Ghs layer closure 7.6 - 12.5 cm - 12034 at Adventhealth Sebring
4200 Sun N Lake Blvd, Sebring, FL · AdventHealth · · NPI 1083692594
$5,322.06
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.
$5,322.06
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.
$435.13 with Humana vs $964.75 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 | $435.13 | ↓ -92% |
| Bcbs | Medicare Managed Care Plan | $437.25 | ↓ -92% |
| Aetna | Medicare Managed Care Plan | $441.50 | ↓ -92% |
| Simply Healthcare | Medicare Managed Care Plan | $449.99 | ↓ -92% |
| Unitedhealthcare | Medicare Managed Care Plan | $453.81 | ↓ -91% |
| Devoted Health | Medicare Managed Care Plan | $454.23 | ↓ -91% |
| Sunshine Health | Ambetter Exchange | $942.42 | ↓ -82% |
| Oscar | Exchange | $964.75 | ↓ -82% |
Visitor-reported prices
Comments
Ghs layer closure 7.6 - 12.5 cm - 12034 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA HIGHLANDS HOSPITAL | Sebring | not published | $217.70 – $217.70 |
| Adventhealth Daytona Beach | Daytona Beach | $642.90 | $403.29 – $708.52 |
| Adventhealth Lake Wales | Lake Wales | $1,225.93 | $424.52 – $942.42 |
| Adventhealth Palm Coast Parkway | Palm Coast | $623.55 | $403.29 – $906.72 |
| Adventhealth Tampa | Tampa | $4,243.77 | $424.52 – $942.42 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,667.57 | $403.29 – $927.35 |
| Adventhealth Port Charlotte | Port Charlotte | $2,092.66 | $424.52 – $775.16 |
| cleveland clinic florida weston hospital | Weston | $974.35 | $98.63 – $1,274.15 |