X-ray exam of penis at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$7,452.50
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.
$7,452.50
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.
$245.18 with United vs $6,707.25 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 |
|---|---|---|---|
| United | AllPayerAppendix | $245.18 | ↓ -97% |
| Freedom Health | MCR | $536.58 | ↓ -93% |
| Optimum | MGMCR | $536.58 | ↓ -93% |
| Simply | MGMCR | $1,147.68 | ↓ -85% |
| CorVel Corporation | WORKERSCOMP | $1,311.74 | ↓ -82% |
| Prime Health | WC | $1,339.36 | ↓ -82% |
| Careworks (Rockport Community) | WORKERSCOMP | $1,380.78 | ↓ -81% |
| Molina Healthcare | MGMCR | $1,415.97 | ↓ -81% |
| Humana | HMO | $1,490.50 | ↓ -80% |
| Humana | PPO | $1,490.50 | ↓ -80% |
| Evolutions | TieredNetwork | $1,714.08 | ↓ -77% |
| AvMed | HMOFI | $1,788.60 | ↓ -76% |
| Sunshine State Health Plan | QHP | $1,900.39 | ↓ -74% |
| AvMed | ASOEO | $2,086.70 | ↓ -72% |
| Aetna | ASA | $2,235.75 | ↓ -70% |
| Molina Healthcare | HIX | $2,384.80 | ↓ -68% |
| United | OptionsPPO | $2,489.14 | ↓ -67% |
| Florida Health Care Plan | COMM | $2,809.59 | ↓ -62% |
| United | GlobalBenefitPlan | $3,353.63 | ↓ -55% |
| Prime Health Sheriff | COMM | $3,726.25 | ↓ -50% |
| Plotkin Health | COMM | $3,726.25 | ↓ -50% |
| AvMed | HIXOON | $3,726.25 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $3,726.25 | ↓ -50% |
| Multiplan | PRIMARYPPO | $5,589.38 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $5,589.38 | ↓ -25% |
| Multiplan | Primary | $5,812.95 | ↓ -22% |
| PPO Next | COMM | $6,334.63 | ↓ -15% |
| Multiplan | Complementary | $6,334.63 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $6,334.63 | ↓ -15% |
| PPO Next | PPO | $6,334.63 | ↓ -15% |
| NovaNet | COMM | $6,707.25 | ↓ -10% |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of penis at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $1,511.00 | $245.18 – $1,337.23 |
| cleveland clinic florida weston hospital | Weston | $923.00 | $44.47 – $780.30 |
| martin north hospital | Stuart | $326.30 | $44.24 – $502.00 |
| indian river hospital | Vero Beach | $326.30 | $41.08 – $502.00 |
| Baptist Hospital | MIAMI | $612.95 | $73.69 – $848.70 |
| Bethesda Hospital East | BOYNTON BEACH | $612.95 | $73.69 – $848.70 |
| Doctors Hospital | CORAL GABLES | $612.95 | $71.44 – $848.70 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $612.95 | $71.44 – $848.70 |