ER Visit (level 2) at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$1,740.00
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.
$1,740.00
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.
$48.50 with Prime Health vs $7,451.00 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 |
|---|---|---|---|
| Prime Health | WORKERSCOMP | $48.50 | ↓ -97% |
| Aetna | ASA | $522.00 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $609.00 | ↓ -65% |
| United PPO | OptionsPPO | $765.60 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $783.00 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $870.00 | ↓ -50% |
| AvMed | HIX | $1,081.00 | ↓ -38% |
| Oscar | HIX | $2,100.00 | ↑ +21% |
| Simply Healthcare | HIX | $2,453.00 | ↑ +41% |
| BCBS | SBN | $2,718.00 | ↑ +56% |
| BCBS | BSL | $2,718.00 | ↑ +56% |
| BCBS | MBN | $2,718.00 | ↑ +56% |
| United | AllPayerAppendix | $3,010.00 | ↑ +73% |
| BCBS | PHS | $4,007.00 | ↑ +130% |
| BCBS | HMO | $4,051.00 | ↑ +133% |
| BCBS | PPO | $4,339.00 | ↑ +149% |
| BCBS | NWB | $4,339.00 | ↑ +149% |
| Cigna | NewBusinessNBN | $5,387.00 | ↑ +210% |
| AvMed | Empower | $6,783.00 | ↑ +290% |
| AvMed | Engage | $6,783.00 | ↑ +290% |
| AvMed | Flex | $6,783.00 | ↑ +290% |
| AvMed | Focus | $6,783.00 | ↑ +290% |
| AvMed | FullyInsured | $6,783.00 | ↑ +290% |
| AvMed | Select | $6,783.00 | ↑ +290% |
| Cigna | HMO | $7,272.00 | ↑ +318% |
| Cigna | PPO | $7,272.00 | ↑ +318% |
| AvMed | ASOEO | $7,451.00 | ↑ +328% |
Visitor-reported prices
Comments
ER Visit (level 2) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $1,093.85 | $164.35 – $364.40 |
| Adventhealth Daytona Beach | Daytona Beach | $749.79 | $152.33 – $267.61 |
| Adventhealth Lake Wales | Lake Wales | $746.62 | $160.34 – $355.96 |
| Adventhealth Palm Coast Parkway | Palm Coast | $653.33 | $152.33 – $342.48 |
| Adventhealth Tampa | Tampa | $908.86 | $160.34 – $355.96 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $841.68 | $152.33 – $350.27 |
| Adventhealth Port Charlotte | Port Charlotte | $2,584.59 | $160.34 – $292.79 |
| cleveland clinic florida weston hospital | Weston | $887.90 | $20.39 – $1,161.10 |