Ghs sensitivity (per antimicro) at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$127.75
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.
$127.75
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.
$6.78 with Humana vs $221.69 with Careworks (Rockport Community) — 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 |
|---|---|---|---|
| Humana | TRICARE | $6.78 | ↓ -95% |
| United | AllPayerAppendix | $7.48 | ↓ -94% |
| United | VACCN | $7.48 | ↓ -94% |
| Devoted Health | MCR | $7.48 | ↓ -94% |
| Wellmed | MGMCR | $7.48 | ↓ -94% |
| Humana | MGMCRHMO | $7.48 | ↓ -94% |
| NDMS Definitive Care | MGMCR | $7.48 | ↓ -94% |
| BCBS | MCRPPO | $7.63 | ↓ -94% |
| FL Health Care Plan | MCR | $7.63 | ↓ -94% |
| United | MCR | $7.63 | ↓ -94% |
| BCBS | MCRHMO | $7.63 | ↓ -94% |
| Aetna | MCR | $7.67 | ↓ -94% |
| Sunshine State | MCR | $7.85 | ↓ -94% |
| WellCare | MCR | $7.85 | ↓ -94% |
| AvMed | MGMCR | $7.93 | ↓ -94% |
| American Health Plan | MCR | $7.93 | ↓ -94% |
| Cigna Healthspring | MCR | $8.00 | ↓ -94% |
| Align Senior Care | MGMCR | $8.00 | ↓ -94% |
| Florida Complete Care | MCR | $8.00 | ↓ -94% |
| Gold Kidney of Florida | MCR | $8.15 | ↓ -94% |
| Centurion | GVT | $8.23 | ↓ -94% |
| Clear Spring Health | MCR | $8.23 | ↓ -94% |
| Seminole County Sheriffs Office | MGMCR | $8.23 | ↓ -94% |
| CarePlus | MGMCR | $8.53 | ↓ -93% |
| Ultimate Health Plan | MCR | $8.60 | ↓ -93% |
| Longevity Health Plan | MCR | $8.98 | ↓ -93% |
| Optimum | MGMCR | $9.20 | ↓ -93% |
| Freedom Health | MCR | $9.20 | ↓ -93% |
| Oscar | HIX | $10.85 | ↓ -92% |
| Solis Health Plan | MCR | $10.85 | ↓ -92% |
| Simply Healthcare | HIX | $11.67 | ↓ -91% |
| Simply | MGMCR | $19.67 | ↓ -85% |
| Molina Healthcare | MGMCR | $24.27 | ↓ -81% |
| Humana | PPO | $25.55 | ↓ -80% |
| Humana | HMO | $25.55 | ↓ -80% |
| Evolutions | TieredNetwork | $29.38 | ↓ -77% |
| Humana | MGMCRPPO | $29.92 | ↓ -77% |
| AvMed | HMOFI | $30.66 | ↓ -76% |
| Sunshine State Health Plan | QHP | $32.58 | ↓ -74% |
| AvMed | ASOEO | $35.77 | ↓ -72% |
| Aetna | ASA | $38.33 | ↓ -70% |
| Molina Healthcare | HIX | $40.88 | ↓ -68% |
| United | OptionsPPO | $42.67 | ↓ -67% |
| Florida Health Care Plan | COMM | $48.16 | ↓ -62% |
| United | GlobalBenefitPlan | $57.49 | ↓ -55% |
| AvMed | HIXOON | $63.88 | ↓ -50% |
| Plotkin Health | COMM | $63.88 | ↓ -50% |
| Prime Health Sheriff | COMM | $63.88 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $63.88 | ↓ -50% |
| Multiplan | PRIMARYPPO | $95.81 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $95.81 | ↓ -25% |
| Multiplan | Primary | $99.64 | ↓ -22% |
| Multiplan | COMPLEMENTARYPPO | $108.59 | ↓ -15% |
| Multiplan | Complementary | $108.59 | ↓ -15% |
| PPO Next | PPO | $108.59 | ↓ -15% |
| PPO Next | COMM | $108.59 | ↓ -15% |
| NovaNet | COMM | $114.97 | ↓ -10% |
| CorVel Corporation | WORKERSCOMP | $210.61 | ↑ +65% |
| Prime Health | WC | $215.04 | ↑ +68% |
| Careworks (Rockport Community) | WORKERSCOMP | $221.69 | ↑ +74% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Ghs sensitivity (per antimicro) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $29.94 | $7.11 – $12.48 |
| Adventhealth Lake Wales | Lake Wales | $34.64 | $7.48 – $16.61 |
| Adventhealth Palm Coast Parkway | Palm Coast | $111.60 | $7.11 – $15.98 |
| Adventhealth Tampa | Tampa | $129.71 | $7.48 – $16.61 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $162.62 | $7.11 – $16.34 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $73.00 | $5.98 – $214.70 |
| Adventhealth Port Charlotte | Port Charlotte | $50.09 | $7.48 – $13.66 |
| cleveland clinic florida weston hospital | Weston | $46.80 | $4.02 – $54.40 |