Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$69.00
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.
$69.00
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.
$3.47 with United vs $15,000.00 with American Health Plan — 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 |
|---|---|---|---|
| United | AllPayerAppendix | $3.47 | ↓ -95% |
| Aetna | MCR | $4.76 | ↓ -93% |
| BCBS | MCRPPO | $4.90 | ↓ -93% |
| BCBS | MCRHMO | $4.92 | ↓ -93% |
| Truli for Health | BSL | $5.87 | ↓ -91% |
| BCBS | MBN | $6.00 | ↓ -91% |
| BCBS | SBN | $6.00 | ↓ -91% |
| BCBS | BSL | $6.00 | ↓ -91% |
| BCBS | NWB | $8.63 | ↓ -87% |
| BCBS | PPO | $8.63 | ↓ -87% |
| BCBS | HMO | $9.31 | ↓ -87% |
| Simply | MGMCR | $10.63 | ↓ -85% |
| BCBS | PHS | $14.63 | ↓ -79% |
| Evolutions | TieredNetwork | $15.87 | ↓ -77% |
| Aetna | ASA | $20.70 | ↓ -70% |
| Molina Healthcare | HIX | $22.08 | ↓ -68% |
| United | OptionsPPO | $23.05 | ↓ -67% |
| Florida Health Care Plan | COMM | $26.01 | ↓ -62% |
| United | GlobalBenefitPlan | $31.05 | ↓ -55% |
| Prime Health Sheriff | COMM | $34.50 | ↓ -50% |
| Plotkin Health | COMM | $34.50 | ↓ -50% |
| AvMed | HIXOON | $34.50 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $34.50 | ↓ -50% |
| Three Rivers Provider Network | WorkersComp | $51.75 | ↓ -25% |
| Multiplan | PRIMARYPPO | $51.75 | ↓ -25% |
| Multiplan | Primary | $53.82 | ↓ -22% |
| Multiplan | Complementary | $58.65 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $58.65 | ↓ -15% |
| PPO Next | PPO | $58.65 | ↓ -15% |
| PPO Next | COMM | $58.65 | ↓ -15% |
| NovaNet | COMM | $62.10 | ↓ -10% |
| American Health Plan | MCR | $15,000.00 | ↑ +21639% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $408.50 | not published |
| Adventhealth Lake Wales | Lake Wales | $3,641.46 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $832.57 | not published |
| Adventhealth Tampa | Tampa | $1,280.82 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $731.60 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $2,960.13 | not published |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $414.00 | $4.52 – $4.52 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | $119.00 | $3.47 – $3.47 |