Prev med cnsl indiv apprx 30 at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$156.75
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.
$156.75
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.
$10.82 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 | $10.82 | ↓ -93% |
| BCBS | MCRPPO | $11.13 | ↓ -93% |
| BCBS | MCRHMO | $11.18 | ↓ -93% |
| Freedom Health | MCR | $11.29 | ↓ -93% |
| Optimum | MGMCR | $11.29 | ↓ -93% |
| Truli for Health | BSL | $13.32 | ↓ -92% |
| BCBS | SBN | $13.64 | ↓ -91% |
| BCBS | BSL | $13.64 | ↓ -91% |
| BCBS | MBN | $13.64 | ↓ -91% |
| BCBS | PPO | $19.59 | ↓ -88% |
| BCBS | NWB | $19.59 | ↓ -88% |
| BCBS | HMO | $21.16 | ↓ -87% |
| Simply | MGMCR | $24.14 | ↓ -85% |
| Oscar | HIX | $25.08 | ↓ -84% |
| Simply Healthcare | HIX | $26.18 | ↓ -83% |
| Cigna | ManagedCareHMO | $27.27 | ↓ -83% |
| Cigna | PPO | $27.27 | ↓ -83% |
| Molina Healthcare | MGMCR | $29.78 | ↓ -81% |
| Aetna | QHP | $31.04 | ↓ -80% |
| Humana | HMO | $31.35 | ↓ -80% |
| Humana | PPO | $31.35 | ↓ -80% |
| BCBS | PHS | $33.23 | ↓ -79% |
| Aetna | HMO | $35.43 | ↓ -77% |
| Aetna | PPO | $35.43 | ↓ -77% |
| Evolutions | TieredNetwork | $36.05 | ↓ -77% |
| AvMed | HMOFI | $37.62 | ↓ -76% |
| Humana | TRICARE | $37.62 | ↓ -76% |
| Sunshine State Health Plan | QHP | $39.97 | ↓ -75% |
| AvMed | ASOEO | $43.89 | ↓ -72% |
| Aetna | ASA | $47.02 | ↓ -70% |
| Molina Healthcare | HIX | $50.16 | ↓ -68% |
| United | OptionsPPO | $52.35 | ↓ -67% |
| CorVel Corporation | WORKERSCOMP | $53.86 | ↓ -66% |
| Prime Health | WC | $54.99 | ↓ -65% |
| Careworks (Rockport Community) | WORKERSCOMP | $56.69 | ↓ -64% |
| Florida Health Care Plan | COMM | $59.09 | ↓ -62% |
| United | GlobalBenefitPlan | $70.54 | ↓ -55% |
| Prime Health Sheriff | COMM | $78.38 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $78.38 | ↓ -50% |
| Plotkin Health | COMM | $78.38 | ↓ -50% |
| AvMed | HIXOON | $78.38 | ↓ -50% |
| Three Rivers Provider Network | WorkersComp | $117.56 | ↓ -25% |
| Multiplan | PRIMARYPPO | $117.56 | ↓ -25% |
| Multiplan | Primary | $122.27 | ↓ -22% |
| Multiplan | Complementary | $133.24 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $133.24 | ↓ -15% |
| PPO Next | PPO | $133.24 | ↓ -15% |
| PPO Next | COMM | $133.24 | ↓ -15% |
| NovaNet | COMM | $141.07 | ↓ -10% |
| American Health Plan | MCR | $15,000.00 | ↑ +9469% |
Visitor-reported prices
Comments
Prev med cnsl indiv apprx 30 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $190.68 | not published |
| Adventhealth Tampa | Tampa | $64.83 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $181.42 | not published |
| cleveland clinic florida weston hospital | Weston | $254.80 | $29.07 – $274.40 |
| martin north hospital | Stuart | $254.80 | $37.76 – $352.80 |
| indian river hospital | Vero Beach | $254.80 | $29.07 – $333.20 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON | $85.00 | $37.62 – $55.74 |
| HCA FLORIDA FAWCETT HOSPITAL | FORT MYERS | $85.00 | $37.62 – $54.01 |