M.avium-intra dna dir prob at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$58.25
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.
$58.25
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.
$4.19 with Freedom Health vs $109.16 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 | $4.19 | ↓ -93% |
| Optimum | MGMCR | $4.19 | ↓ -93% |
| Simply | MGMCR | $8.97 | ↓ -85% |
| Molina Healthcare | MGMCR | $11.07 | ↓ -81% |
| Humana | PPO | $11.65 | ↓ -80% |
| Humana | HMO | $11.65 | ↓ -80% |
| Evolutions | TieredNetwork | $13.40 | ↓ -77% |
| AvMed | HMOFI | $13.98 | ↓ -76% |
| Sunshine State Health Plan | QHP | $14.85 | ↓ -75% |
| AvMed | ASOEO | $16.31 | ↓ -72% |
| Aetna | ASA | $17.48 | ↓ -70% |
| Molina Healthcare | HIX | $18.64 | ↓ -68% |
| United | OptionsPPO | $19.46 | ↓ -67% |
| Florida Health Care Plan | COMM | $21.96 | ↓ -62% |
| Humana | TRICARE | $24.73 | ↓ -58% |
| United | GlobalBenefitPlan | $26.21 | ↓ -55% |
| NDMS Definitive Care | MGMCR | $27.29 | ↓ -53% |
| Devoted Health | MCR | $27.29 | ↓ -53% |
| Wellmed | MGMCR | $27.29 | ↓ -53% |
| United | VACCN | $27.29 | ↓ -53% |
| United | AllPayerAppendix | $27.29 | ↓ -53% |
| Humana | MGMCRHMO | $27.29 | ↓ -53% |
| FL Health Care Plan | MCR | $27.84 | ↓ -52% |
| BCBS | MCRPPO | $27.84 | ↓ -52% |
| BCBS | MCRHMO | $27.84 | ↓ -52% |
| United | MCR | $27.84 | ↓ -52% |
| Aetna | MCR | $27.97 | ↓ -52% |
| WellCare | MCR | $28.65 | ↓ -51% |
| Sunshine State | MCR | $28.65 | ↓ -51% |
| American Health Plan | MCR | $28.93 | ↓ -50% |
| AvMed | MGMCR | $28.93 | ↓ -50% |
| Plotkin Health | COMM | $29.13 | ↓ -50% |
| AvMed | HIXOON | $29.13 | ↓ -50% |
| Prime Health Sheriff | COMM | $29.13 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $29.13 | ↓ -50% |
| Align Senior Care | MGMCR | $29.20 | ↓ -50% |
| Florida Complete Care | MCR | $29.20 | ↓ -50% |
| Cigna Healthspring | MCR | $29.20 | ↓ -50% |
| Gold Kidney of Florida | MCR | $29.75 | ↓ -49% |
| Seminole County Sheriffs Office | MGMCR | $30.02 | ↓ -48% |
| Centurion | GVT | $30.02 | ↓ -48% |
| Clear Spring Health | MCR | $30.02 | ↓ -48% |
| CarePlus | MGMCR | $31.11 | ↓ -47% |
| Ultimate Health Plan | MCR | $31.38 | ↓ -46% |
| Longevity Health Plan | MCR | $32.75 | ↓ -44% |
| Solis Health Plan | MCR | $39.57 | ↓ -32% |
| Oscar | HIX | $39.57 | ↓ -32% |
| Simply Healthcare | HIX | $42.57 | ↓ -27% |
| Three Rivers Provider Network | WorkersComp | $43.69 | ↓ -25% |
| Multiplan | PRIMARYPPO | $43.69 | ↓ -25% |
| Multiplan | Primary | $45.44 | ↓ -22% |
| Multiplan | Complementary | $49.51 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $49.51 | ↓ -15% |
| PPO Next | COMM | $49.51 | ↓ -15% |
| PPO Next | PPO | $49.51 | ↓ -15% |
| NovaNet | COMM | $52.42 | ↓ -10% |
| CorVel Corporation | WORKERSCOMP | $100.98 | ↑ +73% |
| Prime Health | WC | $103.10 | ↑ +77% |
| Careworks (Rockport Community) | WORKERSCOMP | $106.29 | ↑ +82% |
| Humana | MGMCRPPO | $109.16 | ↑ +87% |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
M.avium-intra dna dir prob at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Port Charlotte | Port Charlotte | $201.88 | $27.29 – $49.83 |
| cleveland clinic florida weston hospital | Weston | $156.00 | $4.02 – $204.00 |
| martin north hospital | Stuart | $156.00 | $4.23 – $180.00 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $22.99 | $24.73 – $104.50 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | $283.00 | $27.02 – $112.24 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH | $161.00 | $27.02 – $112.24 |
| HCA FLORIDA LEHIGH HOSPITAL | LEHIGH ACRES | $245.61 | $24.73 – $42.03 |
| HCA FLORIDA LARGO HOSPITAL | LARGO | $284.22 | $24.73 – $104.50 |