IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour 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.
$48.46 with Freedom Health vs $605.70 with NovaNet — 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 |
|---|---|---|---|
| Freedom Health | MCR | $48.46 | — |
| Optimum | MGMCR | $48.46 | — |
| Truli for Health | BSL | $62.79 | — |
| BCBS | MBN | $64.27 | — |
| BCBS | BSL | $64.27 | — |
| BCBS | SBN | $64.27 | — |
| CorVel Corporation | WORKERSCOMP | $72.20 | — |
| Prime Health | WC | $73.72 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $76.00 | — |
| BCBS | PPO | $92.34 | — |
| BCBS | NWB | $92.34 | — |
| BCBS | HMO | $99.73 | — |
| Simply | MGMCR | $103.64 | — |
| Oscar | HIX | $107.68 | — |
| Simply Healthcare | HIX | $112.39 | — |
| Cigna | ManagedCareHMO | $117.10 | — |
| Cigna | PPO | $117.10 | — |
| Molina Healthcare | MGMCR | $127.87 | — |
| Aetna | QHP | $133.25 | — |
| Humana | PPO | $134.60 | — |
| Humana | HMO | $134.60 | — |
| Aetna | PPO | $152.10 | — |
| Aetna | HMO | $152.10 | — |
| Evolutions | TieredNetwork | $154.79 | — |
| BCBS | PHS | $156.62 | — |
| AvMed | HMOFI | $161.52 | — |
| Sunshine State Health Plan | QHP | $171.62 | — |
| AvMed | ASOEO | $188.44 | — |
| Aetna | ASA | $201.90 | — |
| Molina Healthcare | HIX | $215.36 | — |
| United | OptionsPPO | $224.78 | — |
| Florida Health Care Plan | COMM | $253.72 | — |
| United | GlobalBenefitPlan | $302.85 | — |
| AvMed | HIXOON | $336.50 | — |
| Prime Health Sheriff | COMM | $336.50 | — |
| Prime Health Sheriff | WORKERSCOMP | $336.50 | — |
| Plotkin Health | COMM | $336.50 | — |
| Multiplan | PRIMARYPPO | $504.75 | — |
| Three Rivers Provider Network | WorkersComp | $504.75 | — |
| Multiplan | Primary | $524.94 | — |
| Multiplan | Complementary | $572.05 | — |
| Multiplan | COMPLEMENTARYPPO | $572.05 | — |
| PPO Next | PPO | $572.05 | — |
| PPO Next | COMM | $572.05 | — |
| NovaNet | COMM | $605.70 | — |
Visitor-reported prices
Comments
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $965.64 | $211.02 – $370.72 |
| Adventhealth Lake Wales | Lake Wales | $1,563.84 | $222.12 – $493.11 |
| Adventhealth Palm Coast Parkway | Palm Coast | $976.31 | $211.02 – $474.43 |
| Adventhealth Tampa | Tampa | $964.75 | $222.12 – $493.11 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $792.51 | $211.02 – $485.22 |
| Adventhealth Port Charlotte | Port Charlotte | $1,390.46 | $222.12 – $405.59 |
| cleveland clinic florida weston hospital | Weston | $273.65 | $45.70 – $357.85 |
| martin north hospital | Stuart | $1,181.70 | $45.70 – $909.00 |