Training self management diabetes individual outpatient department per 30 minutes 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.
$22.05 with Freedom Health vs $275.63 with NovaNet — 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 | $22.05 | — |
| Optimum | MGMCR | $22.05 | — |
| Truli for Health | BSL | $26.03 | — |
| BCBS | BSL | $26.64 | — |
| BCBS | MBN | $26.64 | — |
| BCBS | SBN | $26.64 | — |
| BCBS | PPO | $38.28 | — |
| BCBS | NWB | $38.28 | — |
| BCBS | HMO | $41.34 | — |
| Simply | MGMCR | $47.16 | — |
| Oscar | HIX | $49.00 | — |
| Humana | TRICARE | $50.73 | — |
| Simply Healthcare | HIX | $51.14 | — |
| Cigna | PPO | $53.29 | — |
| Cigna | ManagedCareHMO | $53.29 | — |
| Devoted Health | MCR | $55.38 | — |
| Humana | MGMCRHMO | $55.38 | — |
| United | VACCN | $55.38 | — |
| NDMS Definitive Care | MGMCR | $55.38 | — |
| Wellmed | MGMCR | $55.38 | — |
| FL Health Care Plan | MCR | $56.49 | — |
| BCBS | MCRPPO | $56.49 | — |
| BCBS | MCRHMO | $56.49 | — |
| United | MCR | $56.49 | — |
| Aetna | MCR | $56.76 | — |
| WellCare | MCR | $58.15 | — |
| Sunshine State | MCR | $58.15 | — |
| Molina Healthcare | MGMCR | $58.19 | — |
| American Health Plan | MCR | $58.70 | — |
| AvMed | MGMCR | $58.70 | — |
| CorVel Corporation | WORKERSCOMP | $58.90 | — |
| Cigna Healthspring | MCR | $59.26 | — |
| Align Senior Care | MGMCR | $59.26 | — |
| Florida Complete Care | MCR | $59.26 | — |
| Prime Health | WC | $60.14 | — |
| Gold Kidney of Florida | MCR | $60.36 | — |
| Aetna | QHP | $60.64 | — |
| Seminole County Sheriffs Office | MGMCR | $60.92 | — |
| Clear Spring Health | MCR | $60.92 | — |
| Centurion | GVT | $60.92 | — |
| Humana | PPO | $61.25 | — |
| Humana | HMO | $61.25 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $62.00 | — |
| CarePlus | MGMCR | $63.13 | — |
| Ultimate Health Plan | MCR | $63.69 | — |
| BCBS | PHS | $64.92 | — |
| Longevity Health Plan | MCR | $66.46 | — |
| Aetna | PPO | $69.21 | — |
| Aetna | HMO | $69.21 | — |
| Evolutions | TieredNetwork | $70.44 | — |
| AvMed | HMOFI | $73.50 | — |
| Sunshine State Health Plan | QHP | $78.09 | — |
| Solis Health Plan | MCR | $80.30 | — |
| AvMed | ASOEO | $85.75 | — |
| Aetna | ASA | $91.88 | — |
| Molina Healthcare | HIX | $98.00 | — |
| United | OptionsPPO | $102.29 | — |
| Florida Health Care Plan | COMM | $115.46 | — |
| United | GlobalBenefitPlan | $137.81 | — |
| Prime Health Sheriff | WORKERSCOMP | $153.13 | — |
| AvMed | HIXOON | $153.13 | — |
| Plotkin Health | COMM | $153.13 | — |
| Prime Health Sheriff | COMM | $153.13 | — |
| Humana | MGMCRPPO | $221.52 | — |
| Multiplan | PRIMARYPPO | $229.69 | — |
| Three Rivers Provider Network | WorkersComp | $229.69 | — |
| Multiplan | Primary | $238.88 | — |
| Multiplan | COMPLEMENTARYPPO | $260.31 | — |
| PPO Next | PPO | $260.31 | — |
| PPO Next | COMM | $260.31 | — |
| Multiplan | Complementary | $260.31 | — |
| NovaNet | COMM | $275.63 | — |
Visitor-reported prices
Comments
Training self management diabetes individual outpatient department per 30 minutes at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $107.80 | $54.32 – $95.43 |
| Adventhealth Tampa | Tampa | $213.75 | $57.18 – $126.94 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $91.20 | $54.32 – $124.91 |
| Adventhealth Port Charlotte | Port Charlotte | $278.25 | not published |
| cleveland clinic florida weston hospital | Weston | $257.40 | $40.12 – $396.00 |
| martin north hospital | Stuart | $257.40 | $40.62 – $396.00 |
| indian river hospital | Vero Beach | $257.40 | $17.63 – $396.00 |
| Baptist Hospital | MIAMI | $226.20 | $12.11 – $173.17 |