Cystatin c at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$44.75
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.
$44.75
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.
$3.22 with Optimum vs $77.95 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 |
|---|---|---|---|
| Optimum | MGMCR | $3.22 | ↓ -93% |
| Freedom Health | MCR | $3.22 | ↓ -93% |
| Simply | MGMCR | $6.89 | ↓ -85% |
| Molina Healthcare | MGMCR | $8.50 | ↓ -81% |
| Humana | PPO | $8.95 | ↓ -80% |
| Humana | HMO | $8.95 | ↓ -80% |
| Evolutions | TieredNetwork | $10.29 | ↓ -77% |
| AvMed | HMOFI | $10.74 | ↓ -76% |
| Sunshine State Health Plan | QHP | $11.41 | ↓ -75% |
| AvMed | ASOEO | $12.53 | ↓ -72% |
| Aetna | ASA | $13.43 | ↓ -70% |
| Molina Healthcare | HIX | $14.32 | ↓ -68% |
| United | OptionsPPO | $14.95 | ↓ -67% |
| Humana | TRICARE | $16.79 | ↓ -62% |
| Florida Health Care Plan | COMM | $16.87 | ↓ -62% |
| Humana | MGMCRHMO | $18.52 | ↓ -59% |
| Devoted Health | MCR | $18.52 | ↓ -59% |
| Wellmed | MGMCR | $18.52 | ↓ -59% |
| NDMS Definitive Care | MGMCR | $18.52 | ↓ -59% |
| United | VACCN | $18.52 | ↓ -59% |
| United | AllPayerAppendix | $18.52 | ↓ -59% |
| FL Health Care Plan | MCR | $18.89 | ↓ -58% |
| BCBS | MCRPPO | $18.89 | ↓ -58% |
| United | MCR | $18.89 | ↓ -58% |
| BCBS | MCRHMO | $18.89 | ↓ -58% |
| Aetna | MCR | $18.98 | ↓ -58% |
| WellCare | MCR | $19.45 | ↓ -57% |
| Sunshine State | MCR | $19.45 | ↓ -57% |
| AvMed | MGMCR | $19.63 | ↓ -56% |
| American Health Plan | MCR | $19.63 | ↓ -56% |
| Cigna Healthspring | MCR | $19.82 | ↓ -56% |
| Florida Complete Care | MCR | $19.82 | ↓ -56% |
| Align Senior Care | MGMCR | $19.82 | ↓ -56% |
| United | GlobalBenefitPlan | $20.14 | ↓ -55% |
| Gold Kidney of Florida | MCR | $20.19 | ↓ -55% |
| Centurion | GVT | $20.37 | ↓ -54% |
| Seminole County Sheriffs Office | MGMCR | $20.37 | ↓ -54% |
| Clear Spring Health | MCR | $20.37 | ↓ -54% |
| CarePlus | MGMCR | $21.11 | ↓ -53% |
| Ultimate Health Plan | MCR | $21.30 | ↓ -52% |
| Longevity Health Plan | MCR | $22.22 | ↓ -50% |
| Plotkin Health | COMM | $22.38 | ↓ -50% |
| AvMed | HIXOON | $22.38 | ↓ -50% |
| Prime Health Sheriff | COMM | $22.38 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $22.38 | ↓ -50% |
| Oscar | HIX | $26.85 | ↓ -40% |
| Solis Health Plan | MCR | $26.85 | ↓ -40% |
| Simply Healthcare | HIX | $28.89 | ↓ -35% |
| Three Rivers Provider Network | WorkersComp | $33.56 | ↓ -25% |
| Multiplan | PRIMARYPPO | $33.56 | ↓ -25% |
| Multiplan | Primary | $34.91 | ↓ -22% |
| Multiplan | COMPLEMENTARYPPO | $38.04 | ↓ -15% |
| PPO Next | COMM | $38.04 | ↓ -15% |
| Multiplan | Complementary | $38.04 | ↓ -15% |
| PPO Next | PPO | $38.04 | ↓ -15% |
| NovaNet | COMM | $40.27 | ↓ -10% |
| CorVel Corporation | WORKERSCOMP | $74.05 | ↑ +65% |
| Humana | MGMCRPPO | $74.08 | ↑ +66% |
| Prime Health | WC | $75.61 | ↑ +69% |
| Careworks (Rockport Community) | WORKERSCOMP | $77.95 | ↑ +74% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Cystatin c at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $56.28 | $17.59 – $30.91 |
| Adventhealth Lake Wales | Lake Wales | $58.34 | $18.52 – $41.11 |
| Adventhealth Palm Coast Parkway | Palm Coast | $75.04 | $17.59 – $39.56 |
| Adventhealth Tampa | Tampa | $285.85 | $18.52 – $41.11 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $48.24 | $17.59 – $40.46 |
| Adventhealth Port Charlotte | Port Charlotte | $123.54 | $18.52 – $33.82 |
| cleveland clinic florida weston hospital | Weston | $178.75 | $5.78 – $70.55 |
| martin north hospital | Stuart | $178.75 | $6.08 – $70.50 |