Reptilase test at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$38.50
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.
$38.50
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.
$2.77 with Freedom Health vs $103.25 with Careworks (Rockport Community) — 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 |
|---|---|---|---|
| Freedom Health | MCR | $2.77 | ↓ -93% |
| Optimum | MGMCR | $2.77 | ↓ -93% |
| Simply | MGMCR | $5.93 | ↓ -85% |
| Molina Healthcare | MGMCR | $7.32 | ↓ -81% |
| Humana | HMO | $7.70 | ↓ -80% |
| Humana | PPO | $7.70 | ↓ -80% |
| Evolutions | TieredNetwork | $8.86 | ↓ -77% |
| Humana | TRICARE | $8.92 | ↓ -77% |
| AvMed | HMOFI | $9.24 | ↓ -76% |
| Sunshine State Health Plan | QHP | $9.82 | ↓ -74% |
| United | AllPayerAppendix | $9.85 | ↓ -74% |
| Humana | MGMCRHMO | $9.85 | ↓ -74% |
| Devoted Health | MCR | $9.85 | ↓ -74% |
| NDMS Definitive Care | MGMCR | $9.85 | ↓ -74% |
| Wellmed | MGMCR | $9.85 | ↓ -74% |
| United | VACCN | $9.85 | ↓ -74% |
| United | MCR | $10.05 | ↓ -74% |
| BCBS | MCRPPO | $10.05 | ↓ -74% |
| FL Health Care Plan | MCR | $10.05 | ↓ -74% |
| BCBS | MCRHMO | $10.05 | ↓ -74% |
| Aetna | MCR | $10.10 | ↓ -74% |
| WellCare | MCR | $10.34 | ↓ -73% |
| Sunshine State | MCR | $10.34 | ↓ -73% |
| AvMed | MGMCR | $10.44 | ↓ -73% |
| American Health Plan | MCR | $10.44 | ↓ -73% |
| Align Senior Care | MGMCR | $10.54 | ↓ -73% |
| Florida Complete Care | MCR | $10.54 | ↓ -73% |
| Cigna Healthspring | MCR | $10.54 | ↓ -73% |
| Gold Kidney of Florida | MCR | $10.74 | ↓ -72% |
| AvMed | ASOEO | $10.78 | ↓ -72% |
| Clear Spring Health | MCR | $10.84 | ↓ -72% |
| Seminole County Sheriffs Office | MGMCR | $10.84 | ↓ -72% |
| Centurion | GVT | $10.84 | ↓ -72% |
| CarePlus | MGMCR | $11.23 | ↓ -71% |
| Ultimate Health Plan | MCR | $11.33 | ↓ -71% |
| Aetna | ASA | $11.55 | ↓ -70% |
| Longevity Health Plan | MCR | $11.82 | ↓ -69% |
| Molina Healthcare | HIX | $12.32 | ↓ -68% |
| United | OptionsPPO | $12.86 | ↓ -67% |
| Oscar | HIX | $14.28 | ↓ -63% |
| Solis Health Plan | MCR | $14.28 | ↓ -63% |
| Florida Health Care Plan | COMM | $14.51 | ↓ -62% |
| Simply Healthcare | HIX | $15.37 | ↓ -60% |
| United | GlobalBenefitPlan | $17.32 | ↓ -55% |
| Plotkin Health | COMM | $19.25 | ↓ -50% |
| AvMed | HIXOON | $19.25 | ↓ -50% |
| Prime Health Sheriff | COMM | $19.25 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $19.25 | ↓ -50% |
| Multiplan | PRIMARYPPO | $28.88 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $28.88 | ↓ -25% |
| Multiplan | Primary | $30.03 | ↓ -22% |
| PPO Next | PPO | $32.73 | ↓ -15% |
| Multiplan | Complementary | $32.73 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $32.73 | ↓ -15% |
| PPO Next | COMM | $32.73 | ↓ -15% |
| NovaNet | COMM | $34.65 | ↓ -10% |
| Humana | MGMCRPPO | $39.40 | ↑ +2% |
| CorVel Corporation | WORKERSCOMP | $98.09 | ↑ +155% |
| Prime Health | WC | $100.15 | ↑ +160% |
| Careworks (Rockport Community) | WORKERSCOMP | $103.25 | ↑ +168% |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Reptilase test at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $42.78 | $9.36 – $16.44 |
| Adventhealth Lake Wales | Lake Wales | $35.19 | $9.85 – $21.87 |
| Adventhealth Palm Coast Parkway | Palm Coast | $102.67 | $9.36 – $21.04 |
| Adventhealth Tampa | Tampa | $152.04 | $9.85 – $21.87 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $77.83 | $9.36 – $21.52 |
| Adventhealth Port Charlotte | Port Charlotte | $34.48 | $9.85 – $17.99 |
| cleveland clinic florida weston hospital | Weston | $59.15 | $2.81 – $46.75 |
| martin north hospital | Stuart | $59.15 | $2.96 – $41.25 |