Ultrasound joint complete left at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$1,816.00
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.
$1,816.00
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.
$130.75 with Optimum vs $1,634.40 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 | $130.75 | ↓ -93% |
| Freedom Health | MCR | $130.75 | ↓ -93% |
| United | AllPayerAppendix | $245.18 | ↓ -86% |
| Simply | MGMCR | $279.66 | ↓ -85% |
| Molina Healthcare | MGMCR | $345.04 | ↓ -81% |
| Humana | PPO | $363.20 | ↓ -80% |
| Humana | HMO | $363.20 | ↓ -80% |
| AvMed | HMOFI | $435.84 | ↓ -76% |
| Sunshine State Health Plan | QHP | $463.08 | ↓ -75% |
| AvMed | ASOEO | $508.48 | ↓ -72% |
| Aetna | ASA | $544.80 | ↓ -70% |
| Molina Healthcare | HIX | $581.12 | ↓ -68% |
| United | OptionsPPO | $606.54 | ↓ -67% |
| CorVel Corporation | WORKERSCOMP | $775.11 | ↓ -57% |
| Prime Health | WC | $791.43 | ↓ -56% |
| Careworks (Rockport Community) | WORKERSCOMP | $815.91 | ↓ -55% |
| United | GlobalBenefitPlan | $817.20 | ↓ -55% |
| Plotkin Health | COMM | $908.00 | ↓ -50% |
| AvMed | HIXOON | $908.00 | ↓ -50% |
| Prime Health Sheriff | COMM | $908.00 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $908.00 | ↓ -50% |
| Multiplan | PRIMARYPPO | $1,362.00 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $1,362.00 | ↓ -25% |
| Multiplan | Primary | $1,416.48 | ↓ -22% |
| PPO Next | COMM | $1,543.60 | ↓ -15% |
| Multiplan | Complementary | $1,543.60 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $1,543.60 | ↓ -15% |
| PPO Next | PPO | $1,543.60 | ↓ -15% |
| NovaNet | COMM | $1,634.40 | ↓ -10% |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound joint complete left at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $949.63 | $103.72 – $236.32 |
| Adventhealth Lake Wales | Lake Wales | $2,536.78 | $109.17 – $242.37 |
| Adventhealth Palm Coast Parkway | Palm Coast | $935.19 | $103.72 – $321.33 |
| Adventhealth Tampa | Tampa | $1,943.72 | $109.17 – $242.37 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $755.68 | $103.72 – $308.58 |
| Adventhealth Port Charlotte | Port Charlotte | $2,703.23 | $109.17 – $199.35 |
| cleveland clinic florida weston hospital | Weston | $854.10 | $10.58 – $780.30 |
| martin north hospital | Stuart | $596.70 | $11.11 – $459.00 |