Cyclophosphamide 25 mg capsule 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$3.00 with United vs $31.00 with AvMed — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United | AllPayerAppendix | $3.00 | — |
| Aetna | MCR | $4.28 | — |
| BCBS | MCRHMO | $4.53 | — |
| Freedom Health | MGMCR | $5.33 | — |
| BCBS | BSL | $8.43 | — |
| BCBS | MBN | $8.43 | — |
| BCBS | SBN | $8.43 | — |
| BCBS | HMO | $11.72 | — |
| BCBS | PPO | $12.46 | — |
| BCBS | NWB | $12.46 | — |
| BCBS | PHS | $14.94 | — |
| Aetna | ASA | $18.60 | — |
| Office of Sheiff Highland Co | GVT | $21.70 | — |
| United PPO | OptionsPPO | $27.28 | — |
| United | GlobalBenefitPlanAppendix | $27.90 | — |
| AvMed | JacksonFirstNetworkOON | $31.00 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Cyclophosphamide 25 mg capsule at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $25.00 | $1.14 – $3.00 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | $82.00 | $1.11 – $3.00 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $5.00 | $1.26 – $1.26 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $10.04 | $1.26 – $2.78 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City | $10.04 | $1.26 – $1.39 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville | $1.85 | $1.26 – $1.84 |
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg | $1.70 | $1.26 – $1.39 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH | $65.00 | $1.11 – $3.00 |