Declotting thrombolytic agent implanted vas access device 36 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.
$594.62 with Prime Health vs $58,053.00 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 | $594.62 | — |
| Molina | MCR | $1,950.00 | — |
| Freedom Health | MGMCR | $2,350.00 | — |
| BCBS | SBN | $2,428.00 | — |
| BCBS | BSL | $2,428.00 | — |
| BCBS | MBN | $2,428.00 | — |
| BCBS | HMO | $3,727.00 | — |
| BCBS | NWB | $3,791.00 | — |
| BCBS | PPO | $3,791.00 | — |
| BCBS | PHS | $5,559.00 | — |
| Simply Healthcare | HIX | $11,854.00 | — |
| Oscar | HIX | $14,522.00 | — |
| United | AllPayerAppendix | $22,000.00 | — |
| AvMed | HIX | $24,009.00 | — |
| Humana | HMO | $37,036.00 | — |
| Cigna | NewBusinessNBN | $43,214.00 | — |
| AvMed | FullyInsured | $43,805.00 | — |
| AvMed | Empower | $43,805.00 | — |
| AvMed | Engage | $43,805.00 | — |
| AvMed | Flex | $43,805.00 | — |
| AvMed | Focus | $43,805.00 | — |
| AvMed | Select | $43,805.00 | — |
| Humana | PPO | $44,444.00 | — |
| AvMed | ASOEO | $48,120.00 | — |
| Cigna | HMO | $58,053.00 | — |
| Cigna | PPO | $58,053.00 | — |
Visitor-reported prices
Comments
Declotting thrombolytic agent implanted vas access device 36 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $613.01 | $353.55 – $783.89 |
| Adventhealth Daytona Beach | Daytona Beach | $817.09 | not published |
| Adventhealth Lake Wales | Lake Wales | $1,110.08 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $832.41 | not published |
| Adventhealth Tampa | Tampa | $1,659.36 | $344.93 – $765.75 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $938.53 | $327.68 – $753.50 |
| Adventhealth Port Charlotte | Port Charlotte | $1,576.39 | not published |
| cleveland clinic florida weston hospital | Weston | $1,549.60 | $24.57 – $2,026.40 |