Diagnostic Mammogram (one breast) 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.
$71.15 with Optimum vs $889.42 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 | $71.15 | — |
| Freedom Health | MCR | $71.15 | — |
| Humana | TRICARE | $77.90 | — |
| United | VACCN | $82.57 | — |
| Humana | MGMCRHMO | $82.57 | — |
| Devoted Health | MCR | $82.57 | — |
| Wellmed | MGMCR | $82.57 | — |
| NDMS Definitive Care | MGMCR | $82.57 | — |
| United | MCR | $84.22 | — |
| BCBS | MCRPPO | $84.22 | — |
| BCBS | MCRHMO | $84.22 | — |
| FL Health Care Plan | MCR | $84.22 | — |
| Aetna | MCR | $84.63 | — |
| WellCare | MCR | $86.70 | — |
| Sunshine State | MCR | $86.70 | — |
| American Health Plan | MCR | $87.52 | — |
| AvMed | MGMCR | $87.52 | — |
| Align Senior Care | MGMCR | $88.35 | — |
| Florida Complete Care | MCR | $88.35 | — |
| Cigna Healthspring | MCR | $88.35 | — |
| Gold Kidney of Florida | MCR | $90.00 | — |
| Clear Spring Health | MCR | $90.83 | — |
| Centurion | GVT | $90.83 | — |
| Seminole County Sheriffs Office | MGMCR | $90.83 | — |
| CarePlus | MGMCR | $94.13 | — |
| Ultimate Health Plan | MCR | $94.96 | — |
| Longevity Health Plan | MCR | $99.08 | — |
| Solis Health Plan | MCR | $119.73 | — |
| Simply | MGMCR | $152.19 | — |
| Molina Healthcare | MGMCR | $187.77 | — |
| Humana | HMO | $197.65 | — |
| Humana | PPO | $197.65 | — |
| United | AllPayerAppendix | $205.70 | — |
| AvMed | HMOFI | $237.18 | — |
| Sunshine State Health Plan | QHP | $252.00 | — |
| AvMed | ASOEO | $276.71 | — |
| Aetna | ASA | $296.48 | — |
| Molina Healthcare | HIX | $316.24 | — |
| United | OptionsPPO | $330.08 | — |
| Humana | MGMCRPPO | $330.28 | — |
| Florida Health Care Plan | COMM | $372.57 | — |
| United | GlobalBenefitPlan | $444.71 | — |
| Plotkin Health | COMM | $494.13 | — |
| Prime Health Sheriff | WORKERSCOMP | $494.13 | — |
| Prime Health Sheriff | COMM | $494.13 | — |
| AvMed | HIXOON | $494.13 | — |
| Multiplan | PRIMARYPPO | $741.19 | — |
| Three Rivers Provider Network | WorkersComp | $741.19 | — |
| Multiplan | Primary | $770.84 | — |
| Multiplan | Complementary | $840.01 | — |
| PPO Next | PPO | $840.01 | — |
| PPO Next | COMM | $840.01 | — |
| Multiplan | COMPLEMENTARYPPO | $840.01 | — |
| NovaNet | COMM | $889.42 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Diagnostic Mammogram (one breast) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $433.40 | $83.18 – $159.23 |
| Adventhealth Lake Wales | Lake Wales | $1,499.40 | $87.56 – $201.85 |
| Adventhealth Palm Coast Parkway | Palm Coast | $310.00 | $83.18 – $240.30 |
| Adventhealth Tampa | Tampa | $559.51 | $87.56 – $194.38 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $448.22 | $83.18 – $191.27 |
| Adventhealth Port Charlotte | Port Charlotte | $1,109.11 | $87.56 – $159.88 |
| cleveland clinic florida weston hospital | Weston | $668.20 | $27.88 – $598.40 |
| martin north hospital | Stuart | $457.60 | $29.35 – $352.00 |