Lumbar diskogram s&i at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$3,129.50
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.
?
What you pay up front if you don't use insurance.
$3,129.50
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.
?
The hospital's undiscounted list price — almost no one pays this.
$225.32 with Optimum vs $3,947.38 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $225.32 | ↓ -93% |
| Freedom Health | MCR | $225.32 | ↓ -93% |
| Simply | MGMCR | $481.94 | ↓ -85% |
| Molina Healthcare | MGMCR | $594.61 | ↓ -81% |
| Humana | HMO | $625.90 | ↓ -80% |
| Humana | PPO | $625.90 | ↓ -80% |
| Evolutions | TieredNetwork | $719.78 | ↓ -77% |
| AvMed | HMOFI | $751.08 | ↓ -76% |
| Sunshine State Health Plan | QHP | $798.02 | ↓ -75% |
| AvMed | ASOEO | $876.26 | ↓ -72% |
| Aetna | ASA | $938.85 | ↓ -70% |
| Molina Healthcare | HIX | $1,001.44 | ↓ -68% |
| United | OptionsPPO | $1,045.25 | ↓ -67% |
| Florida Health Care Plan | COMM | $1,179.82 | ↓ -62% |
| United | GlobalBenefitPlan | $1,408.28 | ↓ -55% |
| Prime Health Sheriff | WORKERSCOMP | $1,564.75 | ↓ -50% |
| Prime Health Sheriff | COMM | $1,564.75 | ↓ -50% |
| Plotkin Health | COMM | $1,564.75 | ↓ -50% |
| AvMed | HIXOON | $1,564.75 | ↓ -50% |
| Multiplan | PRIMARYPPO | $2,347.13 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $2,347.13 | ↓ -25% |
| Multiplan | Primary | $2,441.01 | ↓ -22% |
| PPO Next | COMM | $2,660.07 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $2,660.07 | ↓ -15% |
| Multiplan | Complementary | $2,660.07 | ↓ -15% |
| PPO Next | PPO | $2,660.07 | ↓ -15% |
| NovaNet | COMM | $2,816.55 | ↓ -10% |
| CorVel Corporation | WORKERSCOMP | $3,707.30 | ↑ +18% |
| Prime Health | WC | $3,785.35 | ↑ +21% |
| Careworks (Rockport Community) | WORKERSCOMP | $3,902.42 | ↑ +25% |
| United | AllPayerAppendix | $3,947.38 | ↑ +26% |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Lumbar diskogram s&i at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $6,598.98 | $2,039.19 – $4,527.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $9,880.00 | $3,701.44 – $3,947.38 |
| Adventhealth Port Charlotte | Port Charlotte | $7,811.03 | $2,039.19 – $3,853.47 |
| cleveland clinic florida weston hospital | Weston | $11,163.75 | $36.10 – $14,316.55 |
| martin north hospital | Stuart | $11,163.75 | $32.30 – $8,421.50 |
| indian river hospital | Vero Beach | $215.80 | $32.94 – $2,243.11 |
| Baptist Hospital | MIAMI | $3,412.50 | $173.17 – $4,184.10 |
| Bethesda Hospital East | BOYNTON BEACH | $3,412.50 | $353.09 – $4,184.10 |