Ghs fish hybrid in situ 100-300 at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$156.75
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.
$156.75
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.
$11.29 with Optimum vs $204.76 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 | $11.29 | ↓ -93% |
| Freedom Health | MCR | $11.29 | ↓ -93% |
| Simply | MGMCR | $24.14 | ↓ -85% |
| Molina Healthcare | MGMCR | $29.78 | ↓ -81% |
| Humana | HMO | $31.35 | ↓ -80% |
| Humana | PPO | $31.35 | ↓ -80% |
| Evolutions | TieredNetwork | $36.05 | ↓ -77% |
| AvMed | HMOFI | $37.62 | ↓ -76% |
| Sunshine State Health Plan | QHP | $39.97 | ↓ -75% |
| AvMed | ASOEO | $43.89 | ↓ -72% |
| Humana | TRICARE | $46.40 | ↓ -70% |
| Aetna | ASA | $47.02 | ↓ -70% |
| Molina Healthcare | HIX | $50.16 | ↓ -68% |
| NDMS Definitive Care | MGMCR | $51.19 | ↓ -67% |
| Humana | MGMCRHMO | $51.19 | ↓ -67% |
| Devoted Health | MCR | $51.19 | ↓ -67% |
| United | AllPayerAppendix | $51.19 | ↓ -67% |
| Wellmed | MGMCR | $51.19 | ↓ -67% |
| United | VACCN | $51.19 | ↓ -67% |
| United | MCR | $52.21 | ↓ -67% |
| BCBS | MCRPPO | $52.21 | ↓ -67% |
| BCBS | MCRHMO | $52.21 | ↓ -67% |
| FL Health Care Plan | MCR | $52.21 | ↓ -67% |
| United | OptionsPPO | $52.35 | ↓ -67% |
| Aetna | MCR | $52.47 | ↓ -67% |
| WellCare | MCR | $53.75 | ↓ -66% |
| Sunshine State | MCR | $53.75 | ↓ -66% |
| AvMed | MGMCR | $54.26 | ↓ -65% |
| American Health Plan | MCR | $54.26 | ↓ -65% |
| Florida Complete Care | MCR | $54.77 | ↓ -65% |
| Align Senior Care | MGMCR | $54.77 | ↓ -65% |
| Cigna Healthspring | MCR | $54.77 | ↓ -65% |
| Gold Kidney of Florida | MCR | $55.80 | ↓ -64% |
| Clear Spring Health | MCR | $56.31 | ↓ -64% |
| Seminole County Sheriffs Office | MGMCR | $56.31 | ↓ -64% |
| Centurion | GVT | $56.31 | ↓ -64% |
| CarePlus | MGMCR | $58.36 | ↓ -63% |
| Ultimate Health Plan | MCR | $58.87 | ↓ -62% |
| Florida Health Care Plan | COMM | $59.09 | ↓ -62% |
| Longevity Health Plan | MCR | $61.43 | ↓ -61% |
| United | GlobalBenefitPlan | $70.54 | ↓ -55% |
| Solis Health Plan | MCR | $74.23 | ↓ -53% |
| Oscar | HIX | $74.23 | ↓ -53% |
| Plotkin Health | COMM | $78.38 | ↓ -50% |
| AvMed | HIXOON | $78.38 | ↓ -50% |
| Prime Health Sheriff | COMM | $78.38 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $78.38 | ↓ -50% |
| Simply Healthcare | HIX | $79.86 | ↓ -49% |
| Multiplan | PRIMARYPPO | $117.56 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $117.56 | ↓ -25% |
| Multiplan | Primary | $122.27 | ↓ -22% |
| Multiplan | COMPLEMENTARYPPO | $133.24 | ↓ -15% |
| PPO Next | COMM | $133.24 | ↓ -15% |
| PPO Next | PPO | $133.24 | ↓ -15% |
| Multiplan | Complementary | $133.24 | ↓ -15% |
| NovaNet | COMM | $141.07 | ↓ -10% |
| Humana | MGMCRPPO | $204.76 | ↑ +31% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Ghs fish hybrid in situ 100-300 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $373.68 | $48.63 – $85.44 |
| Adventhealth Palm Coast Parkway | Palm Coast | $153.52 | $48.63 – $109.34 |
| Adventhealth Tampa | Tampa | $790.11 | $51.19 – $113.64 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $252.31 | $48.63 – $111.82 |
| Adventhealth Port Charlotte | Port Charlotte | $341.69 | $51.19 – $93.47 |
| cleveland clinic florida weston hospital | Weston | $1,014.00 | $22.32 – $86.70 |
| martin north hospital | Stuart | $1,014.00 | $23.49 – $76.50 |
| indian river hospital | Vero Beach | $254.15 | $22.32 – $94.58 |