C1 esterase inhibitor func - sendout at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$15.30
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.
$15.30
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.
$1.32 with Freedom Health vs $47.68 with Prime Health — 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 | $1.32 | ↓ -91% |
| AvMed | HIX | $1.99 | ↓ -87% |
| Molina | MCR | $2.91 | ↓ -81% |
| AvMed | FullyInsured | $3.67 | ↓ -76% |
| AvMed | Engage | $3.98 | ↓ -74% |
| AvMed | Select | $3.98 | ↓ -74% |
| AvMed | Focus | $3.98 | ↓ -74% |
| AvMed | Flex | $3.98 | ↓ -74% |
| AvMed | Empower | $3.98 | ↓ -74% |
| AvMed | ASOEO | $4.28 | ↓ -72% |
| Aetna | ASA | $4.59 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $5.36 | ↓ -65% |
| Humana | HMO | $5.66 | ↓ -63% |
| Humana | PPO | $6.12 | ↓ -60% |
| United PPO | OptionsPPO | $6.73 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $6.88 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $7.65 | ↓ -50% |
| United | GVT | $12.00 | ↓ -22% |
| United | AllPayerAppendix | $12.00 | ↓ -22% |
| Devoted Health | MCR | $12.00 | ↓ -22% |
| HUMANA | MGMCRHMO | $12.00 | ↓ -22% |
| HUMANA | MGMCRPPO | $12.00 | ↓ -22% |
| NDMS Definitive Care | MGMCR | $12.00 | ↓ -22% |
| Wellmed | MGMCR | $12.00 | ↓ -22% |
| BCBS | MCRHMO | $12.24 | ↓ -20% |
| United | MCR | $12.24 | ↓ -20% |
| BCBS | MCRPPO | $12.24 | ↓ -20% |
| Aetna | MCR | $12.36 | ↓ -19% |
| Prominence HealthFirst | MCRHMO | $12.60 | ↓ -18% |
| Sunshine State | MCR | $12.60 | ↓ -18% |
| American Health Plan | MCR | $12.72 | ↓ -17% |
| Florida Complete Care | MCR | $12.84 | ↓ -16% |
| Cigna Healthspring | MCR | $12.84 | ↓ -16% |
| Sunshine State | MCD | $13.20 | ↓ -14% |
| Centurion | GVT | $13.20 | ↓ -14% |
| Longevity Health Plan | MCR | $14.40 | ↓ -6% |
| AmeriHealth Caritas | MGMCR | $14.40 | ↓ -6% |
| Oscar | HIX | $23.16 | ↑ +51% |
| Simply Healthcare | HIX | $27.12 | ↑ +77% |
| Prime Health | WORKERSCOMP | $47.68 | ↑ +212% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
C1 esterase inhibitor func - sendout at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $132.30 | $12.30 – $27.27 |
| Adventhealth Daytona Beach | Daytona Beach | $43.47 | $11.40 – $20.03 |
| Adventhealth Lake Wales | Lake Wales | $41.67 | $12.00 – $26.64 |
| Adventhealth Palm Coast Parkway | Palm Coast | $22.46 | $11.40 – $25.63 |
| Adventhealth Tampa | Tampa | $61.03 | $12.00 – $26.64 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $181.09 | $11.40 – $26.21 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $97.00 | $9.60 – $51.96 |
| Adventhealth Port Charlotte | Port Charlotte | $88.63 | $12.00 – $21.91 |