ER Visit (level 1, minor) at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$825.00
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.
$825.00
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.
$25.22 with Prime Health vs $7,272.00 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 | $25.22 | ↓ -97% |
| Aetna | ASA | $247.50 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $288.75 | ↓ -65% |
| United PPO | OptionsPPO | $363.00 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $371.25 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $412.50 | ↓ -50% |
| AvMed | HIX | $693.00 | ↓ -16% |
| Oscar | HIX | $875.00 | ↑ +6% |
| Simply Healthcare | HIX | $1,020.00 | ↑ +24% |
| BCBS | SBN | $1,586.00 | ↑ +92% |
| BCBS | BSL | $1,586.00 | ↑ +92% |
| BCBS | MBN | $1,586.00 | ↑ +92% |
| United | AllPayerAppendix | $1,610.00 | ↑ +95% |
| BCBS | HMO | $2,436.00 | ↑ +195% |
| BCBS | PPO | $2,650.00 | ↑ +221% |
| BCBS | NWB | $2,650.00 | ↑ +221% |
| BCBS | PHS | $3,124.00 | ↑ +279% |
| Cigna | NewBusinessNBN | $5,387.00 | ↑ +553% |
| AvMed | Engage | $5,653.00 | ↑ +585% |
| AvMed | Select | $5,653.00 | ↑ +585% |
| AvMed | Focus | $5,653.00 | ↑ +585% |
| AvMed | FullyInsured | $5,653.00 | ↑ +585% |
| AvMed | Flex | $5,653.00 | ↑ +585% |
| AvMed | Empower | $5,653.00 | ↑ +585% |
| AvMed | ASOEO | $6,209.00 | ↑ +653% |
| Cigna | HMO | $7,272.00 | ↑ +781% |
| Cigna | PPO | $7,272.00 | ↑ +781% |
Visitor-reported prices
Comments
ER Visit (level 1, minor) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $724.42 | $90.26 – $200.12 |
| Adventhealth Daytona Beach | Daytona Beach | $448.22 | $83.65 – $146.97 |
| Adventhealth Lake Wales | Lake Wales | $344.60 | $88.06 – $195.49 |
| Adventhealth Palm Coast Parkway | Palm Coast | $317.92 | $83.65 – $188.08 |
| Adventhealth Tampa | Tampa | $354.21 | $88.06 – $195.49 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $529.60 | $83.65 – $192.36 |
| Adventhealth Port Charlotte | Port Charlotte | $1,386.74 | $88.06 – $160.79 |
| cleveland clinic florida weston hospital | Weston | $494.00 | $11.70 – $646.00 |