Myelography l-s spine at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$15,659.50
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.
$15,659.50
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.
$1,127.48 with Optimum vs $14,093.55 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 | $1,127.48 | ↓ -93% |
| Freedom Health | MCR | $1,127.48 | ↓ -93% |
| United | AllPayerAppendix | $1,609.16 | ↓ -90% |
| CorVel Corporation | WORKERSCOMP | $2,090.22 | ↓ -87% |
| Prime Health | WC | $2,134.22 | ↓ -86% |
| Careworks (Rockport Community) | WORKERSCOMP | $2,200.23 | ↓ -86% |
| Simply | MGMCR | $2,411.56 | ↓ -85% |
| Molina Healthcare | MGMCR | $2,975.30 | ↓ -81% |
| Humana | HMO | $3,131.90 | ↓ -80% |
| Humana | PPO | $3,131.90 | ↓ -80% |
| Evolutions | TieredNetwork | $3,601.68 | ↓ -77% |
| AvMed | HMOFI | $3,758.28 | ↓ -76% |
| Sunshine State Health Plan | QHP | $3,993.17 | ↓ -75% |
| AvMed | ASOEO | $4,384.66 | ↓ -72% |
| Aetna | ASA | $4,697.85 | ↓ -70% |
| Molina Healthcare | HIX | $5,011.04 | ↓ -68% |
| United | OptionsPPO | $5,230.27 | ↓ -67% |
| Florida Health Care Plan | COMM | $5,903.63 | ↓ -62% |
| United | GlobalBenefitPlan | $7,046.77 | ↓ -55% |
| Prime Health Sheriff | COMM | $7,829.75 | ↓ -50% |
| Plotkin Health | COMM | $7,829.75 | ↓ -50% |
| AvMed | HIXOON | $7,829.75 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $7,829.75 | ↓ -50% |
| Multiplan | PRIMARYPPO | $11,744.63 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $11,744.63 | ↓ -25% |
| Multiplan | Primary | $12,214.41 | ↓ -22% |
| PPO Next | COMM | $13,310.58 | ↓ -15% |
| Multiplan | Complementary | $13,310.58 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $13,310.58 | ↓ -15% |
| PPO Next | PPO | $13,310.58 | ↓ -15% |
| NovaNet | COMM | $14,093.55 | ↓ -10% |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Myelography l-s spine at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $5,062.69 | $777.70 – $1,366.30 |
| Adventhealth Palm Coast Parkway | Palm Coast | $2,525.25 | $777.70 – $1,748.52 |
| Adventhealth Tampa | Tampa | $4,974.35 | $797.83 – $1,817.36 |
| cleveland clinic florida weston hospital | Weston | $4,644.90 | $34.38 – $5,791.90 |
| martin north hospital | Stuart | $4,644.90 | $30.76 – $3,407.00 |
| indian river hospital | Vero Beach | $4,644.90 | $30.91 – $5,451.20 |
| Baptist Hospital | MIAMI | $2,450.50 | $173.17 – $3,393.00 |
| Bethesda Hospital East | BOYNTON BEACH | $2,450.50 | $353.09 – $3,393.00 |