Electrophysiology evaluation at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$8,182.00
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.
$8,182.00
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.
$260.93 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 | $260.93 | ↓ -97% |
| Aetna | MCR | $564.56 | ↓ -93% |
| BCBS | MCRHMO | $597.29 | ↓ -93% |
| Oscar | HIX | $1,554.58 | ↓ -81% |
| Molina | MCR | $1,554.58 | ↓ -81% |
| Simply Healthcare | HIX | $1,922.77 | ↓ -77% |
| Aetna | ASA | $2,454.60 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $2,863.70 | ↓ -65% |
| United PPO | OptionsPPO | $3,600.08 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $3,681.90 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $4,091.00 | ↓ -50% |
| United | AllPayerAppendix | $7,600.00 | ↓ -7% |
| Freedom Health | MGMCR | $8,000.00 | ↓ -2% |
| Aetna | QHP | $18,060.00 | ↑ +121% |
| Aetna | HMO | $22,052.00 | ↑ +170% |
| AvMed | HIX | $24,009.00 | ↑ +193% |
| Aetna | PPO | $24,383.00 | ↑ +198% |
| Humana | HMO | $37,036.00 | ↑ +353% |
| Cigna | NewBusinessNBN | $43,214.00 | ↑ +428% |
| AvMed | Select | $43,805.00 | ↑ +435% |
| AvMed | Engage | $43,805.00 | ↑ +435% |
| AvMed | Flex | $43,805.00 | ↑ +435% |
| AvMed | Focus | $43,805.00 | ↑ +435% |
| AvMed | FullyInsured | $43,805.00 | ↑ +435% |
| AvMed | Empower | $43,805.00 | ↑ +435% |
| Humana | PPO | $44,444.00 | ↑ +443% |
| AvMed | ASOEO | $48,120.00 | ↑ +488% |
| Cigna | HMO | $58,053.00 | ↑ +610% |
| Cigna | PPO | $58,053.00 | ↑ +610% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $5,118.07 | not published |
| Adventhealth Daytona Beach | Daytona Beach | $1,634.18 | not published |
| Adventhealth Tampa | Tampa | $8,060.12 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $3,872.27 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $11,943.00 | $255.55 – $260.93 |
| Adventhealth Port Charlotte | Port Charlotte | $9,269.14 | not published |
| cleveland clinic florida weston hospital | Weston | $4,821.70 | $285.55 – $4,251.32 |
| martin north hospital | Stuart | $3,199.95 | $390.25 – $4,463.89 |