Aortic dysfunction/dilation at Adventhealth Sebring
4200 Sun N Lake Blvd, Sebring, FL · AdventHealth · · NPI 1083692594
not published by hospital
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.
not published by hospital
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.
$516.60 with Humana vs $1,145.39 with Oscar — 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 |
|---|---|---|---|
| Humana | Medicare Managed Care Plan | $516.60 | — |
| Bcbs | Medicare Managed Care Plan | $519.12 | — |
| Aetna | Medicare Managed Care Plan | $524.16 | — |
| Simply Healthcare | Medicare Managed Care Plan | $534.24 | — |
| Unitedhealthcare | Medicare Managed Care Plan | $538.78 | — |
| Devoted Health | Medicare Managed Care Plan | $539.28 | — |
| Sunshine Health | Ambetter Exchange | $1,118.88 | — |
| Oscar | Exchange | $1,145.39 | — |
Visitor-reported prices
Comments
Aortic dysfunction/dilation at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA HIGHLANDS HOSPITAL | Sebring | not published | $98.50 – $1,139.04 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,750.33 | $478.80 – $1,076.49 |
| Boca Raton Regional Hospital | BOCA RATON | $3,773.25 | $181.00 – $1,053.29 |
| Adventhealth Palm Coast | Palm Coast | $1,750.33 | $478.80 – $1,076.49 |
| AdventHealth Orlando | Orlando | $2,673.00 | $504.00 – $1,335.60 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $478.80 – $841.18 |
| Adventhealth Lake Wales | Lake Wales | not published | $504.00 – $1,118.88 |
| Adventhealth Tampa | Tampa | not published | $504.00 – $1,118.88 |