Carotene at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$7.20
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.
$7.20
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.
$0.62 with Freedom Health vs $69.27 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 | $0.62 | ↓ -91% |
| AvMed | HIX | $0.94 | ↓ -87% |
| Molina | MCR | $1.37 | ↓ -81% |
| AvMed | FullyInsured | $1.73 | ↓ -76% |
| AvMed | Engage | $1.87 | ↓ -74% |
| AvMed | Select | $1.87 | ↓ -74% |
| AvMed | Focus | $1.87 | ↓ -74% |
| AvMed | Flex | $1.87 | ↓ -74% |
| AvMed | Empower | $1.87 | ↓ -74% |
| AvMed | ASOEO | $2.02 | ↓ -72% |
| Aetna | ASA | $2.16 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $2.52 | ↓ -65% |
| Humana | HMO | $2.66 | ↓ -63% |
| Humana | PPO | $2.88 | ↓ -60% |
| United PPO | OptionsPPO | $3.17 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $3.24 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $3.60 | ↓ -50% |
| United | GVT | $9.22 | ↑ +28% |
| United | AllPayerAppendix | $9.22 | ↑ +28% |
| Devoted Health | MCR | $9.22 | ↑ +28% |
| HUMANA | MGMCRHMO | $9.22 | ↑ +28% |
| HUMANA | MGMCRPPO | $9.22 | ↑ +28% |
| NDMS Definitive Care | MGMCR | $9.22 | ↑ +28% |
| Wellmed | MGMCR | $9.22 | ↑ +28% |
| BCBS | MCRHMO | $9.40 | ↑ +31% |
| United | MCR | $9.40 | ↑ +31% |
| BCBS | MCRPPO | $9.40 | ↑ +31% |
| Aetna | MCR | $9.50 | ↑ +32% |
| Prominence HealthFirst | MCRHMO | $9.68 | ↑ +34% |
| Sunshine State | MCR | $9.68 | ↑ +34% |
| American Health Plan | MCR | $9.77 | ↑ +36% |
| Florida Complete Care | MCR | $9.87 | ↑ +37% |
| Cigna Healthspring | MCR | $9.87 | ↑ +37% |
| Sunshine State | MCD | $10.14 | ↑ +41% |
| Centurion | GVT | $10.14 | ↑ +41% |
| Longevity Health Plan | MCR | $11.06 | ↑ +54% |
| AmeriHealth Caritas | MGMCR | $11.06 | ↑ +54% |
| Oscar | HIX | $17.79 | ↑ +147% |
| Simply Healthcare | HIX | $20.84 | ↑ +189% |
| Prime Health | WORKERSCOMP | $69.27 | ↑ +862% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Carotene at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $104.75 | $9.45 – $20.95 |
| Adventhealth Tampa | Tampa | $62.88 | $9.22 – $20.47 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $35.60 | $8.76 – $20.14 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $10.00 | $7.38 – $75.49 |
| Adventhealth Port Charlotte | Port Charlotte | $61.22 | $9.22 – $16.84 |
| cleveland clinic florida weston hospital | Weston | $9.10 | $2.59 – $14.00 |
| martin north hospital | Stuart | $26.00 | $2.73 – $13.58 |
| Baptist Hospital | MIAMI | $27.30 | $2.85 – $37.80 |