Assay of blood lipoprotein at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$490.00
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.
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What you pay up front if you don't use insurance.
$490.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$12.75 with HUMANA vs $245.00 with AvMed — 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 | MGMCRHMO | $12.75 | ↓ -97% |
| HUMANA | MGMCRPPO | $12.75 | ↓ -97% |
| NDMS Definitive Care | MGMCR | $12.75 | ↓ -97% |
| Wellmed | MGMCR | $12.75 | ↓ -97% |
| Devoted Health | MCR | $12.75 | ↓ -97% |
| United | AllPayerAppendix | $12.75 | ↓ -97% |
| United | GVT | $12.75 | ↓ -97% |
| BCBS | MCRPPO | $13.01 | ↓ -97% |
| United | MCR | $13.01 | ↓ -97% |
| BCBS | MCRHMO | $13.01 | ↓ -97% |
| Aetna | MCR | $13.13 | ↓ -97% |
| Prominence HealthFirst | MCRHMO | $13.39 | ↓ -97% |
| Sunshine State | MCR | $13.39 | ↓ -97% |
| American Health Plan | MCR | $13.52 | ↓ -97% |
| Cigna Healthspring | MCR | $13.64 | ↓ -97% |
| Florida Complete Care | MCR | $13.64 | ↓ -97% |
| Centurion | GVT | $14.03 | ↓ -97% |
| Sunshine State | MCD | $14.03 | ↓ -97% |
| AmeriHealth Caritas | MGMCR | $15.30 | ↓ -97% |
| Longevity Health Plan | MCR | $15.30 | ↓ -97% |
| Oscar | HIX | $24.61 | ↓ -95% |
| Simply Healthcare | HIX | $28.81 | ↓ -94% |
| Freedom Health | MGMCR | $42.14 | ↓ -91% |
| AvMed | HIX | $63.70 | ↓ -87% |
| Prime Health | WORKERSCOMP | $69.27 | ↓ -86% |
| Molina | MCR | $93.10 | ↓ -81% |
| AvMed | FullyInsured | $117.60 | ↓ -76% |
| AvMed | Empower | $127.40 | ↓ -74% |
| AvMed | Engage | $127.40 | ↓ -74% |
| AvMed | Flex | $127.40 | ↓ -74% |
| AvMed | Focus | $127.40 | ↓ -74% |
| AvMed | Select | $127.40 | ↓ -74% |
| AvMed | ASOEO | $137.20 | ↓ -72% |
| Aetna | ASA | $147.00 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $171.50 | ↓ -65% |
| Humana | HMO | $181.30 | ↓ -63% |
| Humana | PPO | $196.00 | ↓ -60% |
| United PPO | OptionsPPO | $215.60 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $220.50 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $245.00 | ↓ -50% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Assay of blood lipoprotein at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | not published | $13.07 – $28.98 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $51.50 | $11.55 – $76.63 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $13.52 | $12.75 – $48.44 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $11.34 | $12.75 – $48.44 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD | $88.00 | $11.55 – $77.95 |
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION | $26.40 | $12.62 – $82.98 |
| OVIEDO MEDICAL CENTER | Oviedo | $88.86 | $11.55 – $75.61 |
| UCF LAKE NONA HOSPITAL | Orlando | $89.69 | $11.55 – $75.61 |