ER Visit (level 3) at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
not published by hospital
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.
not published by hospital
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.
$70.30 with CorVel Corporation vs $5,704.00 with AvMed — 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 | $70.30 | — |
| Prime Health | WC | $71.78 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $74.00 | — |
| Molina Healthcare | HIX | $960.00 | — |
| Aetna | ASA | $1,435.13 | — |
| Truli for Health | BSL | $1,511.00 | — |
| Sunshine State Health Plan | QHP | $1,514.00 | — |
| BCBS | MBN | $1,583.00 | — |
| BCBS | BSL | $1,583.00 | — |
| BCBS | SBN | $1,583.00 | — |
| United | OptionsPPO | $1,597.77 | — |
| Simply Healthcare | HIX | $2,046.00 | — |
| United | GlobalBenefitPlan | $2,152.69 | — |
| Evolutions | TieredNetwork | $2,315.00 | — |
| Oscar | HIX | $2,344.00 | — |
| BCBS | HMO | $2,377.00 | — |
| Plotkin Health | COMM | $2,391.88 | — |
| AvMed | HIXOON | $2,391.88 | — |
| Prime Health Sheriff | WORKERSCOMP | $2,391.88 | — |
| Prime Health Sheriff | COMM | $2,391.88 | — |
| United | AllPayerAppendix | $2,397.00 | — |
| Florida Health Care Plan | COMM | $2,431.00 | — |
| BCBS | PPO | $2,495.00 | — |
| BCBS | NWB | $2,495.00 | — |
| BCBS | PHS | $3,268.00 | — |
| Multiplan | PRIMARYPPO | $3,587.81 | — |
| Three Rivers Provider Network | WorkersComp | $3,587.81 | — |
| Cigna | ManagedCareHMO | $3,637.00 | — |
| Cigna | PPO | $3,637.00 | — |
| Multiplan | Primary | $3,731.32 | — |
| Multiplan | COMPLEMENTARYPPO | $4,066.19 | — |
| PPO Next | PPO | $4,066.19 | — |
| PPO Next | COMM | $4,066.19 | — |
| Multiplan | Complementary | $4,066.19 | — |
| NovaNet | COMM | $4,305.38 | — |
| AvMed | HMOFI | $5,193.00 | — |
| AvMed | ASOEO | $5,704.00 | — |
Visitor-reported prices
Comments
ER Visit (level 3) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,471.11 | $270.81 – $475.77 |
| Adventhealth Lake Wales | Lake Wales | $1,340.10 | $285.06 – $632.84 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,177.63 | $270.81 – $608.87 |
| Adventhealth Tampa | Tampa | $1,908.05 | $285.06 – $632.84 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,428.20 | $270.81 – $622.72 |
| Adventhealth Port Charlotte | Port Charlotte | $3,858.25 | $285.06 – $520.53 |
| cleveland clinic florida weston hospital | Weston | $1,552.85 | $35.80 – $2,030.65 |
| martin north hospital | Stuart | $1,552.85 | $46.22 – $1,194.50 |