Tx l/r atrial fib addl at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$38,945.00
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.
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What you pay up front if you don't use insurance.
$38,945.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$485.45 with CorVel Corporation vs $38,312.00 with Simply Healthcare — 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 |
|---|---|---|---|
| CorVel Corporation | WORKERSCOMP | $485.45 | ↓ -99% |
| Prime Health | WC | $495.67 | ↓ -99% |
| Careworks (Rockport Community) | WORKERSCOMP | $511.00 | ↓ -99% |
| Oscar | HIX | $1,997.00 | ↓ -95% |
| Aetna | MCR | $2,687.20 | ↓ -93% |
| BCBS | MCRPPO | $2,765.09 | ↓ -93% |
| BCBS | MCRHMO | $2,776.78 | ↓ -93% |
| Simply | MGMCR | $5,997.53 | ↓ -85% |
| Molina Healthcare | MGMCR | $7,399.55 | ↓ -81% |
| Freedom Health | MCR | $7,650.00 | ↓ -80% |
| Optimum | MGMCR | $7,650.00 | ↓ -80% |
| Aetna | QHP | $7,711.11 | ↓ -80% |
| Aetna | PPO | $8,801.57 | ↓ -77% |
| Aetna | HMO | $8,801.57 | ↓ -77% |
| AvMed | HMOFI | $9,346.80 | ↓ -76% |
| Molina Healthcare | HIX | $9,611.00 | ↓ -75% |
| Sunshine State Health Plan | QHP | $10,254.00 | ↓ -74% |
| AvMed | ASOEO | $10,904.60 | ↓ -72% |
| Aetna | ASA | $11,683.50 | ↓ -70% |
| Truli for Health | BSL | $11,717.00 | ↓ -70% |
| BCBS | SBN | $12,418.00 | ↓ -68% |
| BCBS | MBN | $12,418.00 | ↓ -68% |
| BCBS | BSL | $12,418.00 | ↓ -68% |
| United | OptionsPPO | $13,007.63 | ↓ -67% |
| Florida Health Care Plan | COMM | $14,682.26 | ↓ -62% |
| American Health Plan | MCR | $15,000.00 | ↓ -61% |
| United | GlobalBenefitPlan | $17,525.25 | ↓ -55% |
| BCBS | HMO | $18,877.00 | ↓ -52% |
| AvMed | HIXOON | $19,472.50 | ↓ -50% |
| Plotkin Health | COMM | $19,472.50 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $19,472.50 | ↓ -50% |
| Prime Health Sheriff | COMM | $19,472.50 | ↓ -50% |
| United | AllPayerAppendix | $20,064.00 | ↓ -48% |
| Evolutions | TieredNetwork | $20,188.00 | ↓ -48% |
| BCBS | NWB | $21,507.00 | ↓ -45% |
| BCBS | PPO | $21,507.00 | ↓ -45% |
| Cigna | ManagedCareHMO | $23,916.00 | ↓ -39% |
| Cigna | PPO | $23,916.00 | ↓ -39% |
| BCBS | PHS | $28,125.00 | ↓ -28% |
| Multiplan | PRIMARYPPO | $29,208.75 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $29,208.75 | ↓ -25% |
| Multiplan | Primary | $30,377.10 | ↓ -22% |
| Multiplan | COMPLEMENTARYPPO | $33,103.25 | ↓ -15% |
| Multiplan | Complementary | $33,103.25 | ↓ -15% |
| PPO Next | PPO | $33,103.25 | ↓ -15% |
| PPO Next | COMM | $33,103.25 | ↓ -15% |
| NovaNet | COMM | $35,050.50 | ↓ -10% |
| Humana | HMO | $37,268.00 | ↓ -4% |
| Humana | PPO | $37,268.00 | ↓ -4% |
| Simply Healthcare | HIX | $38,312.00 | ↓ -2% |
Visitor-reported prices
Comments
Tx l/r atrial fib addl at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $20,892.22 | not published |
| Adventhealth Tampa | Tampa | $20,808.74 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $10,786.00 | $485.45 – $495.67 |
| Adventhealth Port Charlotte | Port Charlotte | $19,768.30 | not published |
| cleveland clinic florida weston hospital | Weston | $5,417.10 | $229.54 – $19,642.00 |
| martin north hospital | Stuart | $5,417.10 | $229.54 – $16,407.00 |
| indian river hospital | Vero Beach | $5,417.10 | $229.54 – $11,098.18 |
| Baptist Hospital | MIAMI | $13,529.10 | $173.17 – $18,732.60 |