Cover wrist at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$1,267.12
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.
$1,267.12
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.
$250.89 with Aetna vs $1,833.76 with Humana — 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 |
|---|---|---|---|
| Aetna | QHP | $250.89 | ↓ -80% |
| Aetna | HMO | $286.37 | ↓ -77% |
| Aetna | PPO | $286.37 | ↓ -77% |
| Aetna | ASA | $380.14 | ↓ -70% |
| Molina Healthcare | HIX | $405.48 | ↓ -68% |
| United | OptionsPPO | $423.22 | ↓ -67% |
| Humana | TRICARE | $444.69 | ↓ -65% |
| Wellmed | MGMCR | $458.44 | ↓ -64% |
| NDMS Definitive Care | MGMCR | $458.44 | ↓ -64% |
| Humana | MGMCRHMO | $458.44 | ↓ -64% |
| Devoted Health | MCR | $458.44 | ↓ -64% |
| United | VACCN | $458.44 | ↓ -64% |
| FL Health Care Plan | MCR | $467.61 | ↓ -63% |
| BCBS | MCRHMO | $467.61 | ↓ -63% |
| United | MCR | $467.61 | ↓ -63% |
| BCBS | MCRPPO | $467.61 | ↓ -63% |
| Aetna | MCR | $469.90 | ↓ -63% |
| Sunshine State | MCR | $481.36 | ↓ -62% |
| WellCare | MCR | $481.36 | ↓ -62% |
| AvMed | MGMCR | $485.95 | ↓ -62% |
| American Health Plan | MCR | $485.95 | ↓ -62% |
| Florida Complete Care | MCR | $490.53 | ↓ -61% |
| Align Senior Care | MGMCR | $490.53 | ↓ -61% |
| Cigna Healthspring | MCR | $490.53 | ↓ -61% |
| Gold Kidney of Florida | MCR | $499.70 | ↓ -61% |
| Seminole County Sheriffs Office | MGMCR | $504.28 | ↓ -60% |
| Centurion | GVT | $504.28 | ↓ -60% |
| Clear Spring Health | MCR | $504.28 | ↓ -60% |
| CarePlus | MGMCR | $522.62 | ↓ -59% |
| Ultimate Health Plan | MCR | $527.21 | ↓ -58% |
| Longevity Health Plan | MCR | $550.13 | ↓ -57% |
| United | GlobalBenefitPlan | $570.20 | ↓ -55% |
| Prime Health Sheriff | WORKERSCOMP | $633.56 | ↓ -50% |
| AvMed | HIXOON | $633.56 | ↓ -50% |
| Plotkin Health | COMM | $633.56 | ↓ -50% |
| Prime Health Sheriff | COMM | $633.56 | ↓ -50% |
| Solis Health Plan | MCR | $664.74 | ↓ -48% |
| Three Rivers Provider Network | WorkersComp | $950.34 | ↓ -25% |
| Multiplan | PRIMARYPPO | $950.34 | ↓ -25% |
| Multiplan | Primary | $988.35 | ↓ -22% |
| PPO Next | COMM | $1,077.05 | ↓ -15% |
| Multiplan | Complementary | $1,077.05 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $1,077.05 | ↓ -15% |
| PPO Next | PPO | $1,077.05 | ↓ -15% |
| NovaNet | COMM | $1,140.41 | ↓ -10% |
| Humana | MGMCRPPO | $1,833.76 | ↑ +45% |
Visitor-reported prices
Comments
Cover wrist at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $366.75 – $550.13 |
| cleveland clinic florida weston hospital | Weston | not published | $693.05 – $693.05 |
| martin north hospital | Stuart | not published | $662.22 – $662.22 |
| indian river hospital | Vero Beach | not published | $830.39 – $830.39 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $444.69 – $664.74 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $435.52 – $664.74 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $444.69 – $962.72 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | not published | $444.69 – $779.35 |