Cytogenetics 25-99 at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$40.25
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.
$40.25
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.
$2.90 with Freedom Health vs $169.52 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 | $2.90 | ↓ -93% |
| Optimum | MGMCR | $2.90 | ↓ -93% |
| Simply | MGMCR | $6.20 | ↓ -85% |
| Molina Healthcare | MGMCR | $7.65 | ↓ -81% |
| Humana | PPO | $8.05 | ↓ -80% |
| Humana | HMO | $8.05 | ↓ -80% |
| Evolutions | TieredNetwork | $9.26 | ↓ -77% |
| AvMed | HMOFI | $9.66 | ↓ -76% |
| Sunshine State Health Plan | QHP | $10.26 | ↓ -75% |
| AvMed | ASOEO | $11.27 | ↓ -72% |
| Aetna | ASA | $12.07 | ↓ -70% |
| Molina Healthcare | HIX | $12.88 | ↓ -68% |
| United | OptionsPPO | $13.44 | ↓ -67% |
| Florida Health Care Plan | COMM | $15.17 | ↓ -62% |
| United | GlobalBenefitPlan | $18.11 | ↓ -55% |
| AvMed | HIXOON | $20.13 | ↓ -50% |
| Plotkin Health | COMM | $20.13 | ↓ -50% |
| Prime Health Sheriff | COMM | $20.13 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $20.13 | ↓ -50% |
| Multiplan | PRIMARYPPO | $30.19 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $30.19 | ↓ -25% |
| Multiplan | Primary | $31.39 | ↓ -22% |
| PPO Next | PPO | $34.21 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $34.21 | ↓ -15% |
| Multiplan | Complementary | $34.21 | ↓ -15% |
| PPO Next | COMM | $34.21 | ↓ -15% |
| NovaNet | COMM | $36.23 | ↓ -10% |
| Humana | TRICARE | $38.41 | ↓ -5% |
| Devoted Health | MCR | $42.38 | ↑ +5% |
| Humana | MGMCRHMO | $42.38 | ↑ +5% |
| United | VACCN | $42.38 | ↑ +5% |
| United | AllPayerAppendix | $42.38 | ↑ +5% |
| NDMS Definitive Care | MGMCR | $42.38 | ↑ +5% |
| Wellmed | MGMCR | $42.38 | ↑ +5% |
| BCBS | MCRHMO | $43.23 | ↑ +7% |
| BCBS | MCRPPO | $43.23 | ↑ +7% |
| FL Health Care Plan | MCR | $43.23 | ↑ +7% |
| United | MCR | $43.23 | ↑ +7% |
| Aetna | MCR | $43.44 | ↑ +8% |
| WellCare | MCR | $44.50 | ↑ +11% |
| Sunshine State | MCR | $44.50 | ↑ +11% |
| AvMed | MGMCR | $44.92 | ↑ +12% |
| American Health Plan | MCR | $44.92 | ↑ +12% |
| Florida Complete Care | MCR | $45.35 | ↑ +13% |
| Align Senior Care | MGMCR | $45.35 | ↑ +13% |
| Cigna Healthspring | MCR | $45.35 | ↑ +13% |
| Gold Kidney of Florida | MCR | $46.19 | ↑ +15% |
| Centurion | GVT | $46.62 | ↑ +16% |
| Clear Spring Health | MCR | $46.62 | ↑ +16% |
| Seminole County Sheriffs Office | MGMCR | $46.62 | ↑ +16% |
| CarePlus | MGMCR | $48.31 | ↑ +20% |
| Ultimate Health Plan | MCR | $48.74 | ↑ +21% |
| Longevity Health Plan | MCR | $50.86 | ↑ +26% |
| Oscar | HIX | $61.45 | ↑ +53% |
| Solis Health Plan | MCR | $61.45 | ↑ +53% |
| Simply Healthcare | HIX | $66.11 | ↑ +64% |
| Humana | MGMCRPPO | $169.52 | ↑ +321% |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Cytogenetics 25-99 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast Parkway | Palm Coast | $251.85 | $40.26 – $90.52 |
| Adventhealth Port Charlotte | Port Charlotte | $282.70 | $42.38 – $77.39 |
| cleveland clinic florida weston hospital | Weston | $110.50 | $21.25 – $72.25 |
| martin north hospital | Stuart | $110.50 | $23.49 – $63.75 |
| indian river hospital | Vero Beach | $110.50 | $19.89 – $78.30 |
| Baptist Hospital | MIAMI | $594.75 | $22.77 – $514.80 |
| Bethesda Hospital East | BOYNTON BEACH | $594.75 | $22.77 – $514.80 |
| Boca Raton Regional Hospital | BOCA RATON | $130.00 | $42.38 – $128.64 |