Diab manage trn ind/group at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$171.00
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.
$171.00
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.
$14.71 with Freedom Health vs $85.50 with AvMed — 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 | $14.71 | ↓ -91% |
| United | GVT | $15.88 | ↓ -91% |
| Devoted Health | MCR | $15.88 | ↓ -91% |
| NDMS Definitive Care | MGMCR | $15.88 | ↓ -91% |
| HUMANA | MGMCRPPO | $15.88 | ↓ -91% |
| HUMANA | MGMCRHMO | $15.88 | ↓ -91% |
| Wellmed | MGMCR | $15.88 | ↓ -91% |
| BCBS | MCRHMO | $16.20 | ↓ -91% |
| BCBS | MCRPPO | $16.20 | ↓ -91% |
| United | MCR | $16.20 | ↓ -91% |
| Aetna | MCR | $16.36 | ↓ -90% |
| Prime Health | WORKERSCOMP | $16.49 | ↓ -90% |
| Prominence HealthFirst | MCRHMO | $16.67 | ↓ -90% |
| Sunshine State | MCR | $16.67 | ↓ -90% |
| American Health Plan | MCR | $16.83 | ↓ -90% |
| Florida Complete Care | MCR | $16.99 | ↓ -90% |
| Cigna Healthspring | MCR | $16.99 | ↓ -90% |
| Centurion | GVT | $17.47 | ↓ -90% |
| Sunshine State | MCD | $17.47 | ↓ -90% |
| Longevity Health Plan | MCR | $19.06 | ↓ -89% |
| AmeriHealth Caritas | MGMCR | $19.06 | ↓ -89% |
| AvMed | HIX | $22.23 | ↓ -87% |
| BCBS | MBN | $23.26 | ↓ -86% |
| BCBS | SBN | $23.26 | ↓ -86% |
| BCBS | BSL | $23.26 | ↓ -86% |
| Aetna | QHP | $29.75 | ↓ -83% |
| BCBS | HMO | $32.32 | ↓ -81% |
| Oscar | HIX | $32.49 | ↓ -81% |
| Molina | MCR | $32.49 | ↓ -81% |
| Aetna | HMO | $33.34 | ↓ -81% |
| BCBS | NWB | $34.37 | ↓ -80% |
| BCBS | PPO | $34.37 | ↓ -80% |
| Simply Healthcare | HIX | $40.19 | ↓ -76% |
| AvMed | FullyInsured | $41.04 | ↓ -76% |
| BCBS | PHS | $41.21 | ↓ -76% |
| Aetna | PPO | $41.72 | ↓ -76% |
| AvMed | Select | $44.46 | ↓ -74% |
| AvMed | Empower | $44.46 | ↓ -74% |
| AvMed | Engage | $44.46 | ↓ -74% |
| AvMed | Flex | $44.46 | ↓ -74% |
| AvMed | Focus | $44.46 | ↓ -74% |
| Cigna | NewBusinessNBN | $44.97 | ↓ -74% |
| AvMed | ASOEO | $47.88 | ↓ -72% |
| Aetna | ASA | $51.30 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $59.85 | ↓ -65% |
| Cigna | HMO | $60.02 | ↓ -65% |
| Cigna | PPO | $60.02 | ↓ -65% |
| Humana | HMO | $63.27 | ↓ -63% |
| Humana | PPO | $68.40 | ↓ -60% |
| United PPO | OptionsPPO | $75.24 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $76.95 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $85.50 | ↓ -50% |
Visitor-reported prices
Comments
Diab manage trn ind/group at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $92.37 | $17.26 – $38.27 |
| Adventhealth Daytona Beach | Daytona Beach | $78.88 | $16.00 – $28.11 |
| Adventhealth Tampa | Tampa | $143.50 | $16.84 – $37.38 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $40.51 | $16.00 – $36.79 |
| Adventhealth Port Charlotte | Port Charlotte | $174.74 | not published |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $144.84 | $14.49 – $23.03 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | $103.00 | $14.98 – $23.78 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness | $189.92 | $14.49 – $17.47 |