Mra, w/o&w/dye, spinal canal at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$1,540.00
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.
$1,540.00
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.
$110.88 with Optimum vs $1,947.00 with Aetna — 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 | $110.88 | ↓ -93% |
| Freedom Health | MCR | $110.88 | ↓ -93% |
| Simply | MGMCR | $237.16 | ↓ -85% |
| Molina Healthcare | MGMCR | $292.60 | ↓ -81% |
| AvMed | HMOFI | $369.60 | ↓ -76% |
| Sunshine State Health Plan | QHP | $392.70 | ↓ -75% |
| AvMed | ASOEO | $431.20 | ↓ -72% |
| Aetna | ASA | $462.00 | ↓ -70% |
| Molina Healthcare | HIX | $492.80 | ↓ -68% |
| United | OptionsPPO | $514.36 | ↓ -67% |
| United | GlobalBenefitPlan | $693.00 | ↓ -55% |
| Prime Health Sheriff | WORKERSCOMP | $770.00 | ↓ -50% |
| AvMed | HIXOON | $770.00 | ↓ -50% |
| Prime Health Sheriff | COMM | $770.00 | ↓ -50% |
| Plotkin Health | COMM | $770.00 | ↓ -50% |
| United | AllPayerAppendix | $828.27 | ↓ -46% |
| Multiplan | PRIMARYPPO | $1,155.00 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $1,155.00 | ↓ -25% |
| Multiplan | Primary | $1,201.20 | ↓ -22% |
| PPO Next | PPO | $1,309.00 | ↓ -15% |
| Multiplan | Complementary | $1,309.00 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $1,309.00 | ↓ -15% |
| PPO Next | COMM | $1,309.00 | ↓ -15% |
| NovaNet | COMM | $1,386.00 | ↓ -10% |
| Aetna | QHP | $1,580.00 | ↑ +3% |
| Aetna | PPO | $1,947.00 | ↑ +26% |
| Aetna | HMO | $1,947.00 | ↑ +26% |
Visitor-reported prices
Comments
Mra, w/o&w/dye, spinal canal at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Boca Raton Regional Hospital | BOCA RATON | $2,245.75 | $357.78 – $2,256.12 |
| AdventHealth Orlando | Orlando | $1,027.00 | $364.32 – $965.45 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $346.11 – $608.05 |
| Adventhealth Lake Wales | Lake Wales | not published | $364.32 – $808.79 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $346.11 – $778.15 |
| Adventhealth Tampa | Tampa | not published | $364.32 – $808.79 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $346.11 – $795.86 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $828.27 – $946.00 |