Debridement (>20 cm) charge pt 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.
$29.10 with Prime Health vs $7,600.00 with United — 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 |
|---|---|---|---|
| Prime Health | WORKERSCOMP | $29.10 | — |
| Wellmed | MGMCR | $47.48 | — |
| HUMANA | MGMCRHMO | $47.48 | — |
| NDMS Definitive Care | MGMCR | $47.48 | — |
| Devoted Health | MCR | $47.48 | — |
| United | GVT | $47.48 | — |
| HUMANA | MGMCRPPO | $47.48 | — |
| United | MCR | $48.43 | — |
| BCBS | MCRPPO | $48.43 | — |
| BCBS | MCRHMO | $48.43 | — |
| Aetna | MCR | $48.90 | — |
| Prominence HealthFirst | MCRHMO | $49.85 | — |
| Sunshine State | MCR | $49.85 | — |
| American Health Plan | MCR | $50.33 | — |
| Cigna Healthspring | MCR | $50.80 | — |
| Florida Complete Care | MCR | $50.80 | — |
| Sunshine State | MCD | $52.23 | — |
| Centurion | GVT | $52.23 | — |
| AmeriHealth Caritas | MGMCR | $56.98 | — |
| Longevity Health Plan | MCR | $56.98 | — |
| Freedom Health | MGMCR | $95.55 | — |
| AvMed | HIX | $144.43 | — |
| Aetna | QHP | $193.31 | — |
| BCBS | SBN | $204.00 | — |
| BCBS | BSL | $204.00 | — |
| BCBS | MBN | $204.00 | — |
| Molina | MCR | $211.09 | — |
| Oscar | HIX | $211.09 | — |
| Aetna | HMO | $216.65 | — |
| Simply Healthcare | HIX | $261.08 | — |
| AvMed | FullyInsured | $266.64 | — |
| Aetna | PPO | $271.08 | — |
| BCBS | HMO | $283.50 | — |
| AvMed | Flex | $288.86 | — |
| AvMed | Engage | $288.86 | — |
| AvMed | Empower | $288.86 | — |
| AvMed | Select | $288.86 | — |
| AvMed | Focus | $288.86 | — |
| Cigna | NewBusinessNBN | $292.19 | — |
| BCBS | PPO | $301.50 | — |
| BCBS | NWB | $301.50 | — |
| AvMed | ASOEO | $311.08 | — |
| Aetna | ASA | $333.30 | — |
| BCBS | PHS | $361.50 | — |
| Office of Sheiff Highland Co | GVT | $388.85 | — |
| Cigna | HMO | $389.96 | — |
| Cigna | PPO | $389.96 | — |
| Humana | HMO | $411.07 | — |
| Humana | PPO | $444.40 | — |
| United PPO | OptionsPPO | $488.84 | — |
| United | GlobalBenefitPlanAppendix | $499.95 | — |
| AvMed | JacksonFirstNetworkOON | $555.50 | — |
| United | AllPayerAppendix | $7,600.00 | — |
Visitor-reported prices
Comments
Debridement (>20 cm) charge pt at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $302.40 | not published |
| Adventhealth Daytona Beach | Daytona Beach | $634.59 | not published |
| Adventhealth Lake Wales | Lake Wales | $479.13 | not published |
| Adventhealth Tampa | Tampa | $262.25 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $726.56 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $354.00 | $28.50 – $56.98 |
| Adventhealth Port Charlotte | Port Charlotte | $1,039.24 | not published |
| cleveland clinic florida weston hospital | Weston | $606.45 | $9.79 – $793.05 |