Surgical pathology level 5 gross & microscopic examination at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
not published by hospital
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.
not published by hospital
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.
$6.64 with Optimum vs $645.85 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 |
|---|---|---|---|
| Optimum | MGMCR | $6.64 | — |
| Freedom Health | MCR | $6.64 | — |
| Simply | MGMCR | $14.21 | — |
| Oscar | HIX | $14.76 | — |
| Simply Healthcare | HIX | $15.41 | — |
| Molina Healthcare | MGMCR | $17.53 | — |
| Humana | HMO | $18.45 | — |
| Humana | PPO | $18.45 | — |
| Evolutions | TieredNetwork | $21.22 | — |
| AvMed | HMOFI | $22.14 | — |
| Sunshine State Health Plan | QHP | $23.52 | — |
| AvMed | ASOEO | $25.83 | — |
| Aetna | ASA | $27.68 | — |
| Molina Healthcare | HIX | $29.52 | — |
| United | OptionsPPO | $30.81 | — |
| Florida Health Care Plan | COMM | $34.78 | — |
| United | GlobalBenefitPlan | $41.51 | — |
| AvMed | HIXOON | $46.13 | — |
| Prime Health Sheriff | WORKERSCOMP | $46.13 | — |
| Prime Health Sheriff | COMM | $46.13 | — |
| Plotkin Health | COMM | $46.13 | — |
| Three Rivers Provider Network | WorkersComp | $69.19 | — |
| Multiplan | PRIMARYPPO | $69.19 | — |
| Multiplan | Primary | $71.95 | — |
| PPO Next | COMM | $78.41 | — |
| Multiplan | COMPLEMENTARYPPO | $78.41 | — |
| PPO Next | PPO | $78.41 | — |
| Multiplan | Complementary | $78.41 | — |
| NovaNet | COMM | $83.03 | — |
| United | AllPayerAppendix | $291.26 | — |
| CorVel Corporation | WORKERSCOMP | $613.56 | — |
| Prime Health | WC | $626.47 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $645.85 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $713.38 | $355.60 – $624.74 |
| Adventhealth Lake Wales | Lake Wales | $915.98 | $374.32 – $830.99 |
| Adventhealth Palm Coast Parkway | Palm Coast | $717.11 | $355.60 – $799.51 |
| Adventhealth Tampa | Tampa | $1,494.75 | $374.32 – $830.99 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $616.32 | $355.60 – $817.70 |
| Adventhealth Port Charlotte | Port Charlotte | $1,434.09 | $374.32 – $683.50 |
| cleveland clinic florida weston hospital | Weston | $444.60 | $47.77 – $684.00 |
| martin north hospital | Stuart | $445.25 | $99.69 – $684.00 |