Ghs alpha thalasemia, 7 deletions at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$332.75
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.
$332.75
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.
$23.96 with Optimum vs $409.04 with Humana — 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 |
|---|---|---|---|
| Optimum | MGMCR | $23.96 | ↓ -93% |
| Freedom Health | MCR | $23.96 | ↓ -93% |
| Simply | MGMCR | $51.24 | ↓ -85% |
| Molina Healthcare | MGMCR | $63.22 | ↓ -81% |
| Humana | PPO | $66.55 | ↓ -80% |
| Humana | HMO | $66.55 | ↓ -80% |
| Evolutions | TieredNetwork | $76.53 | ↓ -77% |
| AvMed | HMOFI | $79.86 | ↓ -76% |
| Sunshine State Health Plan | QHP | $84.85 | ↓ -75% |
| AvMed | ASOEO | $93.17 | ↓ -72% |
| Aetna | ASA | $99.83 | ↓ -70% |
| NDMS Definitive Care | MGMCR | $102.26 | ↓ -69% |
| United | AllPayerAppendix | $102.26 | ↓ -69% |
| Wellmed | MGMCR | $102.26 | ↓ -69% |
| Devoted Health | MCR | $102.26 | ↓ -69% |
| Humana | MGMCRHMO | $102.26 | ↓ -69% |
| United | VACCN | $102.26 | ↓ -69% |
| BCBS | MCRPPO | $104.31 | ↓ -69% |
| FL Health Care Plan | MCR | $104.31 | ↓ -69% |
| United | MCR | $104.31 | ↓ -69% |
| BCBS | MCRHMO | $104.31 | ↓ -69% |
| Aetna | MCR | $104.82 | ↓ -68% |
| CorVel Corporation | WORKERSCOMP | $105.31 | ↓ -68% |
| Molina Healthcare | HIX | $106.48 | ↓ -68% |
| Sunshine State | MCR | $107.37 | ↓ -68% |
| WellCare | MCR | $107.37 | ↓ -68% |
| Prime Health | WC | $107.52 | ↓ -68% |
| AvMed | MGMCR | $108.40 | ↓ -67% |
| American Health Plan | MCR | $108.40 | ↓ -67% |
| Align Senior Care | MGMCR | $109.42 | ↓ -67% |
| Cigna Healthspring | MCR | $109.42 | ↓ -67% |
| Florida Complete Care | MCR | $109.42 | ↓ -67% |
| Careworks (Rockport Community) | WORKERSCOMP | $110.85 | ↓ -67% |
| United | OptionsPPO | $111.14 | ↓ -67% |
| Gold Kidney of Florida | MCR | $111.46 | ↓ -67% |
| Seminole County Sheriffs Office | MGMCR | $112.49 | ↓ -66% |
| Centurion | GVT | $112.49 | ↓ -66% |
| Clear Spring Health | MCR | $112.49 | ↓ -66% |
| CarePlus | MGMCR | $116.58 | ↓ -65% |
| Ultimate Health Plan | MCR | $117.60 | ↓ -65% |
| Longevity Health Plan | MCR | $122.71 | ↓ -63% |
| Florida Health Care Plan | COMM | $125.45 | ↓ -62% |
| Solis Health Plan | MCR | $148.28 | ↓ -55% |
| Oscar | HIX | $148.28 | ↓ -55% |
| United | GlobalBenefitPlan | $149.74 | ↓ -55% |
| Simply Healthcare | HIX | $159.53 | ↓ -52% |
| Prime Health Sheriff | WORKERSCOMP | $166.38 | ↓ -50% |
| AvMed | HIXOON | $166.38 | ↓ -50% |
| Prime Health Sheriff | COMM | $166.38 | ↓ -50% |
| Plotkin Health | COMM | $166.38 | ↓ -50% |
| Three Rivers Provider Network | WorkersComp | $249.56 | ↓ -25% |
| Multiplan | PRIMARYPPO | $249.56 | ↓ -25% |
| Multiplan | Primary | $259.55 | ↓ -22% |
| PPO Next | PPO | $282.84 | ↓ -15% |
| PPO Next | COMM | $282.84 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $282.84 | ↓ -15% |
| Multiplan | Complementary | $282.84 | ↓ -15% |
| NovaNet | COMM | $299.48 | ↓ -10% |
| Humana | MGMCRPPO | $409.04 | ↑ +23% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Ghs alpha thalasemia, 7 deletions at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast Parkway | Palm Coast | $572.24 | $97.15 – $218.42 |
| Adventhealth Port Charlotte | Port Charlotte | $683.38 | $102.26 – $186.73 |
| cleveland clinic florida weston hospital | Weston | $499.85 | $22.32 – $640.90 |
| martin north hospital | Stuart | $499.85 | $23.49 – $565.50 |
| indian river hospital | Vero Beach | $490.10 | $22.32 – $603.20 |
| Boca Raton Regional Hospital | BOCA RATON | $1,082.90 | $102.26 – $253.67 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $159.20 | $102.26 – $384.80 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $170.40 | $102.26 – $384.80 |