Electrophysiology evaluation at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$6,053.00
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.
$6,053.00
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.
$255.55 with CorVel Corporation vs $37,268.00 with Humana — 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 |
|---|---|---|---|
| CorVel Corporation | WORKERSCOMP | $255.55 | ↓ -96% |
| Prime Health | WC | $260.93 | ↓ -96% |
| Careworks (Rockport Community) | WORKERSCOMP | $269.00 | ↓ -96% |
| Aetna | MCR | $417.66 | ↓ -93% |
| BCBS | MCRPPO | $429.76 | ↓ -93% |
| BCBS | MCRHMO | $431.58 | ↓ -93% |
| Simply | MGMCR | $932.16 | ↓ -85% |
| Oscar | HIX | $968.48 | ↓ -84% |
| Simply Healthcare | HIX | $1,010.85 | ↓ -83% |
| Molina Healthcare | MGMCR | $1,150.07 | ↓ -81% |
| AvMed | HMOFI | $1,452.72 | ↓ -76% |
| AvMed | ASOEO | $1,694.84 | ↓ -72% |
| Aetna | ASA | $1,815.90 | ↓ -70% |
| United | OptionsPPO | $2,021.70 | ↓ -67% |
| United | AllPayerAppendix | $2,264.00 | ↓ -63% |
| Florida Health Care Plan | COMM | $2,281.98 | ↓ -62% |
| United | GlobalBenefitPlan | $2,723.85 | ↓ -55% |
| Prime Health Sheriff | COMM | $3,026.50 | ↓ -50% |
| Plotkin Health | COMM | $3,026.50 | ↓ -50% |
| AvMed | HIXOON | $3,026.50 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $3,026.50 | ↓ -50% |
| Multiplan | PRIMARYPPO | $4,539.75 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $4,539.75 | ↓ -25% |
| Multiplan | Primary | $4,721.34 | ↓ -22% |
| Multiplan | Complementary | $5,145.05 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $5,145.05 | ↓ -15% |
| PPO Next | PPO | $5,145.05 | ↓ -15% |
| PPO Next | COMM | $5,145.05 | ↓ -15% |
| NovaNet | COMM | $5,447.70 | ↓ -10% |
| Freedom Health | MCR | $7,650.00 | ↑ +26% |
| Optimum | MGMCR | $7,650.00 | ↑ +26% |
| Molina Healthcare | HIX | $9,611.00 | ↑ +59% |
| Sunshine State Health Plan | QHP | $10,254.00 | ↑ +69% |
| American Health Plan | MCR | $15,000.00 | ↑ +148% |
| Aetna | QHP | $15,012.00 | ↑ +148% |
| Aetna | HMO | $18,495.00 | ↑ +206% |
| Aetna | PPO | $18,495.00 | ↑ +206% |
| Evolutions | TieredNetwork | $20,188.00 | ↑ +234% |
| Cigna | ManagedCareHMO | $23,916.00 | ↑ +295% |
| Cigna | PPO | $23,916.00 | ↑ +295% |
| Humana | PPO | $37,268.00 | ↑ +516% |
| Humana | HMO | $37,268.00 | ↑ +516% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,634.18 | not published |
| Adventhealth Tampa | Tampa | $8,060.12 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $3,872.27 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $11,943.00 | $255.55 – $260.93 |
| Adventhealth Port Charlotte | Port Charlotte | $9,269.14 | not published |
| cleveland clinic florida weston hospital | Weston | $4,821.70 | $285.55 – $4,251.32 |
| martin north hospital | Stuart | $3,199.95 | $390.25 – $4,463.89 |
| indian river hospital | Vero Beach | $3,199.95 | $390.25 – $5,101.58 |