ER Visit (level 3) at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$3,044.00
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.
?
What you pay up front if you don't use insurance.
$3,044.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$71.78 with Prime Health vs $8,190.00 with AvMed — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $71.78 | ↓ -98% |
| Aetna | ASA | $913.20 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $1,065.40 | ↓ -65% |
| United PPO | OptionsPPO | $1,339.36 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $1,369.80 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $1,522.00 | ↓ -50% |
| AvMed | HIX | $1,641.00 | ↓ -46% |
| Oscar | HIX | $2,713.00 | ↓ -11% |
| BCBS | MBN | $2,718.00 | ↓ -11% |
| BCBS | BSL | $2,718.00 | ↓ -11% |
| BCBS | SBN | $2,718.00 | ↓ -11% |
| Simply Healthcare | HIX | $2,968.00 | ↓ -2% |
| BCBS | PHS | $4,007.00 | ↑ +32% |
| BCBS | HMO | $4,051.00 | ↑ +33% |
| BCBS | PPO | $4,339.00 | ↑ +43% |
| BCBS | NWB | $4,339.00 | ↑ +43% |
| Cigna | NewBusinessNBN | $5,387.00 | ↑ +77% |
| United | AllPayerAppendix | $5,862.00 | ↑ +93% |
| Cigna | HMO | $7,272.00 | ↑ +139% |
| Cigna | PPO | $7,272.00 | ↑ +139% |
| AvMed | Flex | $7,455.00 | ↑ +145% |
| AvMed | Select | $7,455.00 | ↑ +145% |
| AvMed | FullyInsured | $7,455.00 | ↑ +145% |
| AvMed | Focus | $7,455.00 | ↑ +145% |
| AvMed | Empower | $7,455.00 | ↑ +145% |
| AvMed | Engage | $7,455.00 | ↑ +145% |
| AvMed | ASOEO | $8,190.00 | ↑ +169% |
Visitor-reported prices
Comments
ER Visit (level 3) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $1,647.42 | $292.19 – $647.84 |
| Adventhealth Daytona Beach | Daytona Beach | $1,471.11 | $270.81 – $475.77 |
| Adventhealth Lake Wales | Lake Wales | $1,340.10 | $285.06 – $632.84 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,177.63 | $270.81 – $608.87 |
| Adventhealth Tampa | Tampa | $1,908.05 | $285.06 – $632.84 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,428.20 | $270.81 – $622.72 |
| Adventhealth Port Charlotte | Port Charlotte | $3,858.25 | $285.06 – $520.53 |
| cleveland clinic florida weston hospital | Weston | $1,552.85 | $35.80 – $2,030.65 |