Pentazocine injection at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$392.25
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.
$392.25
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.
$27.07 with Aetna vs $15,000.00 with American Health Plan — 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 |
|---|---|---|---|
| Aetna | MCR | $27.07 | ↓ -93% |
| BCBS | MCRPPO | $27.85 | ↓ -93% |
| BCBS | MCRHMO | $27.97 | ↓ -93% |
| Truli for Health | BSL | $33.34 | ↓ -92% |
| BCBS | SBN | $34.13 | ↓ -91% |
| BCBS | BSL | $34.13 | ↓ -91% |
| BCBS | MBN | $34.13 | ↓ -91% |
| United | AllPayerAppendix | $45.19 | ↓ -88% |
| BCBS | NWB | $49.03 | ↓ -88% |
| BCBS | PPO | $49.03 | ↓ -88% |
| BCBS | HMO | $52.95 | ↓ -87% |
| Simply | MGMCR | $60.41 | ↓ -85% |
| BCBS | PHS | $83.16 | ↓ -79% |
| Evolutions | TieredNetwork | $90.22 | ↓ -77% |
| Aetna | ASA | $117.67 | ↓ -70% |
| Molina Healthcare | HIX | $125.52 | ↓ -68% |
| United | OptionsPPO | $131.01 | ↓ -67% |
| Florida Health Care Plan | COMM | $147.88 | ↓ -62% |
| United | GlobalBenefitPlan | $176.51 | ↓ -55% |
| Prime Health Sheriff | COMM | $196.13 | ↓ -50% |
| Plotkin Health | COMM | $196.13 | ↓ -50% |
| AvMed | HIXOON | $196.13 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $196.13 | ↓ -50% |
| Three Rivers Provider Network | WorkersComp | $294.19 | ↓ -25% |
| Multiplan | PRIMARYPPO | $294.19 | ↓ -25% |
| Multiplan | Primary | $305.95 | ↓ -22% |
| Multiplan | Complementary | $333.41 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $333.41 | ↓ -15% |
| PPO Next | PPO | $333.41 | ↓ -15% |
| PPO Next | COMM | $333.41 | ↓ -15% |
| NovaNet | COMM | $353.02 | ↓ -10% |
| American Health Plan | MCR | $15,000.00 | ↑ +3724% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Pentazocine injection at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| martin north hospital | Stuart | $37.70 | $37.70 – $122.70 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $144.00 | $58.89 – $58.89 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | $160.00 | $45.19 – $45.19 |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | NAVARRE | $156.00 | $72.58 – $72.58 |
| HCA FLORIDA HIGHLANDS HOSPITAL | Sebring | $256.00 | $45.19 – $45.19 |
| HCA FLORIDA BLAKE HOSPITAL | BRADENTON | $298.50 | $58.89 – $58.89 |
| HCA FLORIDA LARGO HOSPITAL | LARGO | $85.46 | $58.89 – $58.89 |
| HCA FLORIDA SOUTH SHORE HOSPITAL | PARRISH | $119.30 | $58.89 – $58.89 |