Tissue culture skin/biopsy 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.
$11.72 with Freedom Health vs $562.92 with Humana — 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 | $11.72 | — |
| Optimum | MGMCR | $11.72 | — |
| Simply | MGMCR | $25.06 | — |
| Molina Healthcare | MGMCR | $30.92 | — |
| Humana | HMO | $32.55 | — |
| Humana | PPO | $32.55 | — |
| Evolutions | TieredNetwork | $37.43 | — |
| AvMed | HMOFI | $39.06 | — |
| Sunshine State Health Plan | QHP | $41.50 | — |
| AvMed | ASOEO | $45.57 | — |
| Aetna | ASA | $48.83 | — |
| Molina Healthcare | HIX | $52.08 | — |
| United | OptionsPPO | $54.36 | — |
| Florida Health Care Plan | COMM | $61.36 | — |
| United | GlobalBenefitPlan | $73.24 | — |
| AvMed | HIXOON | $81.38 | — |
| Prime Health Sheriff | COMM | $81.38 | — |
| Prime Health Sheriff | WORKERSCOMP | $81.38 | — |
| Plotkin Health | COMM | $81.38 | — |
| Multiplan | PRIMARYPPO | $122.06 | — |
| Three Rivers Provider Network | WorkersComp | $122.06 | — |
| Multiplan | Primary | $126.94 | — |
| Humana | TRICARE | $127.55 | — |
| Multiplan | COMPLEMENTARYPPO | $138.34 | — |
| PPO Next | PPO | $138.34 | — |
| Multiplan | Complementary | $138.34 | — |
| PPO Next | COMM | $138.34 | — |
| Devoted Health | MCR | $140.73 | — |
| Humana | MGMCRHMO | $140.73 | — |
| United | VACCN | $140.73 | — |
| United | AllPayerAppendix | $140.73 | — |
| NDMS Definitive Care | MGMCR | $140.73 | — |
| Wellmed | MGMCR | $140.73 | — |
| BCBS | MCRHMO | $143.54 | — |
| BCBS | MCRPPO | $143.54 | — |
| United | MCR | $143.54 | — |
| FL Health Care Plan | MCR | $143.54 | — |
| Aetna | MCR | $144.25 | — |
| NovaNet | COMM | $146.47 | — |
| WellCare | MCR | $147.77 | — |
| Sunshine State | MCR | $147.77 | — |
| AvMed | MGMCR | $149.17 | — |
| American Health Plan | MCR | $149.17 | — |
| Cigna Healthspring | MCR | $150.58 | — |
| Florida Complete Care | MCR | $150.58 | — |
| Align Senior Care | MGMCR | $150.58 | — |
| Gold Kidney of Florida | MCR | $153.40 | — |
| Clear Spring Health | MCR | $154.80 | — |
| Centurion | GVT | $154.80 | — |
| Seminole County Sheriffs Office | MGMCR | $154.80 | — |
| CarePlus | MGMCR | $160.43 | — |
| Ultimate Health Plan | MCR | $161.84 | — |
| Longevity Health Plan | MCR | $168.88 | — |
| Solis Health Plan | MCR | $204.06 | — |
| Oscar | HIX | $204.06 | — |
| Simply Healthcare | HIX | $219.54 | — |
| Humana | MGMCRPPO | $562.92 | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Tissue culture skin/biopsy at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $2,172.17 | $140.73 – $312.42 |
| Adventhealth Port Charlotte | Port Charlotte | $939.37 | $140.73 – $256.97 |
| cleveland clinic florida weston hospital | Weston | $810.55 | $77.75 – $264.35 |
| martin north hospital | Stuart | $810.55 | $91.12 – $233.25 |
| indian river hospital | Vero Beach | $810.55 | $101.52 – $997.60 |
| Baptist Hospital | MIAMI | $562.90 | $16.20 – $164.70 |
| Bethesda Hospital East | BOYNTON BEACH | $562.90 | $36.78 – $164.70 |
| Boca Raton Regional Hospital | BOCA RATON | $309.40 | $66.60 – $185.00 |