Allgrft implnt knee w/scope at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
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.
$2,350.00 with Freedom Health vs $37,000.00 with United — 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 |
|---|---|---|---|
| Freedom Health | MGMCR | $2,350.00 | — |
| Molina | MCR | $3,950.00 | — |
| Prime Health | WORKERSCOMP | $4,272.09 | — |
| AvMed | HIX | $9,796.00 | — |
| Cigna | NewBusinessNBN | $11,166.00 | — |
| Aetna | QHP | $12,530.00 | — |
| Cigna | HMO | $15,153.00 | — |
| Cigna | PPO | $15,153.00 | — |
| Aetna | HMO | $15,300.00 | — |
| BCBS | SBN | $15,535.00 | — |
| BCBS | BSL | $15,535.00 | — |
| BCBS | MBN | $15,535.00 | — |
| Aetna | PPO | $16,947.00 | — |
| Oscar | HIX | $17,846.00 | — |
| Simply Healthcare | HIX | $19,005.00 | — |
| BCBS | PPO | $23,689.00 | — |
| BCBS | NWB | $23,689.00 | — |
| BCBS | HMO | $23,866.00 | — |
| AvMed | FullyInsured | $24,023.00 | — |
| AvMed | Select | $24,023.00 | — |
| AvMed | Empower | $24,023.00 | — |
| AvMed | Engage | $24,023.00 | — |
| AvMed | Flex | $24,023.00 | — |
| AvMed | Focus | $24,023.00 | — |
| BCBS | PHS | $24,677.00 | — |
| AvMed | ASOEO | $26,390.00 | — |
| Humana | PPO | $27,777.00 | — |
| Humana | HMO | $27,777.00 | — |
| United | AllPayerAppendix | $37,000.00 | — |
Visitor-reported prices
Comments
Allgrft implnt knee w/scope at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | not published | $13,742.34 – $30,469.12 |
| cleveland clinic florida weston hospital | Weston | $4,781.40 | $909.82 – $14,747.88 |
| martin north hospital | Stuart | $4,781.40 | $994.49 – $14,747.88 |
| indian river hospital | Vero Beach | $4,781.40 | $909.82 – $14,747.88 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $12,736.81 – $22,376.56 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $12,736.81 – $28,636.36 |
| Adventhealth Tampa | Tampa | not published | $13,407.17 – $29,763.91 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $12,736.81 – $29,287.95 |