Bronchoscopy dilate w/stent 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.
$7,554.21 with Humana vs $16,748.96 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 | $7,554.21 | — |
| Bcbs | Medicare Managed Care Plan | $7,591.06 | — |
| Aetna | Medicare Managed Care Plan | $7,664.75 | — |
| Simply Healthcare | Medicare Managed Care Plan | $7,812.15 | — |
| Unitedhealthcare | Medicare Managed Care Plan | $7,878.48 | — |
| Devoted Health | Medicare Managed Care Plan | $7,885.85 | — |
| Sunshine Health | Ambetter Exchange | $16,361.30 | — |
| Oscar | Exchange | $16,748.96 | — |
Visitor-reported prices
Comments
Bronchoscopy dilate w/stent at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA HIGHLANDS HOSPITAL | Sebring | not published | $2,375.78 – $2,375.78 |
| cleveland clinic florida weston hospital | Weston | $25,872.60 | $170.30 – $33,833.40 |
| martin north hospital | Stuart | $1,133.60 | $170.30 – $8,106.95 |
| indian river hospital | Vero Beach | $1,133.60 | $170.30 – $8,106.95 |
| Baptist Hospital | MIAMI | $8,042.45 | $173.17 – $11,135.70 |
| Bethesda Hospital East | BOYNTON BEACH | $8,042.45 | $2,269.00 – $11,135.70 |
| Doctors Hospital | CORAL GABLES | $8,042.45 | $2,165.28 – $11,135.70 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $8,042.45 | $2,152.90 – $11,135.70 |