MRI without fol w/cont, brst, un at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$9,499.75
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.
$9,499.75
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.
$683.98 with Optimum vs $8,549.77 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 |
|---|---|---|---|
| Optimum | MGMCR | $683.98 | ↓ -93% |
| Freedom Health | MCR | $683.98 | ↓ -93% |
| United | AllPayerAppendix | $828.27 | ↓ -91% |
| Simply | MGMCR | $1,462.96 | ↓ -85% |
| Aetna | QHP | $1,580.00 | ↓ -83% |
| Molina Healthcare | MGMCR | $1,804.95 | ↓ -81% |
| Aetna | HMO | $1,947.00 | ↓ -80% |
| Aetna | PPO | $1,947.00 | ↓ -80% |
| AvMed | HMOFI | $2,279.94 | ↓ -76% |
| Sunshine State Health Plan | QHP | $2,422.44 | ↓ -74% |
| AvMed | ASOEO | $2,659.93 | ↓ -72% |
| Aetna | ASA | $2,849.93 | ↓ -70% |
| Molina Healthcare | HIX | $3,039.92 | ↓ -68% |
| United | OptionsPPO | $3,172.92 | ↓ -67% |
| United | GlobalBenefitPlan | $4,274.89 | ↓ -55% |
| Prime Health Sheriff | WORKERSCOMP | $4,749.88 | ↓ -50% |
| Plotkin Health | COMM | $4,749.88 | ↓ -50% |
| AvMed | HIXOON | $4,749.88 | ↓ -50% |
| Prime Health Sheriff | COMM | $4,749.88 | ↓ -50% |
| Multiplan | PRIMARYPPO | $7,124.81 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $7,124.81 | ↓ -25% |
| Multiplan | Primary | $7,409.81 | ↓ -22% |
| Multiplan | Complementary | $8,074.79 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $8,074.79 | ↓ -15% |
| PPO Next | PPO | $8,074.79 | ↓ -15% |
| PPO Next | COMM | $8,074.79 | ↓ -15% |
| NovaNet | COMM | $8,549.77 | ↓ -10% |
Visitor-reported prices
Comments
MRI without fol w/cont, brst, un at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Boca Raton Regional Hospital | BOCA RATON | $3,677.70 | $357.78 – $3,694.67 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $1,270.00 | $824.45 – $1,645.00 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $1,944.80 | $824.45 – $1,678.00 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City | $996.80 | $824.45 – $1,678.00 |
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION | $8,129.00 | $828.27 – $1,060.00 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $346.11 – $608.05 |
| Adventhealth Lake Wales | Lake Wales | not published | $364.32 – $958.38 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $346.11 – $1,140.93 |