_afb org id by sequencing rflx ast-sendout at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$155.00
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.
$155.00
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.
$13.33 with Freedom Health vs $260.71 with Simply Healthcare — 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 |
|---|---|---|---|
| Freedom Health | MGMCR | $13.33 | ↓ -91% |
| AvMed | HIX | $20.15 | ↓ -87% |
| Molina | MCR | $29.45 | ↓ -81% |
| AvMed | FullyInsured | $37.20 | ↓ -76% |
| AvMed | Engage | $40.30 | ↓ -74% |
| AvMed | Select | $40.30 | ↓ -74% |
| AvMed | Focus | $40.30 | ↓ -74% |
| AvMed | Flex | $40.30 | ↓ -74% |
| AvMed | Empower | $40.30 | ↓ -74% |
| AvMed | ASOEO | $43.40 | ↓ -72% |
| Aetna | ASA | $46.50 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $54.25 | ↓ -65% |
| Humana | HMO | $57.35 | ↓ -63% |
| Humana | PPO | $62.00 | ↓ -60% |
| United PPO | OptionsPPO | $68.20 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $69.75 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $77.50 | ↓ -50% |
| United | GVT | $115.36 | ↓ -26% |
| United | AllPayerAppendix | $115.36 | ↓ -26% |
| Devoted Health | MCR | $115.36 | ↓ -26% |
| HUMANA | MGMCRHMO | $115.36 | ↓ -26% |
| HUMANA | MGMCRPPO | $115.36 | ↓ -26% |
| NDMS Definitive Care | MGMCR | $115.36 | ↓ -26% |
| Wellmed | MGMCR | $115.36 | ↓ -26% |
| BCBS | MCRHMO | $117.67 | ↓ -24% |
| United | MCR | $117.67 | ↓ -24% |
| BCBS | MCRPPO | $117.67 | ↓ -24% |
| Aetna | MCR | $118.82 | ↓ -23% |
| Prominence HealthFirst | MCRHMO | $121.13 | ↓ -22% |
| Sunshine State | MCR | $121.13 | ↓ -22% |
| American Health Plan | MCR | $122.28 | ↓ -21% |
| Florida Complete Care | MCR | $123.44 | ↓ -20% |
| Cigna Healthspring | MCR | $123.44 | ↓ -20% |
| Sunshine State | MCD | $126.90 | ↓ -18% |
| Centurion | GVT | $126.90 | ↓ -18% |
| Longevity Health Plan | MCR | $138.43 | ↓ -11% |
| AmeriHealth Caritas | MGMCR | $138.43 | ↓ -11% |
| Prime Health | WORKERSCOMP | $206.00 | ↑ +33% |
| Oscar | HIX | $222.64 | ↑ +44% |
| Simply Healthcare | HIX | $260.71 | ↑ +68% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
_afb org id by sequencing rflx ast-sendout at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $1,451.26 | $118.24 – $262.17 |
| Adventhealth Daytona Beach | Daytona Beach | $317.96 | $109.59 – $192.54 |
| Adventhealth Lake Wales | Lake Wales | $381.55 | $115.36 – $256.10 |
| Adventhealth Palm Coast Parkway | Palm Coast | $317.96 | $109.59 – $246.40 |
| Adventhealth Tampa | Tampa | $1,780.58 | $115.36 – $256.10 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $295.94 | $109.59 – $252.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $76.00 | $92.29 – $224.51 |
| Adventhealth Port Charlotte | Port Charlotte | $770.20 | $115.36 – $210.65 |