Tc-99m succimer (dmsa) at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$2,994.25
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.
$2,994.25
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.
$206.60 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 | $206.60 | ↓ -93% |
| BCBS | MCRPPO | $212.59 | ↓ -93% |
| BCBS | MCRHMO | $213.49 | ↓ -93% |
| Freedom Health | MCR | $215.59 | ↓ -93% |
| Optimum | MGMCR | $215.59 | ↓ -93% |
| Simply | MGMCR | $461.11 | ↓ -85% |
| Oscar | HIX | $479.08 | ↓ -84% |
| Simply Healthcare | HIX | $500.04 | ↓ -83% |
| Cigna | ManagedCareHMO | $521.00 | ↓ -83% |
| Cigna | PPO | $521.00 | ↓ -83% |
| Molina Healthcare | MGMCR | $568.91 | ↓ -81% |
| Humana | HMO | $598.85 | ↓ -80% |
| Humana | PPO | $598.85 | ↓ -80% |
| Evolutions | TieredNetwork | $688.68 | ↓ -77% |
| AvMed | HMOFI | $718.62 | ↓ -76% |
| Sunshine State Health Plan | QHP | $763.53 | ↓ -75% |
| AvMed | ASOEO | $838.39 | ↓ -72% |
| Molina Healthcare | HIX | $958.16 | ↓ -68% |
| United | OptionsPPO | $1,000.08 | ↓ -67% |
| United | AllPayerAppendix | $1,088.88 | ↓ -64% |
| Florida Health Care Plan | COMM | $1,128.83 | ↓ -62% |
| United | GlobalBenefitPlan | $1,347.41 | ↓ -55% |
| Plotkin Health | COMM | $1,497.13 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $1,497.13 | ↓ -50% |
| Prime Health Sheriff | COMM | $1,497.13 | ↓ -50% |
| AvMed | HIXOON | $1,497.13 | ↓ -50% |
| Multiplan | PRIMARYPPO | $2,245.69 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $2,245.69 | ↓ -25% |
| Multiplan | Primary | $2,335.51 | ↓ -22% |
| Multiplan | COMPLEMENTARYPPO | $2,545.11 | ↓ -15% |
| Multiplan | Complementary | $2,545.11 | ↓ -15% |
| PPO Next | PPO | $2,545.11 | ↓ -15% |
| PPO Next | COMM | $2,545.11 | ↓ -15% |
| NovaNet | COMM | $2,694.82 | ↓ -10% |
| American Health Plan | MCR | $15,000.00 | ↑ +401% |
Visitor-reported prices
Comments
Tc-99m succimer (dmsa) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| martin north hospital | Stuart | $187.20 | $81.50 – $725.92 |
| Baptist Hospital | MIAMI | $1,128.40 | $173.17 – $1,562.40 |
| Bethesda Hospital East | BOYNTON BEACH | $1,128.40 | $348.94 – $1,562.40 |
| Boca Raton Regional Hospital | BOCA RATON | $357.50 | $198.00 – $686.33 |
| Doctors Hospital | CORAL GABLES | $1,128.40 | $303.80 – $1,562.40 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $1,128.40 | $302.06 – $1,562.40 |
| Fishermens Community Hospital | MARATHON | $1,128.40 | $289.91 – $1,562.40 |
| Homestead Hospital | HOMESTEAD | $1,128.40 | $167.89 – $1,562.40 |