Emg 3 ext w-w/o paraspinal area 95863 at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$2,730.25
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.
$2,730.25
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.
$113.05 with CorVel Corporation vs $2,457.22 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 |
|---|---|---|---|
| CorVel Corporation | WORKERSCOMP | $113.05 | ↓ -96% |
| Prime Health | WC | $115.43 | ↓ -96% |
| Careworks (Rockport Community) | WORKERSCOMP | $119.00 | ↓ -96% |
| Freedom Health | MCR | $196.58 | ↓ -93% |
| Optimum | MGMCR | $196.58 | ↓ -93% |
| Truli for Health | BSL | $232.07 | ↓ -92% |
| BCBS | MBN | $237.53 | ↓ -91% |
| BCBS | BSL | $237.53 | ↓ -91% |
| BCBS | SBN | $237.53 | ↓ -91% |
| BCBS | NWB | $341.28 | ↓ -88% |
| BCBS | PPO | $341.28 | ↓ -88% |
| BCBS | HMO | $368.58 | ↓ -87% |
| Simply | MGMCR | $420.46 | ↓ -85% |
| Oscar | HIX | $436.84 | ↓ -84% |
| Simply Healthcare | HIX | $455.95 | ↓ -83% |
| Cigna | PPO | $475.06 | ↓ -83% |
| Cigna | ManagedCareHMO | $475.06 | ↓ -83% |
| Molina Healthcare | MGMCR | $518.75 | ↓ -81% |
| Aetna | QHP | $540.59 | ↓ -80% |
| Humana | HMO | $546.05 | ↓ -80% |
| Humana | PPO | $546.05 | ↓ -80% |
| BCBS | PHS | $578.81 | ↓ -79% |
| Aetna | HMO | $617.04 | ↓ -77% |
| Aetna | PPO | $617.04 | ↓ -77% |
| Evolutions | TieredNetwork | $627.96 | ↓ -77% |
| AvMed | HMOFI | $655.26 | ↓ -76% |
| Sunshine State Health Plan | QHP | $696.21 | ↓ -75% |
| AvMed | ASOEO | $764.47 | ↓ -72% |
| Aetna | ASA | $819.08 | ↓ -70% |
| Molina Healthcare | HIX | $873.68 | ↓ -68% |
| United | OptionsPPO | $911.90 | ↓ -67% |
| Florida Health Care Plan | COMM | $1,029.30 | ↓ -62% |
| United | GlobalBenefitPlan | $1,228.61 | ↓ -55% |
| AvMed | HIXOON | $1,365.13 | ↓ -50% |
| Prime Health Sheriff | COMM | $1,365.13 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $1,365.13 | ↓ -50% |
| Plotkin Health | COMM | $1,365.13 | ↓ -50% |
| Multiplan | PRIMARYPPO | $2,047.69 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $2,047.69 | ↓ -25% |
| Multiplan | Primary | $2,129.59 | ↓ -22% |
| PPO Next | COMM | $2,320.71 | ↓ -15% |
| PPO Next | PPO | $2,320.71 | ↓ -15% |
| Multiplan | Complementary | $2,320.71 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $2,320.71 | ↓ -15% |
| NovaNet | COMM | $2,457.22 | ↓ -10% |
Visitor-reported prices
Comments
Emg 3 ext w-w/o paraspinal area 95863 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $2,680.19 | $134.37 – $298.30 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $3,796.00 | $113.05 – $115.43 |
| cleveland clinic florida weston hospital | Weston | $1,363.70 | $62.46 – $1,147.50 |
| martin north hospital | Stuart | $877.50 | $86.94 – $748.00 |
| indian river hospital | Vero Beach | $877.50 | $82.59 – $1,080.00 |
| Baptist Hospital | MIAMI | $408.85 | $85.02 – $566.10 |
| Bethesda Hospital East | BOYNTON BEACH | $408.85 | $85.02 – $566.10 |
| Doctors Hospital | CORAL GABLES | $408.85 | $82.42 – $566.10 |