Oncology prostate prob score at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$66.36 with CorVel Corporation vs $3,040.00 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| CorVel Corporation | WORKERSCOMP | $66.36 | — |
| Prime Health | WC | $67.75 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $69.85 | — |
| Devoted Health | MCR | $760.00 | — |
| Humana | MGMCRHMO | $760.00 | — |
| United | VACCN | $760.00 | — |
| United | AllPayerAppendix | $760.00 | — |
| NDMS Definitive Care | MGMCR | $760.00 | — |
| Wellmed | MGMCR | $760.00 | — |
| BCBS | MCRHMO | $775.20 | — |
| BCBS | MCRPPO | $775.20 | — |
| FL Health Care Plan | MCR | $775.20 | — |
| United | MCR | $775.20 | — |
| Aetna | MCR | $779.00 | — |
| WellCare | MCR | $798.00 | — |
| Sunshine State | MCR | $798.00 | — |
| AvMed | MGMCR | $805.60 | — |
| American Health Plan | MCR | $805.60 | — |
| Align Senior Care | MGMCR | $813.20 | — |
| Cigna Healthspring | MCR | $813.20 | — |
| Florida Complete Care | MCR | $813.20 | — |
| Gold Kidney of Florida | MCR | $828.40 | — |
| Centurion | GVT | $836.00 | — |
| Seminole County Sheriffs Office | MGMCR | $836.00 | — |
| Clear Spring Health | MCR | $836.00 | — |
| CarePlus | MGMCR | $866.40 | — |
| Ultimate Health Plan | MCR | $874.00 | — |
| Longevity Health Plan | MCR | $912.00 | — |
| Oscar | HIX | $1,102.00 | — |
| Solis Health Plan | MCR | $1,102.00 | — |
| Simply Healthcare | HIX | $1,185.60 | — |
| Humana | MGMCRPPO | $3,040.00 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Oncology prostate prob score at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Lake Wales | Lake Wales | $3,304.50 | $760.00 – $1,687.20 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,194.22 | $722.00 – $1,660.22 |
| Adventhealth Port Charlotte | Port Charlotte | $2,660.00 | $760.00 – $1,387.76 |
| Boca Raton Regional Hospital | BOCA RATON | $123.50 | $57.19 – $197.60 |
| AdventHealth Orlando | Orlando | $2,507.00 | $760.00 – $2,014.00 |
| HCA FLORIDA OSCEOLA HOSPITAL | ORLANDO | $385.20 | $66.36 – $1,185.60 |
| Adventhealth Fish Memorial | Orange City | $1,589.73 | $722.00 – $1,446.43 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $722.00 – $1,268.44 |