Cryptosporidium antigen at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$6.75
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.
$6.75
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.
$0.49 with Freedom Health vs $106.29 with Careworks (Rockport Community) — 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 | $0.49 | ↓ -93% |
| Optimum | MGMCR | $0.49 | ↓ -93% |
| Simply | MGMCR | $1.04 | ↓ -85% |
| Molina Healthcare | MGMCR | $1.28 | ↓ -81% |
| Humana | PPO | $1.35 | ↓ -80% |
| Humana | HMO | $1.35 | ↓ -80% |
| Evolutions | TieredNetwork | $1.55 | ↓ -77% |
| AvMed | HMOFI | $1.62 | ↓ -76% |
| Sunshine State Health Plan | QHP | $1.72 | ↓ -75% |
| AvMed | ASOEO | $1.89 | ↓ -72% |
| Aetna | ASA | $2.02 | ↓ -70% |
| Molina Healthcare | HIX | $2.16 | ↓ -68% |
| United | OptionsPPO | $2.25 | ↓ -67% |
| Florida Health Care Plan | COMM | $2.54 | ↓ -62% |
| United | GlobalBenefitPlan | $3.04 | ↓ -55% |
| AvMed | HIXOON | $3.38 | ↓ -50% |
| Plotkin Health | COMM | $3.38 | ↓ -50% |
| Prime Health Sheriff | COMM | $3.38 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $3.38 | ↓ -50% |
| Multiplan | PRIMARYPPO | $5.06 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $5.06 | ↓ -25% |
| Multiplan | Primary | $5.26 | ↓ -22% |
| PPO Next | PPO | $5.74 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $5.74 | ↓ -15% |
| Multiplan | Complementary | $5.74 | ↓ -15% |
| PPO Next | COMM | $5.74 | ↓ -15% |
| NovaNet | COMM | $6.08 | ↓ -10% |
| Humana | TRICARE | $10.85 | ↑ +61% |
| NDMS Definitive Care | MGMCR | $11.98 | ↑ +77% |
| Humana | MGMCRHMO | $11.98 | ↑ +77% |
| United | VACCN | $11.98 | ↑ +77% |
| United | AllPayerAppendix | $11.98 | ↑ +77% |
| Devoted Health | MCR | $11.98 | ↑ +77% |
| Wellmed | MGMCR | $11.98 | ↑ +77% |
| United | MCR | $12.22 | ↑ +81% |
| BCBS | MCRHMO | $12.22 | ↑ +81% |
| BCBS | MCRPPO | $12.22 | ↑ +81% |
| FL Health Care Plan | MCR | $12.22 | ↑ +81% |
| Aetna | MCR | $12.28 | ↑ +82% |
| WellCare | MCR | $12.58 | ↑ +86% |
| Sunshine State | MCR | $12.58 | ↑ +86% |
| American Health Plan | MCR | $12.70 | ↑ +88% |
| AvMed | MGMCR | $12.70 | ↑ +88% |
| Align Senior Care | MGMCR | $12.82 | ↑ +90% |
| Cigna Healthspring | MCR | $12.82 | ↑ +90% |
| Florida Complete Care | MCR | $12.82 | ↑ +90% |
| Gold Kidney of Florida | MCR | $13.06 | ↑ +93% |
| Seminole County Sheriffs Office | MGMCR | $13.18 | ↑ +95% |
| Centurion | GVT | $13.18 | ↑ +95% |
| Clear Spring Health | MCR | $13.18 | ↑ +95% |
| CarePlus | MGMCR | $13.66 | ↑ +102% |
| Ultimate Health Plan | MCR | $13.78 | ↑ +104% |
| Longevity Health Plan | MCR | $14.38 | ↑ +113% |
| Solis Health Plan | MCR | $17.37 | ↑ +157% |
| Oscar | HIX | $17.37 | ↑ +157% |
| Simply Healthcare | HIX | $18.69 | ↑ +177% |
| Humana | MGMCRPPO | $47.92 | ↑ +610% |
| CorVel Corporation | WORKERSCOMP | $100.98 | ↑ +1396% |
| Prime Health | WC | $103.10 | ↑ +1427% |
| Careworks (Rockport Community) | WORKERSCOMP | $106.29 | ↑ +1475% |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Cryptosporidium antigen at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $63.36 | $11.98 – $44.60 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $83.72 | $11.98 – $44.60 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City | $123.02 | $11.98 – $44.60 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | $366.00 | $11.86 – $112.24 |
| HCA FLORIDA SOUTH SHORE HOSPITAL | PARRISH | $9.99 | $10.85 – $104.50 |
| HCA FLORIDA PUTNAM HOSPITAL | Palatka | $362.25 | $10.85 – $99.87 |
| OVIEDO MEDICAL CENTER | Oviedo | $6.78 | $10.85 – $103.10 |
| HCA FLORIDA UNIVERSITY HOSPITAL | Davie | $427.00 | $11.86 – $113.17 |