Trauma partial team response w/critical care services level 4 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.
$1,764.00 with Optimum vs $22,050.00 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 |
|---|---|---|---|
| Optimum | MGMCR | $1,764.00 | — |
| Freedom Health | MCR | $1,764.00 | — |
| Truli for Health | BSL | $2,082.50 | — |
| BCBS | BSL | $2,131.50 | — |
| BCBS | SBN | $2,131.50 | — |
| BCBS | MBN | $2,131.50 | — |
| BCBS | PPO | $3,062.50 | — |
| BCBS | NWB | $3,062.50 | — |
| BCBS | HMO | $3,307.50 | — |
| Simply | MGMCR | $3,773.00 | — |
| CorVel Corporation | WORKERSCOMP | $4,264.11 | — |
| Prime Health | WC | $4,353.88 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $4,488.54 | — |
| Molina Healthcare | MGMCR | $4,655.00 | — |
| Humana | HMO | $4,900.00 | — |
| Humana | PPO | $4,900.00 | — |
| BCBS | PHS | $5,194.00 | — |
| Aetna | ASA | $7,350.00 | — |
| Molina Healthcare | HIX | $7,840.00 | — |
| United | OptionsPPO | $8,183.00 | — |
| United | GlobalBenefitPlan | $11,025.00 | — |
| AvMed | HIXOON | $12,250.00 | — |
| Plotkin Health | COMM | $12,250.00 | — |
| Prime Health Sheriff | COMM | $12,250.00 | — |
| Prime Health Sheriff | WORKERSCOMP | $12,250.00 | — |
| Multiplan | PRIMARYPPO | $18,375.00 | — |
| Three Rivers Provider Network | WorkersComp | $18,375.00 | — |
| Multiplan | Primary | $19,110.00 | — |
| Multiplan | Complementary | $20,825.00 | — |
| Multiplan | COMPLEMENTARYPPO | $20,825.00 | — |
| PPO Next | COMM | $20,825.00 | — |
| PPO Next | PPO | $20,825.00 | — |
| NovaNet | COMM | $22,050.00 | — |
Visitor-reported prices
Comments
Trauma partial team response w/critical care services level 4 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $4,257.37 – $4,347.00 |
| cleveland clinic florida weston hospital | Weston | not published | $1,328.17 – $1,531.12 |
| martin north hospital | Stuart | not published | $1,328.17 – $1,531.12 |
| indian river hospital | Vero Beach | not published | $1,328.17 – $1,531.12 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $4,321.82 – $4,412.80 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $4,470.09 – $4,564.20 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $4,641.96 – $4,739.68 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | not published | $3,960.83 – $4,169.29 |