Consultation pathology during surgery at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$462.50
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.
$462.50
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.
$33.30 with Freedom Health vs $416.25 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 | $33.30 | ↓ -93% |
| Optimum | MGMCR | $33.30 | ↓ -93% |
| United | AllPayerAppendix | $33.84 | ↓ -93% |
| Simply | MGMCR | $71.22 | ↓ -85% |
| Oscar | HIX | $74.00 | ↓ -84% |
| Simply Healthcare | HIX | $77.24 | ↓ -83% |
| Molina Healthcare | MGMCR | $87.88 | ↓ -81% |
| Humana | HMO | $92.50 | ↓ -80% |
| Humana | PPO | $92.50 | ↓ -80% |
| Evolutions | TieredNetwork | $106.38 | ↓ -77% |
| AvMed | HMOFI | $111.00 | ↓ -76% |
| Sunshine State Health Plan | QHP | $117.94 | ↓ -74% |
| AvMed | ASOEO | $129.50 | ↓ -72% |
| Aetna | ASA | $138.75 | ↓ -70% |
| Molina Healthcare | HIX | $148.00 | ↓ -68% |
| United | OptionsPPO | $154.47 | ↓ -67% |
| Florida Health Care Plan | COMM | $174.36 | ↓ -62% |
| United | GlobalBenefitPlan | $208.13 | ↓ -55% |
| Plotkin Health | COMM | $231.25 | ↓ -50% |
| Prime Health Sheriff | COMM | $231.25 | ↓ -50% |
| AvMed | HIXOON | $231.25 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $231.25 | ↓ -50% |
| CorVel Corporation | WORKERSCOMP | $275.04 | ↓ -41% |
| Prime Health | WC | $280.83 | ↓ -39% |
| Careworks (Rockport Community) | WORKERSCOMP | $289.52 | ↓ -37% |
| Three Rivers Provider Network | WorkersComp | $346.88 | ↓ -25% |
| Multiplan | PRIMARYPPO | $346.88 | ↓ -25% |
| Multiplan | Primary | $360.75 | ↓ -22% |
| PPO Next | COMM | $393.13 | ↓ -15% |
| Multiplan | Complementary | $393.13 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $393.13 | ↓ -15% |
| PPO Next | PPO | $393.13 | ↓ -15% |
| NovaNet | COMM | $416.25 | ↓ -10% |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Consultation pathology during surgery at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $244.00 | $58.52 – $102.82 |
| Adventhealth Palm Coast Parkway | Palm Coast | $124.75 | $58.52 – $131.58 |
| Adventhealth Tampa | Tampa | $331.57 | $61.60 – $136.76 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $73.17 | $58.52 – $134.57 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $305.00 | $33.84 – $280.39 |
| Adventhealth Port Charlotte | Port Charlotte | $249.89 | $61.60 – $112.49 |
| cleveland clinic florida weston hospital | Weston | $187.85 | $21.17 – $216.75 |
| martin north hospital | Stuart | $306.80 | $21.17 – $236.00 |