Kidney img w/bldflw sgl without rx at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$11,956.50
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.
$11,956.50
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.
$860.87 with Freedom Health vs $10,760.85 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 | $860.87 | ↓ -93% |
| Optimum | MGMCR | $860.87 | ↓ -93% |
| United | AllPayerAppendix | $1,101.15 | ↓ -91% |
| Simply | MGMCR | $1,841.30 | ↓ -85% |
| CorVel Corporation | WORKERSCOMP | $2,029.15 | ↓ -83% |
| Prime Health | WC | $2,071.87 | ↓ -83% |
| Careworks (Rockport Community) | WORKERSCOMP | $2,135.95 | ↓ -82% |
| Molina Healthcare | MGMCR | $2,271.74 | ↓ -81% |
| Humana | HMO | $2,391.30 | ↓ -80% |
| Humana | PPO | $2,391.30 | ↓ -80% |
| Evolutions | TieredNetwork | $2,749.99 | ↓ -77% |
| AvMed | HMOFI | $2,869.56 | ↓ -76% |
| Sunshine State Health Plan | QHP | $3,048.91 | ↓ -74% |
| AvMed | ASOEO | $3,347.82 | ↓ -72% |
| Aetna | ASA | $3,586.95 | ↓ -70% |
| Molina Healthcare | HIX | $3,826.08 | ↓ -68% |
| United | OptionsPPO | $3,993.47 | ↓ -67% |
| Florida Health Care Plan | COMM | $4,507.60 | ↓ -62% |
| United | GlobalBenefitPlan | $5,380.43 | ↓ -55% |
| Prime Health Sheriff | COMM | $5,978.25 | ↓ -50% |
| Plotkin Health | COMM | $5,978.25 | ↓ -50% |
| AvMed | HIXOON | $5,978.25 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $5,978.25 | ↓ -50% |
| Multiplan | PRIMARYPPO | $8,967.38 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $8,967.38 | ↓ -25% |
| Multiplan | Primary | $9,326.07 | ↓ -22% |
| PPO Next | COMM | $10,163.02 | ↓ -15% |
| Multiplan | Complementary | $10,163.02 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $10,163.02 | ↓ -15% |
| PPO Next | PPO | $10,163.02 | ↓ -15% |
| NovaNet | COMM | $10,760.85 | ↓ -10% |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
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Kidney img w/bldflw sgl without rx at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $4,179.74 | $538.66 – $946.34 |
| Adventhealth Tampa | Tampa | $1,651.16 | $556.92 – $1,258.77 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $773.27 | $538.66 – $1,238.64 |
| Adventhealth Port Charlotte | Port Charlotte | $2,863.26 | $567.01 – $1,035.36 |
| cleveland clinic florida weston hospital | Weston | $3,267.55 | $38.63 – $3,946.55 |
| martin north hospital | Stuart | $3,017.95 | $34.56 – $2,321.50 |
| indian river hospital | Vero Beach | $3,017.95 | $35.04 – $3,714.40 |
| Baptist Hospital | MIAMI | $1,928.55 | $173.17 – $2,670.30 |