MRI w/cont, breast, bi at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$12,512.00
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.
$12,512.00
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.
$828.27 with United vs $11,260.80 with NovaNet — 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 | $828.27 | ↓ -93% |
| Optimum | MGMCR | $900.86 | ↓ -93% |
| Freedom Health | MCR | $900.86 | ↓ -93% |
| Aetna | QHP | $1,580.00 | ↓ -87% |
| Simply | MGMCR | $1,926.85 | ↓ -85% |
| Aetna | HMO | $1,947.00 | ↓ -84% |
| Aetna | PPO | $1,947.00 | ↓ -84% |
| Molina Healthcare | MGMCR | $2,377.28 | ↓ -81% |
| AvMed | HMOFI | $3,002.88 | ↓ -76% |
| Sunshine State Health Plan | QHP | $3,190.56 | ↓ -75% |
| AvMed | ASOEO | $3,503.36 | ↓ -72% |
| Aetna | ASA | $3,753.60 | ↓ -70% |
| Molina Healthcare | HIX | $4,003.84 | ↓ -68% |
| United | OptionsPPO | $4,179.01 | ↓ -67% |
| United | GlobalBenefitPlan | $5,630.40 | ↓ -55% |
| Prime Health Sheriff | WORKERSCOMP | $6,256.00 | ↓ -50% |
| Plotkin Health | COMM | $6,256.00 | ↓ -50% |
| AvMed | HIXOON | $6,256.00 | ↓ -50% |
| Prime Health Sheriff | COMM | $6,256.00 | ↓ -50% |
| Multiplan | PRIMARYPPO | $9,384.00 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $9,384.00 | ↓ -25% |
| Multiplan | Primary | $9,759.36 | ↓ -22% |
| Multiplan | Complementary | $10,635.20 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $10,635.20 | ↓ -15% |
| PPO Next | PPO | $10,635.20 | ↓ -15% |
| PPO Next | COMM | $10,635.20 | ↓ -15% |
| NovaNet | COMM | $11,260.80 | ↓ -10% |
Visitor-reported prices
Comments
MRI w/cont, breast, bi at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Boca Raton Regional Hospital | BOCA RATON | $2,041.00 | $357.78 – $2,050.42 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $14,461.92 | $828.27 – $1,186.00 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | $3,147.00 | $828.27 – $1,116.00 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | $3,902.35 | $828.27 – $1,256.00 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH | $7,279.00 | $828.27 – $1,116.00 |
| HCA FLORIDA GULF COAST HOSPITAL | PANAMA CITY | $2,102.10 | $828.27 – $1,256.00 |
| HCA FLORIDA LARGO HOSPITAL | LARGO | $19,401.75 | $828.27 – $1,186.00 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | $3,521.00 | $828.27 – $1,116.00 |