Core ndl bx lng/med perq 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$1,500.49 with Prime Health vs $26,390.00 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 |
|---|---|---|---|
| Prime Health | WORKERSCOMP | $1,500.49 | — |
| Molina | MCR | $1,950.00 | — |
| Freedom Health | MGMCR | $2,350.00 | — |
| BCBS | SBN | $6,069.00 | — |
| BCBS | MBN | $6,069.00 | — |
| BCBS | BSL | $6,069.00 | — |
| BCBS | HMO | $9,346.00 | — |
| BCBS | PPO | $9,499.00 | — |
| BCBS | NWB | $9,499.00 | — |
| AvMed | HIX | $9,796.00 | — |
| Cigna | NewBusinessNBN | $11,166.00 | — |
| BCBS | PHS | $13,231.00 | — |
| Cigna | HMO | $15,153.00 | — |
| Cigna | PPO | $15,153.00 | — |
| United | AllPayerAppendix | $15,600.00 | — |
| AvMed | Engage | $24,023.00 | — |
| AvMed | Flex | $24,023.00 | — |
| AvMed | Focus | $24,023.00 | — |
| AvMed | FullyInsured | $24,023.00 | — |
| AvMed | Select | $24,023.00 | — |
| AvMed | Empower | $24,023.00 | — |
| AvMed | ASOEO | $26,390.00 | — |
Visitor-reported prices
Comments
Core ndl bx lng/med perq at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $5,617.21 | $1,767.85 – $3,919.62 |
| Adventhealth Daytona Beach | Daytona Beach | $4,986.28 | $1,638.49 – $2,878.57 |
| Adventhealth Palm Coast Parkway | Palm Coast | $4,986.28 | $1,638.49 – $3,683.85 |
| Adventhealth Tampa | Tampa | $7,428.77 | $1,724.73 – $3,828.90 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $5,461.17 | $1,638.49 – $3,767.67 |
| Adventhealth Port Charlotte | Port Charlotte | $6,927.94 | $1,724.73 – $3,149.35 |
| cleveland clinic florida weston hospital | Weston | $6,055.40 | $111.91 – $7,918.60 |
| martin north hospital | Stuart | $6,055.40 | $140.68 – $4,658.00 |