Ghs insertion of needle - bone 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.
$290.42 with CorVel Corporation vs $37,268.00 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 |
|---|---|---|---|
| CorVel Corporation | WORKERSCOMP | $290.42 | — |
| Prime Health | WC | $296.54 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $305.71 | — |
| Truli for Health | BSL | $1,660.00 | — |
| BCBS | BSL | $1,759.00 | — |
| BCBS | SBN | $1,759.00 | — |
| BCBS | MBN | $1,759.00 | — |
| Optimum | MGMCR | $1,950.00 | — |
| Freedom Health | MCR | $1,950.00 | — |
| Simply | MGMCR | $2,250.00 | — |
| BCBS | NWB | $2,510.00 | — |
| BCBS | PPO | $2,510.00 | — |
| BCBS | HMO | $2,696.00 | — |
| Molina Healthcare | MGMCR | $3,950.00 | — |
| BCBS | PHS | $5,156.00 | — |
| AvMed | HMOFI | $8,168.00 | — |
| Simply Healthcare | HIX | $8,170.00 | — |
| AvMed | ASOEO | $8,971.00 | — |
| Molina Healthcare | HIX | $9,611.00 | — |
| Sunshine State Health Plan | QHP | $10,254.00 | — |
| Ultimate Health Plan | MCR | $12,500.00 | — |
| United | AllPayerAppendix | $14,212.00 | — |
| Oscar | HIX | $14,743.00 | — |
| Evolutions | TieredNetwork | $20,188.00 | — |
| Cigna | ManagedCareHMO | $23,916.00 | — |
| Cigna | PPO | $23,916.00 | — |
| Florida Health Care Plan | COMM | $34,032.00 | — |
| Humana | HMO | $37,268.00 | — |
| Humana | PPO | $37,268.00 | — |
Visitor-reported prices
Comments
Ghs insertion of needle - bone at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $582.02 | not published |
| Adventhealth Lake Wales | Lake Wales | $1,008.91 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $521.65 | not published |
| Adventhealth Tampa | Tampa | $1,177.06 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $1,061.91 | $466.50 – $851.84 |
| cleveland clinic florida weston hospital | Weston | $1,864.20 | $45.45 – $2,437.80 |
| martin north hospital | Stuart | $1,864.20 | $45.45 – $1,434.00 |
| indian river hospital | Vero Beach | $1,864.20 | $80.56 – $2,294.40 |