X-ray hip with pelvis when performed bilateral >= 5 views at HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
$1,531.25
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.
?
What you pay up front if you don't use insurance.
$1,531.25
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.
?
The hospital's undiscounted list price — almost no one pays this.
$110.25 with Optimum vs $1,378.13 with NovaNet — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $110.25 | ↓ -93% |
| Freedom Health | MCR | $110.25 | ↓ -93% |
| Simply | MGMCR | $235.81 | ↓ -85% |
| United | AllPayerAppendix | $245.18 | ↓ -84% |
| Molina Healthcare | MGMCR | $290.94 | ↓ -81% |
| Humana | PPO | $306.25 | ↓ -80% |
| Humana | HMO | $306.25 | ↓ -80% |
| Evolutions | TieredNetwork | $352.19 | ↓ -77% |
| AvMed | HMOFI | $367.50 | ↓ -76% |
| Sunshine State Health Plan | QHP | $390.47 | ↓ -74% |
| AvMed | ASOEO | $428.75 | ↓ -72% |
| Aetna | ASA | $459.38 | ↓ -70% |
| Molina Healthcare | HIX | $490.00 | ↓ -68% |
| United | OptionsPPO | $511.44 | ↓ -67% |
| CorVel Corporation | WORKERSCOMP | $569.32 | ↓ -63% |
| Florida Health Care Plan | COMM | $577.28 | ↓ -62% |
| Prime Health | WC | $581.30 | ↓ -62% |
| Careworks (Rockport Community) | WORKERSCOMP | $599.28 | ↓ -61% |
| United | GlobalBenefitPlan | $689.06 | ↓ -55% |
| Prime Health Sheriff | COMM | $765.63 | ↓ -50% |
| AvMed | HIXOON | $765.63 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $765.63 | ↓ -50% |
| Plotkin Health | COMM | $765.63 | ↓ -50% |
| Multiplan | PRIMARYPPO | $1,148.44 | ↓ -25% |
| Three Rivers Provider Network | WorkersComp | $1,148.44 | ↓ -25% |
| Multiplan | Primary | $1,194.38 | ↓ -22% |
| Multiplan | Complementary | $1,301.56 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $1,301.56 | ↓ -15% |
| PPO Next | PPO | $1,301.56 | ↓ -15% |
| PPO Next | COMM | $1,301.56 | ↓ -15% |
| NovaNet | COMM | $1,378.13 | ↓ -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 hip with pelvis when performed bilateral >= 5 views at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,095.58 | $103.72 – $182.21 |
| Adventhealth Lake Wales | Lake Wales | $2,227.27 | $109.17 – $242.37 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,179.85 | $103.72 – $286.15 |
| Adventhealth Tampa | Tampa | $1,784.97 | $109.17 – $242.37 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $520.13 | $103.72 – $238.49 |
| Adventhealth Port Charlotte | Port Charlotte | $2,512.42 | $109.17 – $199.35 |
| cleveland clinic florida weston hospital | Weston | $677.30 | $15.05 – $780.30 |
| martin north hospital | Stuart | $677.30 | $15.36 – $459.00 |