Microsatellite instability at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$859.25
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.
$859.25
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.
$61.87 with Optimum vs $1,394.24 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 |
|---|---|---|---|
| Optimum | MGMCR | $61.87 | ↓ -93% |
| Freedom Health | MCR | $61.87 | ↓ -93% |
| CorVel Corporation | WORKERSCOMP | $105.31 | ↓ -88% |
| Prime Health | WC | $107.52 | ↓ -87% |
| Careworks (Rockport Community) | WORKERSCOMP | $110.85 | ↓ -87% |
| Simply | MGMCR | $132.32 | ↓ -85% |
| Molina Healthcare | MGMCR | $163.26 | ↓ -81% |
| Humana | PPO | $171.85 | ↓ -80% |
| Humana | HMO | $171.85 | ↓ -80% |
| Evolutions | TieredNetwork | $197.63 | ↓ -77% |
| AvMed | HMOFI | $206.22 | ↓ -76% |
| Sunshine State Health Plan | QHP | $219.11 | ↓ -74% |
| AvMed | ASOEO | $240.59 | ↓ -72% |
| Aetna | ASA | $257.77 | ↓ -70% |
| Molina Healthcare | HIX | $274.96 | ↓ -68% |
| United | OptionsPPO | $286.99 | ↓ -67% |
| Florida Health Care Plan | COMM | $323.94 | ↓ -62% |
| Humana | MGMCRHMO | $348.56 | ↓ -59% |
| United | AllPayerAppendix | $348.56 | ↓ -59% |
| United | VACCN | $348.56 | ↓ -59% |
| NDMS Definitive Care | MGMCR | $348.56 | ↓ -59% |
| Devoted Health | MCR | $348.56 | ↓ -59% |
| Wellmed | MGMCR | $348.56 | ↓ -59% |
| BCBS | MCRPPO | $355.53 | ↓ -59% |
| FL Health Care Plan | MCR | $355.53 | ↓ -59% |
| United | MCR | $355.53 | ↓ -59% |
| BCBS | MCRHMO | $355.53 | ↓ -59% |
| Aetna | MCR | $357.27 | ↓ -58% |
| Sunshine State | MCR | $365.99 | ↓ -57% |
| WellCare | MCR | $365.99 | ↓ -57% |
| American Health Plan | MCR | $369.47 | ↓ -57% |
| AvMed | MGMCR | $369.47 | ↓ -57% |
| Florida Complete Care | MCR | $372.96 | ↓ -57% |
| Align Senior Care | MGMCR | $372.96 | ↓ -57% |
| Cigna Healthspring | MCR | $372.96 | ↓ -57% |
| Gold Kidney of Florida | MCR | $379.93 | ↓ -56% |
| Seminole County Sheriffs Office | MGMCR | $383.42 | ↓ -55% |
| Centurion | GVT | $383.42 | ↓ -55% |
| Clear Spring Health | MCR | $383.42 | ↓ -55% |
| United | GlobalBenefitPlan | $386.66 | ↓ -55% |
| CarePlus | MGMCR | $397.36 | ↓ -54% |
| Ultimate Health Plan | MCR | $400.84 | ↓ -53% |
| Longevity Health Plan | MCR | $418.27 | ↓ -51% |
| Plotkin Health | COMM | $429.63 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $429.63 | ↓ -50% |
| AvMed | HIXOON | $429.63 | ↓ -50% |
| Prime Health Sheriff | COMM | $429.63 | ↓ -50% |
| Solis Health Plan | MCR | $505.41 | ↓ -41% |
| Oscar | HIX | $505.41 | ↓ -41% |
| Simply Healthcare | HIX | $543.75 | ↓ -37% |
| Three Rivers Provider Network | WorkersComp | $644.44 | ↓ -25% |
| Multiplan | PRIMARYPPO | $644.44 | ↓ -25% |
| Multiplan | Primary | $670.22 | ↓ -22% |
| PPO Next | PPO | $730.36 | ↓ -15% |
| PPO Next | COMM | $730.36 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $730.36 | ↓ -15% |
| Multiplan | Complementary | $730.36 | ↓ -15% |
| NovaNet | COMM | $773.33 | ↓ -10% |
| Humana | MGMCRPPO | $1,394.24 | ↑ +62% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Microsatellite instability at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $196.00 | $105.14 – $505.41 |
| Adventhealth Port Charlotte | Port Charlotte | $2,327.28 | $348.56 – $636.47 |
| cleveland clinic florida weston hospital | Weston | $452.40 | $76.88 – $437.00 |
| martin north hospital | Stuart | $452.40 | $80.93 – $437.00 |
| indian river hospital | Vero Beach | $452.40 | $76.88 – $437.00 |
| Baptist Hospital | MIAMI | $1,130.35 | $83.71 – $776.70 |
| Bethesda Hospital East | BOYNTON BEACH | $1,130.35 | $83.71 – $776.70 |
| Boca Raton Regional Hospital | BOCA RATON | $708.50 | $181.00 – $459.33 |