Embolization s&i at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$13,710.00
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.
$13,710.00
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.
$945.99 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 | $945.99 | ↓ -93% |
| BCBS | MCRPPO | $973.41 | ↓ -93% |
| BCBS | MCRHMO | $977.52 | ↓ -93% |
| Freedom Health | MCR | $987.12 | ↓ -93% |
| Optimum | MGMCR | $987.12 | ↓ -93% |
| Simply | MGMCR | $2,111.34 | ↓ -85% |
| CorVel Corporation | WORKERSCOMP | $2,234.96 | ↓ -84% |
| Prime Health | WC | $2,282.01 | ↓ -83% |
| Careworks (Rockport Community) | WORKERSCOMP | $2,352.59 | ↓ -83% |
| Molina Healthcare | MGMCR | $2,604.90 | ↓ -81% |
| Humana | HMO | $2,742.00 | ↓ -80% |
| Humana | PPO | $2,742.00 | ↓ -80% |
| Evolutions | TieredNetwork | $3,153.30 | ↓ -77% |
| AvMed | HMOFI | $3,290.40 | ↓ -76% |
| Sunshine State Health Plan | QHP | $3,496.05 | ↓ -75% |
| AvMed | ASOEO | $3,838.80 | ↓ -72% |
| Aetna | ASA | $4,113.00 | ↓ -70% |
| Molina Healthcare | HIX | $4,387.20 | ↓ -68% |
| United | OptionsPPO | $4,579.14 | ↓ -67% |
| Florida Health Care Plan | COMM | $5,168.67 | ↓ -62% |
| United | GlobalBenefitPlan | $6,169.50 | ↓ -55% |
| AvMed | HIXOON | $6,855.00 | ↓ -50% |
| Prime Health Sheriff | COMM | $6,855.00 | ↓ -50% |
| Plotkin Health | COMM | $6,855.00 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $6,855.00 | ↓ -50% |
| Multiplan | PRIMARYPPO | $10,282.50 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $10,282.50 | ↓ -25% |
| Multiplan | Primary | $10,693.80 | ↓ -22% |
| PPO Next | COMM | $11,653.50 | ↓ -15% |
| Multiplan | Complementary | $11,653.50 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $11,653.50 | ↓ -15% |
| PPO Next | PPO | $11,653.50 | ↓ -15% |
| NovaNet | COMM | $12,339.00 | ↓ -10% |
| American Health Plan | MCR | $15,000.00 | ↑ +9% |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Embolization s&i at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $4,204.11 | not published |
| Adventhealth Tampa | Tampa | $6,974.40 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $6,567.75 | not published |
| cleveland clinic florida weston hospital | Weston | $2,869.75 | $57.67 – $3,307.35 |
| martin north hospital | Stuart | $2,529.15 | $51.60 – $1,945.50 |
| indian river hospital | Vero Beach | $2,529.15 | $58.01 – $3,112.80 |
| Baptist Hospital | MIAMI | $6,962.15 | $129.63 – $9,639.90 |
| Bethesda Hospital East | BOYNTON BEACH | $6,962.15 | $129.63 – $9,639.90 |