Ketamine and metabolite screen - quest at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$59.50
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.
$59.50
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.
$4.11 with Aetna 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 |
|---|---|---|---|
| Aetna | MCR | $4.11 | ↓ -93% |
| BCBS | MCRPPO | $4.22 | ↓ -93% |
| BCBS | MCRHMO | $4.24 | ↓ -93% |
| Freedom Health | MCR | $4.28 | ↓ -93% |
| Optimum | MGMCR | $4.28 | ↓ -93% |
| Simply | MGMCR | $9.16 | ↓ -85% |
| Oscar | HIX | $9.52 | ↓ -84% |
| Simply Healthcare | HIX | $9.94 | ↓ -83% |
| Molina Healthcare | MGMCR | $11.30 | ↓ -81% |
| Humana | HMO | $11.90 | ↓ -80% |
| Humana | PPO | $11.90 | ↓ -80% |
| Evolutions | TieredNetwork | $13.69 | ↓ -77% |
| AvMed | HMOFI | $14.28 | ↓ -76% |
| Sunshine State Health Plan | QHP | $15.17 | ↓ -75% |
| AvMed | ASOEO | $16.66 | ↓ -72% |
| Aetna | ASA | $17.85 | ↓ -70% |
| Molina Healthcare | HIX | $19.04 | ↓ -68% |
| United | OptionsPPO | $19.87 | ↓ -67% |
| Florida Health Care Plan | COMM | $22.43 | ↓ -62% |
| United | GlobalBenefitPlan | $26.77 | ↓ -55% |
| Prime Health Sheriff | COMM | $29.75 | ↓ -50% |
| Plotkin Health | COMM | $29.75 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $29.75 | ↓ -50% |
| AvMed | HIXOON | $29.75 | ↓ -50% |
| Three Rivers Provider Network | WorkersComp | $44.63 | ↓ -25% |
| Multiplan | PRIMARYPPO | $44.63 | ↓ -25% |
| Multiplan | Primary | $46.41 | ↓ -22% |
| Multiplan | COMPLEMENTARYPPO | $50.58 | ↓ -15% |
| PPO Next | COMM | $50.58 | ↓ -15% |
| PPO Next | PPO | $50.58 | ↓ -15% |
| Multiplan | Complementary | $50.58 | ↓ -15% |
| NovaNet | COMM | $53.55 | ↓ -10% |
| CorVel Corporation | WORKERSCOMP | $133.67 | ↑ +125% |
| Prime Health | WC | $136.49 | ↑ +129% |
| Careworks (Rockport Community) | WORKERSCOMP | $140.71 | ↑ +136% |
| American Health Plan | MCR | $15,000.00 | ↑ +25110% |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Ketamine and metabolite screen - quest at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Port Charlotte | Port Charlotte | $83.48 | not published |
| Baptist Hospital | MIAMI | $7.15 | $1.90 – $11.88 |
| Bethesda Hospital East | BOYNTON BEACH | $7.15 | $2.21 – $11.00 |
| Boca Raton Regional Hospital | BOCA RATON | $18.85 | $8.73 – $29.00 |
| Doctors Hospital | CORAL GABLES | $7.15 | $1.93 – $9.90 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $7.15 | $1.91 – $9.90 |
| Fishermens Community Hospital | MARATHON | $7.15 | $1.84 – $9.90 |
| Homestead Hospital | HOMESTEAD | $7.15 | $1.87 – $13.36 |