Cannula declotting 36861 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.
$5,956.15 with Humana vs $13,205.80 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 | $5,956.15 | — |
| Bcbs | Medicare Managed Care Plan | $5,985.20 | — |
| Aetna | Medicare Managed Care Plan | $6,043.31 | — |
| Simply Healthcare | Medicare Managed Care Plan | $6,159.53 | — |
| Unitedhealthcare | Medicare Managed Care Plan | $6,211.83 | — |
| Devoted Health | Medicare Managed Care Plan | $6,217.64 | — |
| Sunshine Health | Ambetter Exchange | $12,900.14 | — |
| Oscar | Exchange | $13,205.80 | — |
Visitor-reported prices
Comments
Cannula declotting 36861 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA HIGHLANDS HOSPITAL | Sebring | not published | $2,373.99 – $2,373.99 |
| cleveland clinic florida weston hospital | Weston | $25,255.10 | $162.32 – $33,025.90 |
| Baptist Hospital | MIAMI | $4,135.30 | $173.17 – $6,508.18 |
| Bethesda Hospital East | BOYNTON BEACH | $4,135.30 | $1,794.08 – $6,043.31 |
| Boca Raton Regional Hospital | BOCA RATON | $12,806.95 | $4,587.00 – $12,866.06 |
| Doctors Hospital | CORAL GABLES | $4,135.30 | $1,113.35 – $6,508.18 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $4,135.30 | $1,106.99 – $6,391.96 |
| Homestead Hospital | HOMESTEAD | $4,135.30 | $167.89 – $6,391.96 |