Lung Function Test (Spirometry) at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
not published by hospital
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.
not published by hospital
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.
$6.77 with Optimum vs $84.60 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 |
|---|---|---|---|
| Optimum | MGMCR | $6.77 | — |
| Freedom Health | MCR | $6.77 | — |
| Simply | MGMCR | $14.48 | — |
| Oscar | HIX | $15.04 | — |
| Simply Healthcare | HIX | $15.70 | — |
| Cigna | ManagedCareHMO | $16.36 | — |
| Cigna | PPO | $16.36 | — |
| Molina Healthcare | MGMCR | $17.86 | — |
| Aetna | QHP | $18.61 | — |
| Humana | HMO | $18.80 | — |
| Humana | PPO | $18.80 | — |
| Aetna | HMO | $21.24 | — |
| Aetna | PPO | $21.24 | — |
| Evolutions | TieredNetwork | $21.62 | — |
| AvMed | HMOFI | $22.56 | — |
| Sunshine State Health Plan | QHP | $23.97 | — |
| AvMed | ASOEO | $26.32 | — |
| CorVel Corporation | WORKERSCOMP | $27.55 | — |
| Prime Health | WC | $28.13 | — |
| Aetna | ASA | $28.20 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $29.00 | — |
| Molina Healthcare | HIX | $30.08 | — |
| United | OptionsPPO | $31.40 | — |
| Florida Health Care Plan | COMM | $35.44 | — |
| United | GlobalBenefitPlan | $42.30 | — |
| AvMed | HIXOON | $47.00 | — |
| Prime Health Sheriff | WORKERSCOMP | $47.00 | — |
| Plotkin Health | COMM | $47.00 | — |
| Prime Health Sheriff | COMM | $47.00 | — |
| Multiplan | PRIMARYPPO | $70.50 | — |
| Three Rivers Provider Network | WorkersComp | $70.50 | — |
| Multiplan | Primary | $73.32 | — |
| PPO Next | COMM | $79.90 | — |
| Multiplan | Complementary | $79.90 | — |
| Multiplan | COMPLEMENTARYPPO | $79.90 | — |
| PPO Next | PPO | $79.90 | — |
| NovaNet | COMM | $84.60 | — |
Visitor-reported prices
Comments
Lung Function Test (Spirometry) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $754.14 | $214.21 – $376.33 |
| Adventhealth Lake Wales | Lake Wales | $565.54 | $225.48 – $500.57 |
| Adventhealth Palm Coast Parkway | Palm Coast | $317.94 | $214.21 – $481.61 |
| Adventhealth Tampa | Tampa | $903.11 | $225.48 – $500.57 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $498.27 | $214.21 – $492.57 |
| Adventhealth Port Charlotte | Port Charlotte | $613.02 | $225.48 – $411.73 |
| cleveland clinic florida weston hospital | Weston | $633.75 | $6.96 – $765.00 |
| martin north hospital | Stuart | $585.00 | $20.94 – $450.00 |