Diabetes (HbA1c) Test 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.
$9.71 with HUMANA vs $372.50 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 |
|---|---|---|---|
| HUMANA | MGMCRHMO | $9.71 | — |
| HUMANA | MGMCRPPO | $9.71 | — |
| NDMS Definitive Care | MGMCR | $9.71 | — |
| Wellmed | MGMCR | $9.71 | — |
| Devoted Health | MCR | $9.71 | — |
| United | AllPayerAppendix | $9.71 | — |
| United | GVT | $9.71 | — |
| BCBS | MCRPPO | $9.90 | — |
| United | MCR | $9.90 | — |
| BCBS | MCRHMO | $9.90 | — |
| Aetna | MCR | $10.00 | — |
| Prominence HealthFirst | MCRHMO | $10.20 | — |
| Sunshine State | MCR | $10.20 | — |
| American Health Plan | MCR | $10.29 | — |
| Cigna Healthspring | MCR | $10.39 | — |
| Florida Complete Care | MCR | $10.39 | — |
| Centurion | GVT | $10.68 | — |
| Sunshine State | MCD | $10.68 | — |
| AmeriHealth Caritas | MGMCR | $11.65 | — |
| Longevity Health Plan | MCR | $11.65 | — |
| Oscar | HIX | $18.74 | — |
| Simply Healthcare | HIX | $21.94 | — |
| Freedom Health | MGMCR | $64.07 | — |
| AvMed | HIX | $96.85 | — |
| Prime Health | WORKERSCOMP | $112.45 | — |
| Molina | MCR | $141.55 | — |
| AvMed | FullyInsured | $178.80 | — |
| AvMed | Empower | $193.70 | — |
| AvMed | Engage | $193.70 | — |
| AvMed | Flex | $193.70 | — |
| AvMed | Focus | $193.70 | — |
| AvMed | Select | $193.70 | — |
| AvMed | ASOEO | $208.60 | — |
| Aetna | ASA | $223.50 | — |
| Office of Sheiff Highland Co | GVT | $260.75 | — |
| Humana | HMO | $275.65 | — |
| Humana | PPO | $298.00 | — |
| United PPO | OptionsPPO | $327.80 | — |
| United | GlobalBenefitPlanAppendix | $335.25 | — |
| AvMed | JacksonFirstNetworkOON | $372.50 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Diabetes (HbA1c) Test at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $184.23 | $9.95 – $22.07 |
| Adventhealth Daytona Beach | Daytona Beach | $228.11 | $9.22 – $16.21 |
| Adventhealth Lake Wales | Lake Wales | $164.89 | $9.71 – $21.56 |
| Adventhealth Palm Coast Parkway | Palm Coast | $164.89 | $9.22 – $20.74 |
| Adventhealth Tampa | Tampa | $263.92 | $9.71 – $21.56 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $141.34 | $9.22 – $21.21 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $364.00 | $7.77 – $122.55 |
| Adventhealth Port Charlotte | Port Charlotte | $71.39 | $9.71 – $17.73 |