CT lwr extremity w/o&w/dye at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
not published by hospital
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.
not published by hospital
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.
$401.74 with United vs $16,617.15 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 |
|---|---|---|---|
| United | AllPayerAppendix | $401.74 | — |
| Aetna | QHP | $1,186.00 | — |
| Freedom Health | MCR | $1,329.37 | — |
| Optimum | MGMCR | $1,329.37 | — |
| Aetna | HMO | $1,460.00 | — |
| Aetna | PPO | $1,460.00 | — |
| AvMed | HMOFI | $1,695.00 | — |
| AvMed | ASOEO | $1,863.00 | — |
| Simply | MGMCR | $2,843.38 | — |
| Molina Healthcare | MGMCR | $3,508.07 | — |
| Sunshine State Health Plan | QHP | $4,708.19 | — |
| CorVel Corporation | WORKERSCOMP | $4,876.70 | — |
| Prime Health | WC | $4,979.37 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $5,133.37 | — |
| Aetna | ASA | $5,539.05 | — |
| Molina Healthcare | HIX | $5,908.32 | — |
| United | OptionsPPO | $6,166.81 | — |
| United | GlobalBenefitPlan | $8,308.58 | — |
| AvMed | HIXOON | $9,231.75 | — |
| Prime Health Sheriff | COMM | $9,231.75 | — |
| Prime Health Sheriff | WORKERSCOMP | $9,231.75 | — |
| Plotkin Health | COMM | $9,231.75 | — |
| Three Rivers Provider Network | WorkersComp | $13,847.63 | — |
| Multiplan | PRIMARYPPO | $13,847.63 | — |
| Multiplan | Primary | $14,401.53 | — |
| Multiplan | Complementary | $15,693.98 | — |
| PPO Next | PPO | $15,693.98 | — |
| PPO Next | COMM | $15,693.98 | — |
| Multiplan | COMPLEMENTARYPPO | $15,693.98 | — |
| NovaNet | COMM | $16,617.15 | — |
Visitor-reported prices
Comments
CT lwr extremity w/o&w/dye at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $7,517.87 | $174.01 – $492.42 |
| Adventhealth Lake Wales | Lake Wales | $9,676.14 | $183.17 – $530.75 |
| Adventhealth Palm Coast Parkway | Palm Coast | $3,518.00 | $174.01 – $669.56 |
| Adventhealth Tampa | Tampa | $9,027.48 | $183.17 – $429.66 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $2,524.35 | $174.01 – $642.98 |
| Adventhealth Port Charlotte | Port Charlotte | $7,966.89 | $183.17 – $391.35 |
| cleveland clinic florida weston hospital | Weston | $1,346.80 | $50.71 – $1,304.75 |
| martin north hospital | Stuart | $997.75 | $45.37 – $767.50 |