X-ray exam of middle ear at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$3,648.00
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.
$3,648.00
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.
$262.66 with Optimum vs $3,283.20 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 | $262.66 | ↓ -93% |
| Freedom Health | MCR | $262.66 | ↓ -93% |
| Simply | MGMCR | $561.79 | ↓ -85% |
| Molina Healthcare | MGMCR | $693.12 | ↓ -81% |
| Humana | PPO | $729.60 | ↓ -80% |
| Humana | HMO | $729.60 | ↓ -80% |
| Evolutions | TieredNetwork | $839.04 | ↓ -77% |
| AvMed | HMOFI | $875.52 | ↓ -76% |
| Sunshine State Health Plan | QHP | $930.24 | ↓ -75% |
| AvMed | ASOEO | $1,021.44 | ↓ -72% |
| United | AllPayerAppendix | $1,086.50 | ↓ -70% |
| Aetna | ASA | $1,094.40 | ↓ -70% |
| Molina Healthcare | HIX | $1,167.36 | ↓ -68% |
| United | OptionsPPO | $1,218.43 | ↓ -67% |
| Florida Health Care Plan | COMM | $1,375.30 | ↓ -62% |
| United | GlobalBenefitPlan | $1,641.60 | ↓ -55% |
| Plotkin Health | COMM | $1,824.00 | ↓ -50% |
| AvMed | HIXOON | $1,824.00 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $1,824.00 | ↓ -50% |
| Prime Health Sheriff | COMM | $1,824.00 | ↓ -50% |
| CorVel Corporation | WORKERSCOMP | $2,203.71 | ↓ -40% |
| Prime Health | WC | $2,250.10 | ↓ -38% |
| Careworks (Rockport Community) | WORKERSCOMP | $2,319.69 | ↓ -36% |
| Multiplan | PRIMARYPPO | $2,736.00 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $2,736.00 | ↓ -25% |
| Multiplan | Primary | $2,845.44 | ↓ -22% |
| Multiplan | Complementary | $3,100.80 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $3,100.80 | ↓ -15% |
| PPO Next | PPO | $3,100.80 | ↓ -15% |
| PPO Next | COMM | $3,100.80 | ↓ -15% |
| NovaNet | COMM | $3,283.20 | ↓ -10% |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of middle ear at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $2,295.00 | $1,086.50 – $2,246.54 |
| cleveland clinic florida weston hospital | Weston | $3,171.35 | $14.93 – $4,019.65 |
| martin north hospital | Stuart | $3,073.85 | $13.36 – $2,364.50 |
| indian river hospital | Vero Beach | $3,073.85 | $13.11 – $3,783.20 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $424.00 | $123.35 – $1,182.67 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City | $587.20 | $123.35 – $1,182.67 |
| HCA FLORIDA FAWCETT HOSPITAL | FORT MYERS | $2,454.65 | $1,086.50 – $2,209.86 |
| HCA FLORIDA ENGLEWOOD HOSPITAL | ENGLEWOOD | $2,514.62 | $1,086.50 – $2,280.55 |