Transcatheter bx s&i at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$9,923.00
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.
?
What you pay up front if you don't use insurance.
$9,923.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$684.69 with Aetna vs $15,000.00 with American Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $684.69 | ↓ -93% |
| BCBS | MCRPPO | $704.53 | ↓ -93% |
| BCBS | MCRHMO | $707.51 | ↓ -93% |
| Optimum | MGMCR | $714.46 | ↓ -93% |
| Freedom Health | MCR | $714.46 | ↓ -93% |
| Simply | MGMCR | $1,528.14 | ↓ -85% |
| Molina Healthcare | MGMCR | $1,885.37 | ↓ -81% |
| Humana | HMO | $1,984.60 | ↓ -80% |
| Humana | PPO | $1,984.60 | ↓ -80% |
| CorVel Corporation | WORKERSCOMP | $2,234.96 | ↓ -77% |
| Prime Health | WC | $2,282.01 | ↓ -77% |
| Evolutions | TieredNetwork | $2,282.29 | ↓ -77% |
| Careworks (Rockport Community) | WORKERSCOMP | $2,352.59 | ↓ -76% |
| AvMed | HMOFI | $2,381.52 | ↓ -76% |
| Sunshine State Health Plan | QHP | $2,530.36 | ↓ -75% |
| AvMed | ASOEO | $2,778.44 | ↓ -72% |
| Aetna | ASA | $2,976.90 | ↓ -70% |
| Molina Healthcare | HIX | $3,175.36 | ↓ -68% |
| United | OptionsPPO | $3,314.28 | ↓ -67% |
| Florida Health Care Plan | COMM | $3,740.97 | ↓ -62% |
| United | GlobalBenefitPlan | $4,465.35 | ↓ -55% |
| AvMed | HIXOON | $4,961.50 | ↓ -50% |
| Prime Health Sheriff | COMM | $4,961.50 | ↓ -50% |
| Plotkin Health | COMM | $4,961.50 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $4,961.50 | ↓ -50% |
| Multiplan | PRIMARYPPO | $7,442.25 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $7,442.25 | ↓ -25% |
| Multiplan | Primary | $7,739.94 | ↓ -22% |
| PPO Next | COMM | $8,434.55 | ↓ -15% |
| Multiplan | Complementary | $8,434.55 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $8,434.55 | ↓ -15% |
| PPO Next | PPO | $8,434.55 | ↓ -15% |
| NovaNet | COMM | $8,930.70 | ↓ -10% |
| American Health Plan | MCR | $15,000.00 | ↑ +51% |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Transcatheter bx s&i at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,684.85 | not published |
| Adventhealth Tampa | Tampa | $3,687.89 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $5,664.00 | $2,231.43 – $2,278.40 |
| Adventhealth Port Charlotte | Port Charlotte | $4,736.24 | not published |
| cleveland clinic florida weston hospital | Weston | $3,198.00 | $35.37 – $3,899.80 |
| martin north hospital | Stuart | $2,982.20 | $31.65 – $2,294.00 |
| indian river hospital | Vero Beach | $2,982.20 | $30.14 – $3,670.40 |
| Baptist Hospital | MIAMI | $9,384.05 | $129.63 – $12,993.30 |