Established Patient Office Visit (level 4) 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.
$58.67 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 | $58.67 | — |
| BCBS | MCRPPO | $60.37 | — |
| BCBS | MCRHMO | $60.62 | — |
| Freedom Health | MCR | $61.22 | — |
| Optimum | MGMCR | $61.22 | — |
| Truli for Health | BSL | $72.27 | — |
| BCBS | SBN | $73.97 | — |
| BCBS | MBN | $73.97 | — |
| BCBS | BSL | $73.97 | — |
| CorVel Corporation | WORKERSCOMP | $84.55 | — |
| Prime Health | WC | $86.33 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $89.00 | — |
| BCBS | PPO | $106.28 | — |
| BCBS | NWB | $106.28 | — |
| BCBS | HMO | $114.78 | — |
| Simply | MGMCR | $130.94 | — |
| Cigna | ManagedCareHMO | $147.94 | — |
| Cigna | PPO | $147.94 | — |
| Molina Healthcare | MGMCR | $161.55 | — |
| Aetna | QHP | $168.35 | — |
| Humana | PPO | $170.05 | — |
| Humana | HMO | $170.05 | — |
| BCBS | PHS | $180.25 | — |
| Aetna | PPO | $192.16 | — |
| Aetna | HMO | $192.16 | — |
| Sunshine State Health Plan | QHP | $216.81 | — |
| Aetna | ASA | $255.07 | — |
| Molina Healthcare | HIX | $272.08 | — |
| United | OptionsPPO | $283.98 | — |
| Florida Health Care Plan | COMM | $320.54 | — |
| United | GlobalBenefitPlan | $382.61 | — |
| Plotkin Health | COMM | $425.13 | — |
| AvMed | HIXOON | $425.13 | — |
| Prime Health Sheriff | COMM | $425.13 | — |
| Prime Health Sheriff | WORKERSCOMP | $425.13 | — |
| Three Rivers Provider Network | WorkersComp | $637.69 | — |
| Multiplan | PRIMARYPPO | $637.69 | — |
| Multiplan | Primary | $663.20 | — |
| Multiplan | COMPLEMENTARYPPO | $722.71 | — |
| Multiplan | Complementary | $722.71 | — |
| PPO Next | PPO | $722.71 | — |
| PPO Next | COMM | $722.71 | — |
| NovaNet | COMM | $765.23 | — |
| American Health Plan | MCR | $15,000.00 | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 4) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $428.75 | not published |
| Adventhealth Lake Wales | Lake Wales | $650.55 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $747.19 | not published |
| Adventhealth Tampa | Tampa | $639.64 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $524.29 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $984.78 | not published |
| cleveland clinic florida weston hospital | Weston | $499.20 | $39.31 – $384.00 |
| martin north hospital | Stuart | $499.20 | $48.67 – $175.50 |