CT heart w/evaluation of calcium without contrast at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$2,512.00
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.
$2,512.00
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.
$101.66 with Prime Health vs $6,000.00 with Cigna — 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 | $101.66 | ↓ -96% |
| United | AllPayerAppendix | $182.03 | ↓ -93% |
| Freedom Health | MGMCR | $216.03 | ↓ -91% |
| Molina | MCR | $477.28 | ↓ -81% |
| Aetna | ASA | $753.60 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $879.20 | ↓ -65% |
| AvMed | HIX | $890.00 | ↓ -65% |
| Aetna | QHP | $1,087.00 | ↓ -57% |
| United PPO | OptionsPPO | $1,105.28 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $1,130.40 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $1,256.00 | ↓ -50% |
| Aetna | HMO | $1,326.00 | ↓ -47% |
| Aetna | PPO | $1,462.00 | ↓ -42% |
| AvMed | Flex | $3,533.00 | ↑ +41% |
| AvMed | FullyInsured | $3,533.00 | ↑ +41% |
| AvMed | Select | $3,533.00 | ↑ +41% |
| AvMed | Focus | $3,533.00 | ↑ +41% |
| AvMed | Empower | $3,533.00 | ↑ +41% |
| AvMed | Engage | $3,533.00 | ↑ +41% |
| AvMed | ASOEO | $3,879.00 | ↑ +54% |
| Cigna | NewBusinessNBN | $4,466.00 | ↑ +78% |
| Humana | PPO | $4,630.00 | ↑ +84% |
| Humana | HMO | $4,630.00 | ↑ +84% |
| Cigna | HMO | $6,000.00 | ↑ +139% |
| Cigna | PPO | $6,000.00 | ↑ +139% |
Visitor-reported prices
Comments
CT heart w/evaluation of calcium without contrast at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $1,076.40 | $52.19 – $206.53 |
| Adventhealth Daytona Beach | Daytona Beach | $121.55 | $36.39 – $151.68 |
| Adventhealth Palm Coast Parkway | Palm Coast | $267.73 | $32.85 – $194.11 |
| Adventhealth Tampa | Tampa | $1,150.55 | $29.53 – $201.75 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $133.12 | $50.70 – $198.52 |
| cleveland clinic florida weston hospital | Weston | $644.80 | $22.86 – $646.00 |
| martin north hospital | Stuart | $644.80 | $20.46 – $380.00 |
| indian river hospital | Vero Beach | $644.80 | $24.47 – $608.00 |