Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$5,154.75
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.
$5,154.75
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.
$6.65 with CorVel Corporation 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 |
|---|---|---|---|
| CorVel Corporation | WORKERSCOMP | $6.65 | ↓ -100% |
| Prime Health | WC | $6.79 | ↓ -100% |
| Careworks (Rockport Community) | WORKERSCOMP | $7.00 | ↓ -100% |
| Aetna | MCR | $355.68 | ↓ -93% |
| BCBS | MCRPPO | $365.99 | ↓ -93% |
| BCBS | MCRHMO | $367.53 | ↓ -93% |
| Freedom Health | MCR | $371.14 | ↓ -93% |
| Optimum | MGMCR | $371.14 | ↓ -93% |
| Truli for Health | BSL | $438.15 | ↓ -92% |
| BCBS | MBN | $448.46 | ↓ -91% |
| BCBS | BSL | $448.46 | ↓ -91% |
| BCBS | SBN | $448.46 | ↓ -91% |
| BCBS | PPO | $644.34 | ↓ -88% |
| BCBS | NWB | $644.34 | ↓ -88% |
| BCBS | HMO | $695.89 | ↓ -87% |
| Simply | MGMCR | $793.83 | ↓ -85% |
| Oscar | HIX | $824.76 | ↓ -84% |
| Simply Healthcare | HIX | $860.84 | ↓ -83% |
| Cigna | PPO | $896.93 | ↓ -83% |
| Cigna | ManagedCareHMO | $896.93 | ↓ -83% |
| Molina Healthcare | MGMCR | $979.40 | ↓ -81% |
| Aetna | QHP | $1,020.64 | ↓ -80% |
| Humana | HMO | $1,030.95 | ↓ -80% |
| Humana | PPO | $1,030.95 | ↓ -80% |
| BCBS | PHS | $1,092.81 | ↓ -79% |
| Aetna | HMO | $1,164.97 | ↓ -77% |
| Aetna | PPO | $1,164.97 | ↓ -77% |
| Evolutions | TieredNetwork | $1,185.59 | ↓ -77% |
| AvMed | HMOFI | $1,237.14 | ↓ -76% |
| Sunshine State Health Plan | QHP | $1,314.46 | ↓ -75% |
| AvMed | ASOEO | $1,443.33 | ↓ -72% |
| Aetna | ASA | $1,546.42 | ↓ -70% |
| Molina Healthcare | HIX | $1,649.52 | ↓ -68% |
| United | OptionsPPO | $1,721.69 | ↓ -67% |
| Florida Health Care Plan | COMM | $1,943.34 | ↓ -62% |
| United | GlobalBenefitPlan | $2,319.64 | ↓ -55% |
| AvMed | HIXOON | $2,577.38 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $2,577.38 | ↓ -50% |
| Prime Health Sheriff | COMM | $2,577.38 | ↓ -50% |
| Plotkin Health | COMM | $2,577.38 | ↓ -50% |
| Multiplan | PRIMARYPPO | $3,866.06 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $3,866.06 | ↓ -25% |
| Multiplan | Primary | $4,020.70 | ↓ -22% |
| Multiplan | Complementary | $4,381.54 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $4,381.54 | ↓ -15% |
| PPO Next | PPO | $4,381.54 | ↓ -15% |
| PPO Next | COMM | $4,381.54 | ↓ -15% |
| NovaNet | COMM | $4,639.27 | ↓ -10% |
| American Health Plan | MCR | $15,000.00 | ↑ +191% |
Visitor-reported prices
Comments
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $569.40 | $6.20 – $744.60 |
| martin north hospital | Stuart | $569.40 | $6.20 – $438.00 |
| indian river hospital | Vero Beach | $28.60 | $4.53 – $44.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $6.65 – $6.79 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $6.65 – $6.79 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $6.65 – $6.79 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $7.60 – $7.76 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | not published | $6.65 – $7.00 |