Intracranial complete study 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$227.05 with CorVel Corporation vs $2,857.05 with NovaNet — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $227.05 | — |
| Freedom Health | MCR | $228.56 | — |
| Optimum | MGMCR | $228.56 | — |
| Prime Health | WC | $231.83 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $239.00 | — |
| Simply | MGMCR | $488.87 | — |
| Oscar | HIX | $507.92 | — |
| Simply Healthcare | HIX | $530.14 | — |
| Cigna | ManagedCareHMO | $552.36 | — |
| Cigna | PPO | $552.36 | — |
| Molina Healthcare | MGMCR | $603.15 | — |
| Humana | PPO | $634.90 | — |
| Humana | HMO | $634.90 | — |
| Evolutions | TieredNetwork | $730.13 | — |
| AvMed | HMOFI | $761.88 | — |
| Sunshine State Health Plan | QHP | $809.50 | — |
| AvMed | ASOEO | $888.86 | — |
| Aetna | ASA | $952.35 | — |
| Molina Healthcare | HIX | $1,015.84 | — |
| United | OptionsPPO | $1,060.28 | — |
| Florida Health Care Plan | COMM | $1,196.79 | — |
| United | GlobalBenefitPlan | $1,428.53 | — |
| Plotkin Health | COMM | $1,587.25 | — |
| AvMed | HIXOON | $1,587.25 | — |
| Prime Health Sheriff | COMM | $1,587.25 | — |
| Prime Health Sheriff | WORKERSCOMP | $1,587.25 | — |
| Multiplan | PRIMARYPPO | $2,380.88 | — |
| Three Rivers Provider Network | WorkersComp | $2,380.88 | — |
| Multiplan | Primary | $2,476.11 | — |
| PPO Next | COMM | $2,698.32 | — |
| Multiplan | Complementary | $2,698.32 | — |
| Multiplan | COMPLEMENTARYPPO | $2,698.32 | — |
| PPO Next | PPO | $2,698.32 | — |
| NovaNet | COMM | $2,857.05 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Intracranial complete study at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $559.36 | $236.71 – $415.86 |
| Adventhealth Tampa | Tampa | $2,833.35 | $249.17 – $553.15 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $1,025.00 | $227.05 – $231.83 |
| Adventhealth Port Charlotte | Port Charlotte | $1,411.28 | $249.17 – $454.98 |
| cleveland clinic florida weston hospital | Weston | $1,363.70 | $39.21 – $1,477.30 |
| martin north hospital | Stuart | $1,363.70 | $35.08 – $869.00 |
| indian river hospital | Vero Beach | $1,129.70 | $100.02 – $1,390.40 |
| Baptist Hospital | MIAMI | $1,021.80 | $104.70 – $1,414.80 |