Mopath procedure level 1 at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$109.00
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.
$109.00
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.
$7.85 with Optimum vs $255.84 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 | $7.85 | ↓ -93% |
| Freedom Health | MCR | $7.85 | ↓ -93% |
| Simply | MGMCR | $16.79 | ↓ -85% |
| Molina Healthcare | MGMCR | $20.71 | ↓ -81% |
| Humana | PPO | $21.80 | ↓ -80% |
| Humana | HMO | $21.80 | ↓ -80% |
| Evolutions | TieredNetwork | $25.07 | ↓ -77% |
| AvMed | HMOFI | $26.16 | ↓ -76% |
| Sunshine State Health Plan | QHP | $27.80 | ↓ -74% |
| AvMed | ASOEO | $30.52 | ↓ -72% |
| Aetna | ASA | $32.70 | ↓ -70% |
| Molina Healthcare | HIX | $34.88 | ↓ -68% |
| United | OptionsPPO | $36.41 | ↓ -67% |
| Florida Health Care Plan | COMM | $41.09 | ↓ -62% |
| United | GlobalBenefitPlan | $49.05 | ↓ -55% |
| Prime Health Sheriff | WORKERSCOMP | $54.50 | ↓ -50% |
| AvMed | HIXOON | $54.50 | ↓ -50% |
| Prime Health Sheriff | COMM | $54.50 | ↓ -50% |
| Plotkin Health | COMM | $54.50 | ↓ -50% |
| Humana | MGMCRHMO | $63.96 | ↓ -41% |
| Devoted Health | MCR | $63.96 | ↓ -41% |
| Wellmed | MGMCR | $63.96 | ↓ -41% |
| United | VACCN | $63.96 | ↓ -41% |
| United | AllPayerAppendix | $63.96 | ↓ -41% |
| NDMS Definitive Care | MGMCR | $63.96 | ↓ -41% |
| FL Health Care Plan | MCR | $65.24 | ↓ -40% |
| United | MCR | $65.24 | ↓ -40% |
| BCBS | MCRPPO | $65.24 | ↓ -40% |
| BCBS | MCRHMO | $65.24 | ↓ -40% |
| Aetna | MCR | $65.56 | ↓ -40% |
| WellCare | MCR | $67.16 | ↓ -38% |
| Sunshine State | MCR | $67.16 | ↓ -38% |
| AvMed | MGMCR | $67.80 | ↓ -38% |
| American Health Plan | MCR | $67.80 | ↓ -38% |
| Florida Complete Care | MCR | $68.44 | ↓ -37% |
| Cigna Healthspring | MCR | $68.44 | ↓ -37% |
| Align Senior Care | MGMCR | $68.44 | ↓ -37% |
| Gold Kidney of Florida | MCR | $69.72 | ↓ -36% |
| Clear Spring Health | MCR | $70.36 | ↓ -35% |
| Centurion | GVT | $70.36 | ↓ -35% |
| Seminole County Sheriffs Office | MGMCR | $70.36 | ↓ -35% |
| CarePlus | MGMCR | $72.91 | ↓ -33% |
| Ultimate Health Plan | MCR | $73.55 | ↓ -33% |
| Longevity Health Plan | MCR | $76.75 | ↓ -30% |
| Three Rivers Provider Network | WorkersComp | $81.75 | ↓ -25% |
| Multiplan | PRIMARYPPO | $81.75 | ↓ -25% |
| Multiplan | Primary | $85.02 | ↓ -22% |
| Multiplan | Complementary | $92.65 | ↓ -15% |
| PPO Next | COMM | $92.65 | ↓ -15% |
| PPO Next | PPO | $92.65 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $92.65 | ↓ -15% |
| Solis Health Plan | MCR | $92.74 | ↓ -15% |
| Oscar | HIX | $92.74 | ↓ -15% |
| NovaNet | COMM | $98.10 | ↓ -10% |
| Simply Healthcare | HIX | $99.78 | ↓ -8% |
| CorVel Corporation | WORKERSCOMP | $105.31 | ↓ -3% |
| Prime Health | WC | $107.52 | ↓ -1% |
| Careworks (Rockport Community) | WORKERSCOMP | $110.85 | ↑ +2% |
| Humana | MGMCRPPO | $255.84 | ↑ +135% |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Mopath procedure level 1 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Port Charlotte | Port Charlotte | $427.39 | $63.96 – $116.79 |
| cleveland clinic florida weston hospital | Weston | $1,021.15 | $19.75 – $79.00 |
| martin north hospital | Stuart | $1,021.15 | $23.15 – $79.00 |
| Baptist Hospital | MIAMI | $336.05 | $22.77 – $252.90 |
| Bethesda Hospital East | BOYNTON BEACH | $336.05 | $22.77 – $252.90 |
| Boca Raton Regional Hospital | BOCA RATON | $559.00 | $63.96 – $272.30 |
| Doctors Hospital | CORAL GABLES | $336.05 | $22.07 – $252.90 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $336.05 | $22.07 – $252.90 |