Diphtheria-tetanus toxoids 0.5 ml (peds) at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$326.75
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.
$326.75
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.
$22.55 with Aetna vs $15,000.00 with American Health Plan — 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 |
|---|---|---|---|
| Aetna | MCR | $22.55 | ↓ -93% |
| BCBS | MCRPPO | $23.20 | ↓ -93% |
| BCBS | MCRHMO | $23.30 | ↓ -93% |
| Truli for Health | BSL | $27.77 | ↓ -92% |
| BCBS | BSL | $28.43 | ↓ -91% |
| BCBS | MBN | $28.43 | ↓ -91% |
| BCBS | SBN | $28.43 | ↓ -91% |
| United | AllPayerAppendix | $30.31 | ↓ -91% |
| BCBS | PPO | $40.84 | ↓ -88% |
| BCBS | NWB | $40.84 | ↓ -88% |
| BCBS | HMO | $44.11 | ↓ -87% |
| Simply | MGMCR | $50.32 | ↓ -85% |
| BCBS | PHS | $69.27 | ↓ -79% |
| Evolutions | TieredNetwork | $75.15 | ↓ -77% |
| Aetna | ASA | $98.03 | ↓ -70% |
| Molina Healthcare | HIX | $104.56 | ↓ -68% |
| United | OptionsPPO | $109.13 | ↓ -67% |
| Florida Health Care Plan | COMM | $123.18 | ↓ -62% |
| United | GlobalBenefitPlan | $147.04 | ↓ -55% |
| CorVel Corporation | WORKERSCOMP | $156.75 | ↓ -52% |
| Prime Health | WC | $160.05 | ↓ -51% |
| AvMed | HIXOON | $163.38 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $163.38 | ↓ -50% |
| Plotkin Health | COMM | $163.38 | ↓ -50% |
| Prime Health Sheriff | COMM | $163.38 | ↓ -50% |
| Careworks (Rockport Community) | WORKERSCOMP | $165.00 | ↓ -50% |
| Multiplan | PRIMARYPPO | $245.06 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $245.06 | ↓ -25% |
| Multiplan | Primary | $254.87 | ↓ -22% |
| PPO Next | COMM | $277.74 | ↓ -15% |
| Multiplan | Complementary | $277.74 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $277.74 | ↓ -15% |
| PPO Next | PPO | $277.74 | ↓ -15% |
| NovaNet | COMM | $294.07 | ↓ -10% |
| American Health Plan | MCR | $15,000.00 | ↑ +4491% |
Visitor-reported prices
Comments
Diphtheria-tetanus toxoids 0.5 ml (peds) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $287.88 | $17.89 – $376.46 |
| martin north hospital | Stuart | $287.88 | $18.83 – $222.00 |
| indian river hospital | Vero Beach | $287.88 | $17.89 – $354.31 |
| Baptist Hospital | MIAMI | $114.40 | $16.14 – $158.40 |
| Bethesda Hospital East | BOYNTON BEACH | $114.40 | $16.14 – $158.40 |
| Doctors Hospital | CORAL GABLES | $114.40 | $15.65 – $158.40 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $114.40 | $15.65 – $158.40 |
| Fishermens Community Hospital | MARATHON | $114.40 | $15.65 – $158.40 |