↓ -55% |
| AvMed | HIXOON | $216.00 | ↓ -50% |
| Plotkin Health | COMM | $216.00 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $216.00 | ↓ -50% |
| Prime Health Sheriff | COMM | $216.00 | ↓ -50% |
| CorVel Corporation | WORKERSCOMP | $275.04 | ↓ -36% |
| Prime Health | WC | $280.83 | ↓ -35% |
| Careworks (Rockport Community) | WORKERSCOMP | $289.52 | ↓ -33% |
| Three Rivers Provider Network | WorkersComp | $324.00 | ↓ -25% |
| Multiplan | PRIMARYPPO | $324.00 | ↓ -25% |
| Multiplan | Primary | $336.96 | ↓ -22% |
| Multiplan | COMPLEMENTARYPPO | $367.20 | ↓ -15% |
| Multiplan | Complementary | $367.20 | ↓ -15% |
| PPO Next | PPO | $367.20 | ↓ -15% |
| PPO Next | COMM | $367.20 | ↓ -15% |
| NovaNet | COMM | $388.80 | ↓ -10% |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Consult comp w/report rfrd material at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $718.66 | $169.02 – $296.94 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $298.31 | $169.02 – $388.65 |
| Adventhealth Port Charlotte | Port Charlotte | $996.14 | $177.91 – $324.87 |
| cleveland clinic florida weston hospital | Weston | $796.90 | $56.79 – $613.00 |
| martin north hospital | Stuart | $187.85 | $49.47 – $216.75 |
| Baptist Hospital | MIAMI | $590.85 | $4.94 – $605.70 |
| Bethesda Hospital East | BOYNTON BEACH | $590.85 | $43.97 – $605.70 |
| Boca Raton Regional Hospital | BOCA RATON | $794.95 | $150.12 – $272.30 |