Electrophysiology evaluation at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$13,757.75
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.
$13,757.75
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.
$949.28 with Aetna vs $54,693.00 with Florida Health Care 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 | $949.28 | ↓ -93% |
| BCBS | MCRPPO | $976.80 | ↓ -93% |
| BCBS | MCRHMO | $980.93 | ↓ -93% |
| Simply | MGMCR | $2,118.69 | ↓ -85% |
| Aetna | QHP | $2,724.03 | ↓ -80% |
| Aetna | PPO | $3,109.25 | ↓ -77% |
| Aetna | HMO | $3,109.25 | ↓ -77% |
| AvMed | HMOFI | $3,301.86 | ↓ -76% |
| AvMed | ASOEO | $3,852.17 | ↓ -72% |
| Aetna | ASA | $4,127.32 | ↓ -70% |
| United | OptionsPPO | $4,595.09 | ↓ -67% |
| United | GlobalBenefitPlan | $6,190.99 | ↓ -55% |
| Plotkin Health | COMM | $6,878.88 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $6,878.88 | ↓ -50% |
| AvMed | HIXOON | $6,878.88 | ↓ -50% |
| Prime Health Sheriff | COMM | $6,878.88 | ↓ -50% |
| Molina Healthcare | MGMCR | $7,500.00 | ↓ -45% |
| Optimum | MGMCR | $7,650.00 | ↓ -44% |
| Freedom Health | MCR | $7,650.00 | ↓ -44% |
| CorVel Corporation | WORKERSCOMP | $8,458.02 | ↓ -39% |
| Prime Health | WC | $8,636.08 | ↓ -37% |
| Careworks (Rockport Community) | WORKERSCOMP | $8,903.18 | ↓ -35% |
| Molina Healthcare | HIX | $9,611.00 | ↓ -30% |
| Sunshine State Health Plan | QHP | $10,254.00 | ↓ -25% |
| Multiplan | PRIMARYPPO | $10,318.31 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $10,318.31 | ↓ -25% |
| Multiplan | Primary | $10,731.05 | ↓ -22% |
| Multiplan | Complementary | $11,694.09 | ↓ -15% |
| PPO Next | PPO | $11,694.09 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $11,694.09 | ↓ -15% |
| PPO Next | COMM | $11,694.09 | ↓ -15% |
| Truli for Health | BSL | $11,717.00 | ↓ -15% |
| NovaNet | COMM | $12,381.98 | ↓ -10% |
| BCBS | MBN | $12,418.00 | ↓ -10% |
| BCBS | SBN | $12,418.00 | ↓ -10% |
| BCBS | BSL | $12,418.00 | ↓ -10% |
| American Health Plan | MCR | $15,000.00 | ↑ +9% |
| BCBS | HMO | $18,877.00 | ↑ +37% |
| United | AllPayerAppendix | $18,999.00 | ↑ +38% |
| Evolutions | TieredNetwork | $20,188.00 | ↑ +47% |
| BCBS | PPO | $21,507.00 | ↑ +56% |
| BCBS | NWB | $21,507.00 | ↑ +56% |
| Cigna | ManagedCareHMO | $23,916.00 | ↑ +74% |
| Cigna | PPO | $23,916.00 | ↑ +74% |
| BCBS | PHS | $28,125.00 | ↑ +104% |
| Oscar | HIX | $29,349.00 | ↑ +113% |
| Humana | PPO | $37,268.00 | ↑ +171% |
| Humana | HMO | $37,268.00 | ↑ +171% |
| Simply Healthcare | HIX | $38,312.00 | ↑ +178% |
| Florida Health Care Plan | COMM | $54,693.00 | ↑ +298% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $6,594.98 | not published |
| Adventhealth Tampa | Tampa | $27,820.68 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $38,984.00 | $8,444.65 – $8,622.44 |
| Adventhealth Port Charlotte | Port Charlotte | $31,993.78 | not published |
| cleveland clinic florida weston hospital | Weston | $12,281.75 | $33.31 – $19,642.00 |
| martin north hospital | Stuart | $11,852.75 | $392.44 – $16,407.00 |
| indian river hospital | Vero Beach | $11,852.75 | $253.14 – $14,588.00 |
| Baptist Hospital | MIAMI | $12,358.45 | $173.17 – $17,111.70 |