Quant diff pulm perf w/imaging at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$9,681.75
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.
?
What you pay up front if you don't use insurance.
$9,681.75
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.
?
The hospital's undiscounted list price — almost no one pays this.
$697.09 with Optimum vs $8,713.58 with NovaNet — 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 |
|---|---|---|---|
| Optimum | MGMCR | $697.09 | ↓ -93% |
| Freedom Health | MCR | $697.09 | ↓ -93% |
| United | AllPayerAppendix | $848.52 | ↓ -91% |
| Simply | MGMCR | $1,490.99 | ↓ -85% |
| Molina Healthcare | MGMCR | $1,839.53 | ↓ -81% |
| Humana | HMO | $1,936.35 | ↓ -80% |
| Humana | PPO | $1,936.35 | ↓ -80% |
| CorVel Corporation | WORKERSCOMP | $2,029.15 | ↓ -79% |
| Prime Health | WC | $2,071.87 | ↓ -79% |
| Careworks (Rockport Community) | WORKERSCOMP | $2,135.95 | ↓ -78% |
| Evolutions | TieredNetwork | $2,226.80 | ↓ -77% |
| AvMed | HMOFI | $2,323.62 | ↓ -76% |
| Sunshine State Health Plan | QHP | $2,468.85 | ↓ -74% |
| AvMed | ASOEO | $2,710.89 | ↓ -72% |
| Aetna | ASA | $2,904.53 | ↓ -70% |
| Molina Healthcare | HIX | $3,098.16 | ↓ -68% |
| United | OptionsPPO | $3,233.70 | ↓ -67% |
| Florida Health Care Plan | COMM | $3,650.02 | ↓ -62% |
| United | GlobalBenefitPlan | $4,356.79 | ↓ -55% |
| Prime Health Sheriff | COMM | $4,840.88 | ↓ -50% |
| Plotkin Health | COMM | $4,840.88 | ↓ -50% |
| AvMed | HIXOON | $4,840.88 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $4,840.88 | ↓ -50% |
| Multiplan | PRIMARYPPO | $7,261.31 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $7,261.31 | ↓ -25% |
| Multiplan | Primary | $7,551.77 | ↓ -22% |
| PPO Next | COMM | $8,229.49 | ↓ -15% |
| Multiplan | Complementary | $8,229.49 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $8,229.49 | ↓ -15% |
| PPO Next | PPO | $8,229.49 | ↓ -15% |
| NovaNet | COMM | $8,713.58 | ↓ -10% |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Quant diff pulm perf w/imaging at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $830.08 | $396.60 – $696.76 |
| Adventhealth Palm Coast Parkway | Palm Coast | $879.80 | $396.60 – $891.68 |
| Adventhealth Tampa | Tampa | $3,951.75 | $408.67 – $926.79 |
| Adventhealth Port Charlotte | Port Charlotte | $6,649.75 | $417.47 – $762.31 |
| cleveland clinic florida weston hospital | Weston | $2,447.90 | $28.96 – $2,946.10 |
| martin north hospital | Stuart | $2,252.90 | $25.91 – $1,733.00 |
| indian river hospital | Vero Beach | $2,252.90 | $26.63 – $2,772.80 |
| Baptist Hospital | MIAMI | $3,835.65 | $173.17 – $5,310.90 |