Ot evaluation moderate complexity patient/family at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$1,093.25
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.
$1,093.25
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.
$78.71 with Optimum vs $983.92 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 | $78.71 | ↓ -93% |
| Freedom Health | MCR | $78.71 | ↓ -93% |
| Humana | MGMCRHMO | $86.73 | ↓ -92% |
| NDMS Definitive Care | MGMCR | $86.73 | ↓ -92% |
| Wellmed | MGMCR | $86.73 | ↓ -92% |
| United | VACCN | $86.73 | ↓ -92% |
| Devoted Health | MCR | $86.73 | ↓ -92% |
| United | MCR | $88.47 | ↓ -92% |
| BCBS | MCRHMO | $88.47 | ↓ -92% |
| BCBS | MCRPPO | $88.47 | ↓ -92% |
| FL Health Care Plan | MCR | $88.47 | ↓ -92% |
| Aetna | MCR | $88.90 | ↓ -92% |
| Sunshine State | MCR | $91.07 | ↓ -92% |
| WellCare | MCR | $91.07 | ↓ -92% |
| American Health Plan | MCR | $91.94 | ↓ -92% |
| AvMed | MGMCR | $91.94 | ↓ -92% |
| Align Senior Care | MGMCR | $92.80 | ↓ -92% |
| Cigna Healthspring | MCR | $92.80 | ↓ -92% |
| Florida Complete Care | MCR | $92.80 | ↓ -92% |
| Gold Kidney of Florida | MCR | $94.54 | ↓ -91% |
| CorVel Corporation | WORKERSCOMP | $95.00 | ↓ -91% |
| Humana | TRICARE | $95.28 | ↓ -91% |
| Seminole County Sheriffs Office | MGMCR | $95.41 | ↓ -91% |
| Centurion | GVT | $95.41 | ↓ -91% |
| Clear Spring Health | MCR | $95.41 | ↓ -91% |
| Prime Health | WC | $97.00 | ↓ -91% |
| CarePlus | MGMCR | $98.88 | ↓ -91% |
| Ultimate Health Plan | MCR | $99.74 | ↓ -91% |
| Careworks (Rockport Community) | WORKERSCOMP | $100.00 | ↓ -91% |
| Longevity Health Plan | MCR | $104.08 | ↓ -90% |
| Solis Health Plan | MCR | $125.76 | ↓ -88% |
| Oscar | HIX | $174.92 | ↓ -84% |
| Simply Healthcare | HIX | $182.57 | ↓ -83% |
| Cigna | ManagedCareHMO | $190.23 | ↓ -83% |
| Cigna | PPO | $190.23 | ↓ -83% |
| Molina Healthcare | MGMCR | $207.72 | ↓ -81% |
| Humana | HMO | $218.65 | ↓ -80% |
| Humana | PPO | $218.65 | ↓ -80% |
| Evolutions | TieredNetwork | $251.45 | ↓ -77% |
| AvMed | HMOFI | $262.38 | ↓ -76% |
| Sunshine State Health Plan | QHP | $278.78 | ↓ -74% |
| AvMed | ASOEO | $306.11 | ↓ -72% |
| Aetna | ASA | $327.98 | ↓ -70% |
| Humana | MGMCRPPO | $346.93 | ↓ -68% |
| Molina Healthcare | HIX | $349.84 | ↓ -68% |
| United | OptionsPPO | $365.15 | ↓ -67% |
| Florida Health Care Plan | COMM | $412.16 | ↓ -62% |
| United | GlobalBenefitPlan | $491.96 | ↓ -55% |
| Prime Health Sheriff | COMM | $546.63 | ↓ -50% |
| Plotkin Health | COMM | $546.63 | ↓ -50% |
| AvMed | HIXOON | $546.63 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $546.63 | ↓ -50% |
| Three Rivers Provider Network | WorkersComp | $819.94 | ↓ -25% |
| Multiplan | PRIMARYPPO | $819.94 | ↓ -25% |
| Multiplan | Primary | $852.74 | ↓ -22% |
| Multiplan | COMPLEMENTARYPPO | $929.26 | ↓ -15% |
| Multiplan | Complementary | $929.26 | ↓ -15% |
| PPO Next | PPO | $929.26 | ↓ -15% |
| PPO Next | COMM | $929.26 | ↓ -15% |
| NovaNet | COMM | $983.92 | ↓ -10% |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Ot evaluation moderate complexity patient/family at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $370.06 | $93.63 – $164.50 |
| Adventhealth Lake Wales | Lake Wales | $758.39 | $98.56 – $218.80 |
| Adventhealth Palm Coast Parkway | Palm Coast | $450.35 | not published |
| Adventhealth Tampa | Tampa | $762.26 | $98.56 – $218.80 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $421.73 | $93.63 – $215.30 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $900.00 | $69.39 – $104.08 |
| Adventhealth Port Charlotte | Port Charlotte | $773.05 | not published |
| cleveland clinic florida weston hospital | Weston | $547.95 | $66.98 – $716.55 |