Cryptococcus abs qn - sendout at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$11.11
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.
$11.11
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.
$0.96 with Freedom Health vs $80.97 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 | $0.96 | ↓ -91% |
| AvMed | HIX | $1.44 | ↓ -87% |
| Molina | MCR | $2.11 | ↓ -81% |
| AvMed | FullyInsured | $2.67 | ↓ -76% |
| AvMed | Engage | $2.89 | ↓ -74% |
| AvMed | Select | $2.89 | ↓ -74% |
| AvMed | Focus | $2.89 | ↓ -74% |
| AvMed | Flex | $2.89 | ↓ -74% |
| AvMed | Empower | $2.89 | ↓ -74% |
| AvMed | ASOEO | $3.11 | ↓ -72% |
| Aetna | ASA | $3.33 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $3.89 | ↓ -65% |
| Humana | HMO | $4.11 | ↓ -63% |
| Humana | PPO | $4.44 | ↓ -60% |
| United PPO | OptionsPPO | $4.89 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $5.00 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $5.55 | ↓ -50% |
| United | GVT | $14.41 | ↑ +30% |
| United | AllPayerAppendix | $14.41 | ↑ +30% |
| Devoted Health | MCR | $14.41 | ↑ +30% |
| HUMANA | MGMCRHMO | $14.41 | ↑ +30% |
| HUMANA | MGMCRPPO | $14.41 | ↑ +30% |
| NDMS Definitive Care | MGMCR | $14.41 | ↑ +30% |
| Wellmed | MGMCR | $14.41 | ↑ +30% |
| BCBS | MCRHMO | $14.70 | ↑ +32% |
| United | MCR | $14.70 | ↑ +32% |
| BCBS | MCRPPO | $14.70 | ↑ +32% |
| Aetna | MCR | $14.84 | ↑ +34% |
| Prominence HealthFirst | MCRHMO | $15.13 | ↑ +36% |
| Sunshine State | MCR | $15.13 | ↑ +36% |
| American Health Plan | MCR | $15.27 | ↑ +37% |
| Florida Complete Care | MCR | $15.42 | ↑ +39% |
| Cigna Healthspring | MCR | $15.42 | ↑ +39% |
| Sunshine State | MCD | $15.85 | ↑ +43% |
| Centurion | GVT | $15.85 | ↑ +43% |
| Longevity Health Plan | MCR | $17.29 | ↑ +56% |
| AmeriHealth Caritas | MGMCR | $17.29 | ↑ +56% |
| Oscar | HIX | $27.81 | ↑ +150% |
| Simply Healthcare | HIX | $32.57 | ↑ +193% |
| Prime Health | WORKERSCOMP | $80.97 | ↑ +629% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Cryptococcus abs qn - sendout at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | not published | $14.77 – $32.75 |
| Adventhealth Port Charlotte | Port Charlotte | $95.72 | $14.41 – $26.31 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $17.39 | $12.68 – $36.03 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns | $17.39 | $12.68 – $36.03 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville | $17.39 | $12.68 – $36.03 |
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg | $17.39 | $12.68 – $36.03 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness | $18.73 | $13.06 – $83.34 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH | $70.00 | $14.27 – $96.20 |