Diagnostic Mammogram (both breasts) at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$1,259.50
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.
$1,259.50
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.
$90.68 with Optimum vs $1,133.55 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 |
|---|---|---|---|
| Optimum | MGMCR | $90.68 | ↓ -93% |
| Freedom Health | MCR | $90.68 | ↓ -93% |
| Humana | TRICARE | $99.12 | ↓ -92% |
| United | VACCN | $106.06 | ↓ -92% |
| Humana | MGMCRHMO | $106.06 | ↓ -92% |
| Devoted Health | MCR | $106.06 | ↓ -92% |
| Wellmed | MGMCR | $106.06 | ↓ -92% |
| NDMS Definitive Care | MGMCR | $106.06 | ↓ -92% |
| United | MCR | $108.18 | ↓ -91% |
| BCBS | MCRPPO | $108.18 | ↓ -91% |
| BCBS | MCRHMO | $108.18 | ↓ -91% |
| FL Health Care Plan | MCR | $108.18 | ↓ -91% |
| Aetna | MCR | $108.71 | ↓ -91% |
| WellCare | MCR | $111.36 | ↓ -91% |
| Sunshine State | MCR | $111.36 | ↓ -91% |
| American Health Plan | MCR | $112.42 | ↓ -91% |
| AvMed | MGMCR | $112.42 | ↓ -91% |
| Align Senior Care | MGMCR | $113.48 | ↓ -91% |
| Florida Complete Care | MCR | $113.48 | ↓ -91% |
| Cigna Healthspring | MCR | $113.48 | ↓ -91% |
| Gold Kidney of Florida | MCR | $115.61 | ↓ -91% |
| Clear Spring Health | MCR | $116.67 | ↓ -91% |
| Centurion | GVT | $116.67 | ↓ -91% |
| Seminole County Sheriffs Office | MGMCR | $116.67 | ↓ -91% |
| CarePlus | MGMCR | $120.91 | ↓ -90% |
| Ultimate Health Plan | MCR | $121.97 | ↓ -90% |
| Longevity Health Plan | MCR | $127.27 | ↓ -90% |
| Solis Health Plan | MCR | $153.79 | ↓ -88% |
| Simply | MGMCR | $193.96 | ↓ -85% |
| Molina Healthcare | MGMCR | $239.31 | ↓ -81% |
| Humana | HMO | $251.90 | ↓ -80% |
| Humana | PPO | $251.90 | ↓ -80% |
| United | AllPayerAppendix | $263.00 | ↓ -79% |
| AvMed | HMOFI | $302.28 | ↓ -76% |
| Sunshine State Health Plan | QHP | $321.17 | ↓ -75% |
| AvMed | ASOEO | $352.66 | ↓ -72% |
| Aetna | ASA | $377.85 | ↓ -70% |
| Molina Healthcare | HIX | $403.04 | ↓ -68% |
| United | OptionsPPO | $420.67 | ↓ -67% |
| Humana | MGMCRPPO | $424.24 | ↓ -66% |
| Florida Health Care Plan | COMM | $474.83 | ↓ -62% |
| United | GlobalBenefitPlan | $566.77 | ↓ -55% |
| Plotkin Health | COMM | $629.75 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $629.75 | ↓ -50% |
| Prime Health Sheriff | COMM | $629.75 | ↓ -50% |
| AvMed | HIXOON | $629.75 | ↓ -50% |
| Multiplan | PRIMARYPPO | $944.63 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $944.63 | ↓ -25% |
| Multiplan | Primary | $982.41 | ↓ -22% |
| Multiplan | Complementary | $1,070.58 | ↓ -15% |
| PPO Next | PPO | $1,070.58 | ↓ -15% |
| PPO Next | COMM | $1,070.58 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $1,070.58 | ↓ -15% |
| NovaNet | COMM | $1,133.55 | ↓ -10% |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Diagnostic Mammogram (both breasts) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $627.61 | $106.90 – $203.35 |
| Adventhealth Lake Wales | Lake Wales | $1,704.92 | $112.53 – $257.80 |
| Adventhealth Palm Coast Parkway | Palm Coast | $507.36 | $106.90 – $306.90 |
| Adventhealth Tampa | Tampa | $687.12 | $112.53 – $249.82 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $647.27 | $106.90 – $245.82 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $1,366.00 | $84.85 – $127.27 |
| Adventhealth Port Charlotte | Port Charlotte | $1,027.30 | $112.53 – $205.48 |
| cleveland clinic florida weston hospital | Weston | $833.95 | $27.88 – $750.55 |