Pregnancy associated plasma protein-a at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$119.50
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.
$119.50
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.
$8.60 with Optimum vs $107.55 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 | $8.60 | ↓ -93% |
| Freedom Health | MCR | $8.60 | ↓ -93% |
| Humana | TRICARE | $13.64 | ↓ -89% |
| United | VACCN | $15.05 | ↓ -87% |
| Wellmed | MGMCR | $15.05 | ↓ -87% |
| Devoted Health | MCR | $15.05 | ↓ -87% |
| NDMS Definitive Care | MGMCR | $15.05 | ↓ -87% |
| Humana | MGMCRHMO | $15.05 | ↓ -87% |
| United | AllPayerAppendix | $15.05 | ↓ -87% |
| BCBS | MCRPPO | $15.35 | ↓ -87% |
| BCBS | MCRHMO | $15.35 | ↓ -87% |
| FL Health Care Plan | MCR | $15.35 | ↓ -87% |
| United | MCR | $15.35 | ↓ -87% |
| Aetna | MCR | $15.43 | ↓ -87% |
| Sunshine State | MCR | $15.80 | ↓ -87% |
| WellCare | MCR | $15.80 | ↓ -87% |
| American Health Plan | MCR | $15.95 | ↓ -87% |
| AvMed | MGMCR | $15.95 | ↓ -87% |
| Align Senior Care | MGMCR | $16.10 | ↓ -87% |
| Cigna Healthspring | MCR | $16.10 | ↓ -87% |
| Florida Complete Care | MCR | $16.10 | ↓ -87% |
| Gold Kidney of Florida | MCR | $16.40 | ↓ -86% |
| Centurion | GVT | $16.56 | ↓ -86% |
| Clear Spring Health | MCR | $16.56 | ↓ -86% |
| Seminole County Sheriffs Office | MGMCR | $16.56 | ↓ -86% |
| CarePlus | MGMCR | $17.16 | ↓ -86% |
| Ultimate Health Plan | MCR | $17.31 | ↓ -86% |
| Longevity Health Plan | MCR | $18.06 | ↓ -85% |
| Simply | MGMCR | $18.40 | ↓ -85% |
| Solis Health Plan | MCR | $21.82 | ↓ -82% |
| Oscar | HIX | $21.82 | ↓ -82% |
| Molina Healthcare | MGMCR | $22.70 | ↓ -81% |
| Simply Healthcare | HIX | $23.48 | ↓ -80% |
| Humana | PPO | $23.90 | ↓ -80% |
| Humana | HMO | $23.90 | ↓ -80% |
| Evolutions | TieredNetwork | $27.48 | ↓ -77% |
| AvMed | HMOFI | $28.68 | ↓ -76% |
| Sunshine State Health Plan | QHP | $30.47 | ↓ -75% |
| AvMed | ASOEO | $33.46 | ↓ -72% |
| Aetna | ASA | $35.85 | ↓ -70% |
| Molina Healthcare | HIX | $38.24 | ↓ -68% |
| United | OptionsPPO | $39.91 | ↓ -67% |
| Florida Health Care Plan | COMM | $45.05 | ↓ -62% |
| United | GlobalBenefitPlan | $53.77 | ↓ -55% |
| Plotkin Health | COMM | $59.75 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $59.75 | ↓ -50% |
| AvMed | HIXOON | $59.75 | ↓ -50% |
| Prime Health Sheriff | COMM | $59.75 | ↓ -50% |
| Humana | MGMCRPPO | $60.20 | ↓ -50% |
| CorVel Corporation | WORKERSCOMP | $74.05 | ↓ -38% |
| Prime Health | WC | $75.61 | ↓ -37% |
| Careworks (Rockport Community) | WORKERSCOMP | $77.95 | ↓ -35% |
| Three Rivers Provider Network | WorkersComp | $89.63 | ↓ -25% |
| Multiplan | PRIMARYPPO | $89.63 | ↓ -25% |
| Multiplan | Primary | $93.21 | ↓ -22% |
| PPO Next | COMM | $101.58 | ↓ -15% |
| Multiplan | Complementary | $101.58 | ↓ -15% |
| PPO Next | PPO | $101.58 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $101.58 | ↓ -15% |
| NovaNet | COMM | $107.55 | ↓ -10% |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Pregnancy associated plasma protein-a at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $232.70 | $5.78 – $123.25 |
| martin north hospital | Stuart | $232.70 | $6.08 – $108.75 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $5.92 | $13.24 – $37.63 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns | $5.92 | $13.24 – $37.63 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville | $5.92 | $13.24 – $37.63 |
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg | $5.92 | $13.24 – $37.63 |
| HCA FLORIDA LAKE CITY HOSPITAL | LIVE OAK | $69.75 | $13.55 – $73.23 |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | VENICE | $112.00 | $13.64 – $76.63 |