Tissue culture tumor at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$170.75
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.
$170.75
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.
$12.29 with Freedom Health vs $590.08 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 | $12.29 | ↓ -93% |
| Optimum | MGMCR | $12.29 | ↓ -93% |
| Simply | MGMCR | $26.30 | ↓ -85% |
| Molina Healthcare | MGMCR | $32.44 | ↓ -81% |
| Humana | HMO | $34.15 | ↓ -80% |
| Humana | PPO | $34.15 | ↓ -80% |
| Evolutions | TieredNetwork | $39.27 | ↓ -77% |
| AvMed | HMOFI | $40.98 | ↓ -76% |
| Sunshine State Health Plan | QHP | $43.54 | ↓ -75% |
| AvMed | ASOEO | $47.81 | ↓ -72% |
| Aetna | ASA | $51.23 | ↓ -70% |
| Molina Healthcare | HIX | $54.64 | ↓ -68% |
| United | OptionsPPO | $57.03 | ↓ -67% |
| Florida Health Care Plan | COMM | $64.37 | ↓ -62% |
| United | GlobalBenefitPlan | $76.84 | ↓ -55% |
| AvMed | HIXOON | $85.38 | ↓ -50% |
| Prime Health Sheriff | COMM | $85.38 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $85.38 | ↓ -50% |
| Plotkin Health | COMM | $85.38 | ↓ -50% |
| Multiplan | PRIMARYPPO | $128.06 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $128.06 | ↓ -25% |
| Multiplan | Primary | $133.19 | ↓ -22% |
| Humana | TRICARE | $133.70 | ↓ -22% |
| Multiplan | COMPLEMENTARYPPO | $145.14 | ↓ -15% |
| PPO Next | PPO | $145.14 | ↓ -15% |
| Multiplan | Complementary | $145.14 | ↓ -15% |
| PPO Next | COMM | $145.14 | ↓ -15% |
| Devoted Health | MCR | $147.52 | ↓ -14% |
| Humana | MGMCRHMO | $147.52 | ↓ -14% |
| United | VACCN | $147.52 | ↓ -14% |
| United | AllPayerAppendix | $147.52 | ↓ -14% |
| NDMS Definitive Care | MGMCR | $147.52 | ↓ -14% |
| Wellmed | MGMCR | $147.52 | ↓ -14% |
| BCBS | MCRHMO | $150.47 | ↓ -12% |
| BCBS | MCRPPO | $150.47 | ↓ -12% |
| United | MCR | $150.47 | ↓ -12% |
| FL Health Care Plan | MCR | $150.47 | ↓ -12% |
| Aetna | MCR | $151.21 | ↓ -11% |
| NovaNet | COMM | $153.68 | ↓ -10% |
| WellCare | MCR | $154.90 | ↓ -9% |
| Sunshine State | MCR | $154.90 | ↓ -9% |
| AvMed | MGMCR | $156.37 | ↓ -8% |
| American Health Plan | MCR | $156.37 | ↓ -8% |
| Cigna Healthspring | MCR | $157.85 | ↓ -8% |
| Florida Complete Care | MCR | $157.85 | ↓ -8% |
| Align Senior Care | MGMCR | $157.85 | ↓ -8% |
| Gold Kidney of Florida | MCR | $160.80 | ↓ -6% |
| Clear Spring Health | MCR | $162.27 | ↓ -5% |
| Centurion | GVT | $162.27 | ↓ -5% |
| Seminole County Sheriffs Office | MGMCR | $162.27 | ↓ -5% |
| CarePlus | MGMCR | $168.17 | ↓ -2% |
| Ultimate Health Plan | MCR | $169.65 | ↓ -1% |
| Longevity Health Plan | MCR | $177.02 | ↑ +4% |
| Solis Health Plan | MCR | $213.90 | ↑ +25% |
| Oscar | HIX | $213.90 | ↑ +25% |
| Simply Healthcare | HIX | $230.13 | ↑ +35% |
| Humana | MGMCRPPO | $590.08 | ↑ +246% |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Tissue culture tumor at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Port Charlotte | Port Charlotte | $985.01 | $147.52 – $269.37 |
| cleveland clinic florida weston hospital | Weston | $221.00 | $85.00 – $289.00 |
| martin north hospital | Stuart | $221.00 | $99.62 – $255.00 |
| indian river hospital | Vero Beach | $221.00 | $79.56 – $272.55 |
| Boca Raton Regional Hospital | BOCA RATON | $268.45 | $117.00 – $234.01 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $167.99 | $133.70 – $213.90 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $93.98 | $129.82 – $368.80 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $144.00 | $147.52 – $554.28 |