Assay of pregnanetriol 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$21.05 with Wellmed vs $69.27 with Prime Health — 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 |
|---|---|---|---|
| Wellmed | MGMCR | $21.05 | — |
| United | AllPayerAppendix | $21.05 | — |
| United | GVT | $21.05 | — |
| HUMANA | MGMCRHMO | $21.05 | — |
| HUMANA | MGMCRPPO | $21.05 | — |
| NDMS Definitive Care | MGMCR | $21.05 | — |
| Devoted Health | MCR | $21.05 | — |
| United | MCR | $21.47 | — |
| BCBS | MCRPPO | $21.47 | — |
| BCBS | MCRHMO | $21.47 | — |
| Aetna | MCR | $21.68 | — |
| Sunshine State | MCR | $22.10 | — |
| Prominence HealthFirst | MCRHMO | $22.10 | — |
| American Health Plan | MCR | $22.31 | — |
| Cigna Healthspring | MCR | $22.52 | — |
| Florida Complete Care | MCR | $22.52 | — |
| Sunshine State | MCD | $23.16 | — |
| Centurion | GVT | $23.16 | — |
| Longevity Health Plan | MCR | $25.26 | — |
| AmeriHealth Caritas | MGMCR | $25.26 | — |
| Oscar | HIX | $40.63 | — |
| Simply Healthcare | HIX | $47.57 | — |
| Prime Health | WORKERSCOMP | $69.27 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Assay of pregnanetriol at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | not published | $21.58 – $47.84 |
| cleveland clinic florida weston hospital | Weston | $85.15 | $6.33 – $111.35 |
| martin north hospital | Stuart | $85.15 | $6.66 – $98.25 |
| Boca Raton Regional Hospital | BOCA RATON | $137.15 | $21.05 – $137.78 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | $174.00 | $20.84 – $82.30 |
| HCA FLORIDA UNIVERSITY HOSPITAL | Davie | $203.00 | $20.84 – $82.98 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $20.00 – $35.13 |
| Adventhealth Lake Wales | Lake Wales | not published | $21.05 – $46.73 |