Inj retacrit esrd on dialysi 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.
$0.69 with Humana 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 |
|---|---|---|---|
| Humana | TRICARE | $0.69 | — |
| United | AllPayerAppendix | $1.25 | — |
| Aetna | MCR | $8.00 | — |
| BCBS | MCRPPO | $8.24 | — |
| BCBS | MCRHMO | $8.27 | — |
| Truli for Health | BSL | $9.86 | — |
| BCBS | MBN | $10.09 | — |
| BCBS | SBN | $10.09 | — |
| BCBS | BSL | $10.09 | — |
| BCBS | NWB | $14.50 | — |
| BCBS | PPO | $14.50 | — |
| BCBS | HMO | $15.66 | — |
| Simply | MGMCR | $17.86 | — |
| BCBS | PHS | $24.59 | — |
| Evolutions | TieredNetwork | $26.68 | — |
| Aetna | ASA | $34.80 | — |
| Molina Healthcare | HIX | $37.12 | — |
| United | OptionsPPO | $38.74 | — |
| Florida Health Care Plan | COMM | $43.73 | — |
| United | GlobalBenefitPlan | $52.20 | — |
| Prime Health Sheriff | COMM | $58.00 | — |
| Plotkin Health | COMM | $58.00 | — |
| AvMed | HIXOON | $58.00 | — |
| Prime Health Sheriff | WORKERSCOMP | $58.00 | — |
| Three Rivers Provider Network | WorkersComp | $87.00 | — |
| Multiplan | PRIMARYPPO | $87.00 | — |
| Multiplan | Primary | $90.48 | — |
| Multiplan | Complementary | $98.60 | — |
| Multiplan | COMPLEMENTARYPPO | $98.60 | — |
| PPO Next | PPO | $98.60 | — |
| PPO Next | COMM | $98.60 | — |
| NovaNet | COMM | $104.40 | — |
| American Health Plan | MCR | $15,000.00 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Inj retacrit esrd on dialysi at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION | $10.00 | $0.69 – $1.25 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $0.71 – $1.25 |
| cleveland clinic florida weston hospital | Weston | not published | $0.68 – $65.25 |
| martin north hospital | Stuart | not published | $0.76 – $78.30 |
| indian river hospital | Vero Beach | not published | $0.76 – $65.25 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $0.69 – $1.63 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $0.69 – $1.25 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $0.69 – $1.25 |