Cytopathology fna adequacy evaluation first episode each site 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.
$0.81 with Optimum vs $162.98 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 | $0.81 | — |
| Freedom Health | MCR | $0.81 | — |
| Simply | MGMCR | $1.73 | — |
| Oscar | HIX | $1.80 | — |
| Simply Healthcare | HIX | $1.88 | — |
| Molina Healthcare | MGMCR | $2.14 | — |
| Humana | HMO | $2.25 | — |
| Humana | PPO | $2.25 | — |
| Evolutions | TieredNetwork | $2.59 | — |
| AvMed | HMOFI | $2.70 | — |
| Sunshine State Health Plan | QHP | $2.87 | — |
| AvMed | ASOEO | $3.15 | — |
| Aetna | ASA | $3.38 | — |
| Molina Healthcare | HIX | $3.60 | — |
| United | OptionsPPO | $3.76 | — |
| Florida Health Care Plan | COMM | $4.24 | — |
| United | GlobalBenefitPlan | $5.06 | — |
| AvMed | HIXOON | $5.63 | — |
| Prime Health Sheriff | WORKERSCOMP | $5.63 | — |
| Prime Health Sheriff | COMM | $5.63 | — |
| Plotkin Health | COMM | $5.63 | — |
| Three Rivers Provider Network | WorkersComp | $8.44 | — |
| Multiplan | PRIMARYPPO | $8.44 | — |
| Multiplan | Primary | $8.78 | — |
| PPO Next | COMM | $9.56 | — |
| Multiplan | COMPLEMENTARYPPO | $9.56 | — |
| PPO Next | PPO | $9.56 | — |
| Multiplan | Complementary | $9.56 | — |
| NovaNet | COMM | $10.13 | — |
| United | AllPayerAppendix | $149.16 | — |
| CorVel Corporation | WORKERSCOMP | $154.83 | — |
| Prime Health | WC | $158.09 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $162.98 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Cytopathology fna adequacy evaluation first episode each site at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $442.45 | $169.02 – $296.94 |
| Adventhealth Tampa | Tampa | $531.02 | $177.91 – $394.97 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $144.93 | $169.02 – $388.65 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $571.00 | $149.16 – $157.84 |
| Adventhealth Port Charlotte | Port Charlotte | $664.46 | $177.91 – $324.87 |
| cleveland clinic florida weston hospital | Weston | $193.05 | $20.51 – $297.00 |
| martin north hospital | Stuart | $193.05 | $33.62 – $297.00 |
| indian river hospital | Vero Beach | $193.05 | $33.62 – $297.00 |