CT heart w/evaluation of calcium without contrast at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$1,272.25
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.
$1,272.25
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.
$91.60 with Freedom Health vs $7,247.00 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 |
|---|---|---|---|
| Freedom Health | MCR | $91.60 | ↓ -93% |
| Optimum | MGMCR | $91.60 | ↓ -93% |
| CorVel Corporation | WORKERSCOMP | $108.67 | ↓ -91% |
| Prime Health | WC | $110.96 | ↓ -91% |
| Careworks (Rockport Community) | WORKERSCOMP | $114.39 | ↓ -91% |
| United | AllPayerAppendix | $182.03 | ↓ -86% |
| Simply | MGMCR | $195.93 | ↓ -85% |
| Molina Healthcare | MGMCR | $241.73 | ↓ -81% |
| Sunshine State Health Plan | QHP | $324.42 | ↓ -75% |
| Aetna | ASA | $381.68 | ↓ -70% |
| Molina Healthcare | HIX | $407.12 | ↓ -68% |
| United | OptionsPPO | $424.93 | ↓ -67% |
| United | GlobalBenefitPlan | $572.51 | ↓ -55% |
| Plotkin Health | COMM | $636.13 | ↓ -50% |
| AvMed | HIXOON | $636.13 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $636.13 | ↓ -50% |
| Prime Health Sheriff | COMM | $636.13 | ↓ -50% |
| Multiplan | PRIMARYPPO | $954.19 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $954.19 | ↓ -25% |
| Multiplan | Primary | $992.36 | ↓ -22% |
| Multiplan | COMPLEMENTARYPPO | $1,081.41 | ↓ -15% |
| Multiplan | Complementary | $1,081.41 | ↓ -15% |
| PPO Next | PPO | $1,081.41 | ↓ -15% |
| PPO Next | COMM | $1,081.41 | ↓ -15% |
| NovaNet | COMM | $1,145.03 | ↓ -10% |
| Aetna | QHP | $1,186.00 | ↓ -7% |
| Aetna | PPO | $1,460.00 | ↑ +15% |
| Aetna | HMO | $1,460.00 | ↑ +15% |
| AvMed | HMOFI | $1,695.00 | ↑ +33% |
| AvMed | ASOEO | $1,863.00 | ↑ +46% |
| Evolutions | TieredNetwork | $3,504.00 | ↑ +175% |
| Cigna | ManagedCareHMO | $3,951.00 | ↑ +211% |
| Cigna | PPO | $3,951.00 | ↑ +211% |
| Humana | PPO | $7,247.00 | ↑ +470% |
| Humana | HMO | $7,247.00 | ↑ +470% |
Visitor-reported prices
Comments
CT heart w/evaluation of calcium without contrast at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $121.55 | $36.39 – $151.68 |
| Adventhealth Palm Coast Parkway | Palm Coast | $267.73 | $32.85 – $194.11 |
| Adventhealth Tampa | Tampa | $1,150.55 | $29.53 – $201.75 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $133.12 | $50.70 – $198.52 |
| cleveland clinic florida weston hospital | Weston | $644.80 | $22.86 – $646.00 |
| martin north hospital | Stuart | $644.80 | $20.46 – $380.00 |
| indian river hospital | Vero Beach | $644.80 | $24.47 – $608.00 |
| Baptist Hospital | MIAMI | $1,262.95 | $67.49 – $1,748.70 |