X-ray exam of femur 1 at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$485.75
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.
$485.75
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.
$34.97 with Optimum vs $539.56 with Careworks (Rockport Community) — 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 | $34.97 | ↓ -93% |
| Freedom Health | MCR | $34.97 | ↓ -93% |
| Simply | MGMCR | $74.81 | ↓ -85% |
| Molina Healthcare | MGMCR | $92.29 | ↓ -81% |
| Humana | HMO | $97.15 | ↓ -80% |
| Humana | PPO | $97.15 | ↓ -80% |
| Evolutions | TieredNetwork | $111.72 | ↓ -77% |
| AvMed | HMOFI | $116.58 | ↓ -76% |
| Sunshine State Health Plan | QHP | $123.87 | ↓ -74% |
| AvMed | ASOEO | $136.01 | ↓ -72% |
| Aetna | ASA | $145.72 | ↓ -70% |
| Molina Healthcare | HIX | $155.44 | ↓ -68% |
| United | OptionsPPO | $162.24 | ↓ -67% |
| United | AllPayerAppendix | $182.03 | ↓ -63% |
| Florida Health Care Plan | COMM | $183.13 | ↓ -62% |
| United | GlobalBenefitPlan | $218.59 | ↓ -55% |
| Prime Health Sheriff | COMM | $242.88 | ↓ -50% |
| AvMed | HIXOON | $242.88 | ↓ -50% |
| Plotkin Health | COMM | $242.88 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $242.88 | ↓ -50% |
| Multiplan | PRIMARYPPO | $364.31 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $364.31 | ↓ -25% |
| Multiplan | Primary | $378.88 | ↓ -22% |
| PPO Next | COMM | $412.89 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $412.89 | ↓ -15% |
| Multiplan | Complementary | $412.89 | ↓ -15% |
| PPO Next | PPO | $412.89 | ↓ -15% |
| NovaNet | COMM | $437.18 | ↓ -10% |
| CorVel Corporation | WORKERSCOMP | $512.58 | ↑ +6% |
| Prime Health | WC | $523.37 | ↑ +8% |
| Careworks (Rockport Community) | WORKERSCOMP | $539.56 | ↑ +11% |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of femur 1 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $306.76 | $86.33 – $151.68 |
| Adventhealth Lake Wales | Lake Wales | $1,035.47 | $90.88 – $201.75 |
| Adventhealth Palm Coast Parkway | Palm Coast | $312.12 | $86.33 – $194.11 |
| Adventhealth Tampa | Tampa | $954.28 | $90.88 – $201.75 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $178.01 | $86.33 – $198.52 |
| Adventhealth Port Charlotte | Port Charlotte | $1,099.64 | $90.88 – $165.94 |
| cleveland clinic florida weston hospital | Weston | $535.60 | $8.01 – $646.00 |
| martin north hospital | Stuart | $494.00 | $8.36 – $380.00 |