Kras gene addl variants at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$166.25
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.
$166.25
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.
$11.97 with Optimum vs $773.00 with Humana — 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 |
|---|---|---|---|
| Optimum | MGMCR | $11.97 | ↓ -93% |
| Freedom Health | MCR | $11.97 | ↓ -93% |
| Simply | MGMCR | $25.60 | ↓ -85% |
| Molina Healthcare | MGMCR | $31.59 | ↓ -81% |
| Humana | HMO | $33.25 | ↓ -80% |
| Humana | PPO | $33.25 | ↓ -80% |
| Evolutions | TieredNetwork | $38.24 | ↓ -77% |
| AvMed | HMOFI | $39.90 | ↓ -76% |
| Sunshine State Health Plan | QHP | $42.39 | ↓ -75% |
| AvMed | ASOEO | $46.55 | ↓ -72% |
| Aetna | ASA | $49.88 | ↓ -70% |
| Molina Healthcare | HIX | $53.20 | ↓ -68% |
| United | OptionsPPO | $55.53 | ↓ -67% |
| Florida Health Care Plan | COMM | $62.68 | ↓ -62% |
| United | GlobalBenefitPlan | $74.81 | ↓ -55% |
| Prime Health Sheriff | WORKERSCOMP | $83.13 | ↓ -50% |
| AvMed | HIXOON | $83.13 | ↓ -50% |
| Plotkin Health | COMM | $83.13 | ↓ -50% |
| Prime Health Sheriff | COMM | $83.13 | ↓ -50% |
| CorVel Corporation | WORKERSCOMP | $105.31 | ↓ -37% |
| Prime Health | WC | $107.52 | ↓ -35% |
| Careworks (Rockport Community) | WORKERSCOMP | $110.85 | ↓ -33% |
| Three Rivers Provider Network | WorkersComp | $124.69 | ↓ -25% |
| Multiplan | PRIMARYPPO | $124.69 | ↓ -25% |
| Multiplan | Primary | $129.68 | ↓ -22% |
| PPO Next | PPO | $141.31 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $141.31 | ↓ -15% |
| Multiplan | Complementary | $141.31 | ↓ -15% |
| PPO Next | COMM | $141.31 | ↓ -15% |
| NovaNet | COMM | $149.63 | ↓ -10% |
| Humana | TRICARE | $175.15 | ↑ +5% |
| NDMS Definitive Care | MGMCR | $193.25 | ↑ +16% |
| Humana | MGMCRHMO | $193.25 | ↑ +16% |
| United | VACCN | $193.25 | ↑ +16% |
| United | AllPayerAppendix | $193.25 | ↑ +16% |
| Devoted Health | MCR | $193.25 | ↑ +16% |
| Wellmed | MGMCR | $193.25 | ↑ +16% |
| United | MCR | $197.12 | ↑ +19% |
| BCBS | MCRPPO | $197.12 | ↑ +19% |
| BCBS | MCRHMO | $197.12 | ↑ +19% |
| FL Health Care Plan | MCR | $197.12 | ↑ +19% |
| Aetna | MCR | $198.08 | ↑ +19% |
| WellCare | MCR | $202.91 | ↑ +22% |
| Sunshine State | MCR | $202.91 | ↑ +22% |
| American Health Plan | MCR | $204.84 | ↑ +23% |
| AvMed | MGMCR | $204.84 | ↑ +23% |
| Cigna Healthspring | MCR | $206.78 | ↑ +24% |
| Florida Complete Care | MCR | $206.78 | ↑ +24% |
| Align Senior Care | MGMCR | $206.78 | ↑ +24% |
| Gold Kidney of Florida | MCR | $210.64 | ↑ +27% |
| Clear Spring Health | MCR | $212.58 | ↑ +28% |
| Seminole County Sheriffs Office | MGMCR | $212.58 | ↑ +28% |
| Centurion | GVT | $212.58 | ↑ +28% |
| CarePlus | MGMCR | $220.30 | ↑ +33% |
| Ultimate Health Plan | MCR | $222.24 | ↑ +34% |
| Longevity Health Plan | MCR | $231.90 | ↑ +39% |
| Oscar | HIX | $280.21 | ↑ +69% |
| Solis Health Plan | MCR | $280.21 | ↑ +69% |
| Simply Healthcare | HIX | $301.47 | ↑ +81% |
| Humana | MGMCRPPO | $773.00 | ↑ +365% |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Kras gene addl variants at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $334.00 | $105.14 – $280.21 |
| Adventhealth Port Charlotte | Port Charlotte | $1,291.08 | $193.25 – $352.87 |
| cleveland clinic florida weston hospital | Weston | $393.25 | $76.88 – $297.99 |
| martin north hospital | Stuart | $393.25 | $69.73 – $238.00 |
| indian river hospital | Vero Beach | $313.95 | $76.88 – $386.40 |
| Boca Raton Regional Hospital | BOCA RATON | $588.25 | $64.08 – $185.12 |
| HCA FLORIDA HIGHLANDS HOSPITAL | Sebring | $42.66 | $98.50 – $436.74 |
| HCA FLORIDA PUTNAM HOSPITAL | Palatka | $328.75 | $98.94 – $241.56 |