Lipoprotein blood high res frac & quant at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$37.25
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.
$37.25
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.
$2.68 with Freedom Health vs $135.44 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 |
|---|---|---|---|
| Freedom Health | MCR | $2.68 | ↓ -93% |
| Optimum | MGMCR | $2.68 | ↓ -93% |
| Simply | MGMCR | $5.74 | ↓ -85% |
| Molina Healthcare | MGMCR | $7.08 | ↓ -81% |
| Humana | PPO | $7.45 | ↓ -80% |
| Humana | HMO | $7.45 | ↓ -80% |
| Evolutions | TieredNetwork | $8.57 | ↓ -77% |
| AvMed | HMOFI | $8.94 | ↓ -76% |
| Sunshine State Health Plan | QHP | $9.50 | ↓ -74% |
| AvMed | ASOEO | $10.43 | ↓ -72% |
| Aetna | ASA | $11.18 | ↓ -70% |
| Molina Healthcare | HIX | $11.92 | ↓ -68% |
| United | OptionsPPO | $12.44 | ↓ -67% |
| Florida Health Care Plan | COMM | $14.04 | ↓ -62% |
| United | GlobalBenefitPlan | $16.76 | ↓ -55% |
| AvMed | HIXOON | $18.63 | ↓ -50% |
| Plotkin Health | COMM | $18.63 | ↓ -50% |
| Prime Health Sheriff | COMM | $18.63 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $18.63 | ↓ -50% |
| Multiplan | PRIMARYPPO | $27.94 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $27.94 | ↓ -25% |
| Multiplan | Primary | $29.05 | ↓ -22% |
| Humana | TRICARE | $30.69 | ↓ -18% |
| Multiplan | COMPLEMENTARYPPO | $31.66 | ↓ -15% |
| PPO Next | PPO | $31.66 | ↓ -15% |
| Multiplan | Complementary | $31.66 | ↓ -15% |
| PPO Next | COMM | $31.66 | ↓ -15% |
| NovaNet | COMM | $33.52 | ↓ -10% |
| NDMS Definitive Care | MGMCR | $33.86 | ↓ -9% |
| Humana | MGMCRHMO | $33.86 | ↓ -9% |
| United | VACCN | $33.86 | ↓ -9% |
| United | AllPayerAppendix | $33.86 | ↓ -9% |
| Devoted Health | MCR | $33.86 | ↓ -9% |
| Wellmed | MGMCR | $33.86 | ↓ -9% |
| United | MCR | $34.54 | ↓ -7% |
| BCBS | MCRHMO | $34.54 | ↓ -7% |
| BCBS | MCRPPO | $34.54 | ↓ -7% |
| FL Health Care Plan | MCR | $34.54 | ↓ -7% |
| Aetna | MCR | $34.71 | ↓ -7% |
| WellCare | MCR | $35.55 | ↓ -5% |
| Sunshine State | MCR | $35.55 | ↓ -5% |
| American Health Plan | MCR | $35.89 | ↓ -4% |
| AvMed | MGMCR | $35.89 | ↓ -4% |
| Align Senior Care | MGMCR | $36.23 | ↓ -3% |
| Cigna Healthspring | MCR | $36.23 | ↓ -3% |
| Florida Complete Care | MCR | $36.23 | ↓ -3% |
| Gold Kidney of Florida | MCR | $36.91 | ↓ -1% |
| Seminole County Sheriffs Office | MGMCR | $37.25 | ↑ +0% |
| Centurion | GVT | $37.25 | ↑ +0% |
| Clear Spring Health | MCR | $37.25 | ↑ +0% |
| CarePlus | MGMCR | $38.60 | ↑ +4% |
| Ultimate Health Plan | MCR | $38.94 | ↑ +5% |
| Longevity Health Plan | MCR | $40.63 | ↑ +9% |
| Solis Health Plan | MCR | $49.10 | ↑ +32% |
| Oscar | HIX | $49.10 | ↑ +32% |
| Simply Healthcare | HIX | $52.82 | ↑ +42% |
| CorVel Corporation | WORKERSCOMP | $74.05 | ↑ +99% |
| Prime Health | WC | $75.61 | ↑ +103% |
| Careworks (Rockport Community) | WORKERSCOMP | $77.95 | ↑ +109% |
| Humana | MGMCRPPO | $135.44 | ↑ +264% |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Lipoprotein blood high res frac & quant at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $149.50 | $12.50 – $50.00 |
| martin north hospital | Stuart | $149.50 | $14.09 – $49.89 |
| Boca Raton Regional Hospital | BOCA RATON | $141.05 | $33.86 – $70.52 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH | $109.00 | $33.52 – $82.30 |
| HCA FLORIDA FAWCETT HOSPITAL | FORT MYERS | $19.50 | $30.69 – $74.25 |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | NAVARRE | $26.75 | $30.69 – $78.67 |
| HCA FLORIDA BLAKE HOSPITAL | BRADENTON | $32.00 | $30.69 – $76.63 |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | VENICE | $36.00 | $30.69 – $76.63 |