Bivalirudin at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$8,983.00
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.
$8,983.00
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.
$0.26 with United vs $4,491.50 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 |
|---|---|---|---|
| United | AllPayerAppendix | $0.26 | ↓ -100% |
| Aetna | MCR | $619.83 | ↓ -93% |
| BCBS | MCRHMO | $655.76 | ↓ -93% |
| Freedom Health | MGMCR | $772.54 | ↓ -91% |
| BCBS | BSL | $1,221.69 | ↓ -86% |
| BCBS | MBN | $1,221.69 | ↓ -86% |
| BCBS | SBN | $1,221.69 | ↓ -86% |
| BCBS | HMO | $1,697.79 | ↓ -81% |
| BCBS | PPO | $1,805.58 | ↓ -80% |
| BCBS | NWB | $1,805.58 | ↓ -80% |
| BCBS | PHS | $2,164.90 | ↓ -76% |
| Aetna | ASA | $2,694.90 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $3,144.05 | ↓ -65% |
| United PPO | OptionsPPO | $3,952.52 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $4,042.35 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $4,491.50 | ↓ -50% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Bivalirudin at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $3,763.00 | $0.15 – $0.26 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $472.50 | $0.15 – $0.34 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | $6,678.00 | $0.15 – $0.26 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD | $5,782.00 | $0.15 – $0.26 |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | NAVARRE | $4,503.00 | $0.15 – $0.42 |
| HCA FLORIDA LAKE CITY HOSPITAL | LIVE OAK | $3,503.00 | $0.15 – $0.26 |
| HCA FLORIDA GULF COAST HOSPITAL | PANAMA CITY | $3,554.00 | $0.15 – $0.26 |
| HCA FLORIDA LARGO HOSPITAL | LARGO | $2,025.72 | $0.15 – $0.34 |