Bone imaging multiple areas 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$427.91 with Humana vs $948.75 with Oscar — 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 |
|---|---|---|---|
| Humana | Medicare Managed Care Plan | $427.91 | — |
| Bcbs | Medicare Managed Care Plan | $430.00 | — |
| Aetna | Medicare Managed Care Plan | $434.17 | — |
| Simply Healthcare | Medicare Managed Care Plan | $442.52 | — |
| Unitedhealthcare | Medicare Managed Care Plan | $446.28 | — |
| Devoted Health | Medicare Managed Care Plan | $446.70 | — |
| Aetna | All Commercial Plans | $764.69 | — |
| Sunshine Health | Ambetter Exchange | $926.79 | — |
| Oscar | Exchange | $948.75 | — |
Visitor-reported prices
Comments
Bone imaging multiple areas at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA HIGHLANDS HOSPITAL | Sebring | $4,519.00 | $848.52 – $1,898.11 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $9,861.00 | $848.52 – $2,068.60 |
| Adventhealth Port Charlotte | Port Charlotte | $2,772.48 | $417.47 – $762.31 |
| cleveland clinic florida weston hospital | Weston | $2,468.70 | $33.80 – $459.22 |
| martin north hospital | Stuart | $215.80 | $30.24 – $459.22 |
| indian river hospital | Vero Beach | $215.80 | $31.19 – $459.22 |
| Baptist Hospital | MIAMI | $1,515.80 | $173.17 – $2,098.80 |
| Bethesda Hospital East | BOYNTON BEACH | $1,515.80 | $234.02 – $2,098.80 |