Epoetin alfa, 100 units esrd at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$15.00
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.
$15.00
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.
$0.69 with Humana 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 |
|---|---|---|---|
| Humana | TRICARE | $0.69 | ↓ -95% |
| Aetna | MCR | $1.03 | ↓ -93% |
| BCBS | MCRPPO | $1.06 | ↓ -93% |
| BCBS | MCRHMO | $1.07 | ↓ -93% |
| United | AllPayerAppendix | $1.27 | ↓ -92% |
| Truli for Health | BSL | $1.27 | ↓ -92% |
| BCBS | SBN | $1.30 | ↓ -91% |
| BCBS | MBN | $1.30 | ↓ -91% |
| BCBS | BSL | $1.30 | ↓ -91% |
| BCBS | PPO | $1.88 | ↓ -87% |
| BCBS | NWB | $1.88 | ↓ -87% |
| BCBS | HMO | $2.02 | ↓ -87% |
| Simply | MGMCR | $2.31 | ↓ -85% |
| Oscar | HIX | $2.40 | ↓ -84% |
| Simply Healthcare | HIX | $2.50 | ↓ -83% |
| Cigna | ManagedCareHMO | $2.61 | ↓ -83% |
| Cigna | PPO | $2.61 | ↓ -83% |
| Molina Healthcare | MGMCR | $2.85 | ↓ -81% |
| Humana | PPO | $3.00 | ↓ -80% |
| Humana | HMO | $3.00 | ↓ -80% |
| BCBS | PHS | $3.18 | ↓ -79% |
| Evolutions | TieredNetwork | $3.45 | ↓ -77% |
| AvMed | HMOFI | $3.60 | ↓ -76% |
| Sunshine State Health Plan | QHP | $3.83 | ↓ -74% |
| AvMed | ASOEO | $4.20 | ↓ -72% |
| Aetna | ASA | $4.50 | ↓ -70% |
| Molina Healthcare | HIX | $4.80 | ↓ -68% |
| United | OptionsPPO | $5.01 | ↓ -67% |
| Florida Health Care Plan | COMM | $5.66 | ↓ -62% |
| United | GlobalBenefitPlan | $6.75 | ↓ -55% |
| AvMed | HIXOON | $7.50 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $7.50 | ↓ -50% |
| Plotkin Health | COMM | $7.50 | ↓ -50% |
| Prime Health Sheriff | COMM | $7.50 | ↓ -50% |
| Multiplan | PRIMARYPPO | $11.25 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $11.25 | ↓ -25% |
| Multiplan | Primary | $11.70 | ↓ -22% |
| Multiplan | Complementary | $12.75 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $12.75 | ↓ -15% |
| PPO Next | PPO | $12.75 | ↓ -15% |
| PPO Next | COMM | $12.75 | ↓ -15% |
| NovaNet | COMM | $13.50 | ↓ -10% |
| American Health Plan | MCR | $15,000.00 | ↑ +99900% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Epoetin alfa, 100 units esrd at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $8.54 | $0.98 – $2.94 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $8.40 | $0.98 – $3.00 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH | $14.00 | $0.69 – $1.27 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON | $602.59 | $0.69 – $1.66 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE | $15.00 | $0.69 – $1.27 |
| OVIEDO MEDICAL CENTER | Oviedo | $15.12 | $0.69 – $1.27 |
| HCA FLORIDA WOODMONT HOSPITAL | TAMARAC | $19.00 | $0.69 – $1.27 |
| UCF LAKE NONA HOSPITAL | Orlando | $11.00 | $0.69 – $1.27 |