Metabolic panel ionized ca 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.
$4.41 with Optimum vs $250.04 with Careworks (Rockport Community) — 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 | $4.41 | — |
| Freedom Health | MCR | $4.41 | — |
| Simply | MGMCR | $9.43 | — |
| Molina Healthcare | MGMCR | $11.64 | — |
| Humana | PPO | $12.25 | — |
| Humana | HMO | $12.25 | — |
| Humana | TRICARE | $12.45 | — |
| United | VACCN | $13.73 | — |
| Humana | MGMCRHMO | $13.73 | — |
| Devoted Health | MCR | $13.73 | — |
| NDMS Definitive Care | MGMCR | $13.73 | — |
| Wellmed | MGMCR | $13.73 | — |
| United | AllPayerAppendix | $13.73 | — |
| BCBS | MCRHMO | $14.00 | — |
| FL Health Care Plan | MCR | $14.00 | — |
| United | MCR | $14.00 | — |
| BCBS | MCRPPO | $14.00 | — |
| Aetna | MCR | $14.07 | — |
| Evolutions | TieredNetwork | $14.09 | — |
| Sunshine State | MCR | $14.42 | — |
| WellCare | MCR | $14.42 | — |
| American Health Plan | MCR | $14.55 | — |
| AvMed | MGMCR | $14.55 | — |
| Florida Complete Care | MCR | $14.69 | — |
| Cigna Healthspring | MCR | $14.69 | — |
| Align Senior Care | MGMCR | $14.69 | — |
| AvMed | HMOFI | $14.70 | — |
| Gold Kidney of Florida | MCR | $14.97 | — |
| Clear Spring Health | MCR | $15.10 | — |
| Seminole County Sheriffs Office | MGMCR | $15.10 | — |
| Centurion | GVT | $15.10 | — |
| Sunshine State Health Plan | QHP | $15.62 | — |
| CarePlus | MGMCR | $15.65 | — |
| Ultimate Health Plan | MCR | $15.79 | — |
| Longevity Health Plan | MCR | $16.48 | — |
| AvMed | ASOEO | $17.15 | — |
| Aetna | ASA | $18.38 | — |
| Molina Healthcare | HIX | $19.60 | — |
| Oscar | HIX | $19.91 | — |
| Solis Health Plan | MCR | $19.91 | — |
| United | OptionsPPO | $20.46 | — |
| Simply Healthcare | HIX | $21.42 | — |
| Florida Health Care Plan | COMM | $23.09 | — |
| United | GlobalBenefitPlan | $27.56 | — |
| Plotkin Health | COMM | $30.63 | — |
| AvMed | HIXOON | $30.63 | — |
| Prime Health Sheriff | COMM | $30.63 | — |
| Prime Health Sheriff | WORKERSCOMP | $30.63 | — |
| Multiplan | PRIMARYPPO | $45.94 | — |
| Three Rivers Provider Network | WorkersComp | $45.94 | — |
| Multiplan | Primary | $47.77 | — |
| PPO Next | PPO | $52.06 | — |
| Multiplan | Complementary | $52.06 | — |
| Multiplan | COMPLEMENTARYPPO | $52.06 | — |
| PPO Next | COMM | $52.06 | — |
| Humana | MGMCRPPO | $54.92 | — |
| NovaNet | COMM | $55.13 | — |
| CorVel Corporation | WORKERSCOMP | $237.54 | — |
| Prime Health | WC | $242.54 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $250.04 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Metabolic panel ionized ca at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $253.72 | $13.04 – $22.92 |
| Adventhealth Lake Wales | Lake Wales | $211.92 | $13.73 – $30.48 |
| Adventhealth Palm Coast Parkway | Palm Coast | $252.48 | $13.04 – $29.33 |
| Adventhealth Tampa | Tampa | $211.92 | $13.73 – $30.48 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $75.68 | $13.04 – $29.99 |
| Adventhealth Port Charlotte | Port Charlotte | $100.94 | $13.73 – $25.07 |
| cleveland clinic florida weston hospital | Weston | $146.90 | $4.31 – $226.00 |
| martin north hospital | Stuart | $206.70 | $4.54 – $238.50 |