Established Patient Office Visit (level 1) at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$544.00
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.
$544.00
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.
$18.43 with Prime Health vs $244.80 with United — 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 | $18.43 | ↓ -97% |
| Aetna | MCR | $37.54 | ↓ -93% |
| BCBS | MCRHMO | $39.71 | ↓ -93% |
| Freedom Health | MGMCR | $46.78 | ↓ -91% |
| BCBS | BSL | $73.98 | ↓ -86% |
| BCBS | SBN | $73.98 | ↓ -86% |
| BCBS | MBN | $73.98 | ↓ -86% |
| Aetna | QHP | $94.66 | ↓ -83% |
| BCBS | HMO | $102.82 | ↓ -81% |
| Molina | MCR | $103.36 | ↓ -81% |
| Aetna | HMO | $106.08 | ↓ -81% |
| BCBS | PPO | $109.34 | ↓ -80% |
| BCBS | NWB | $109.34 | ↓ -80% |
| BCBS | PHS | $131.10 | ↓ -76% |
| Aetna | PPO | $132.74 | ↓ -76% |
| Cigna | NewBusinessNBN | $143.07 | ↓ -74% |
| Aetna | ASA | $163.20 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $190.40 | ↓ -65% |
| Cigna | HMO | $190.94 | ↓ -65% |
| Cigna | PPO | $190.94 | ↓ -65% |
| Humana | HMO | $201.28 | ↓ -63% |
| Humana | PPO | $217.60 | ↓ -60% |
| United PPO | OptionsPPO | $239.36 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $244.80 | ↓ -55% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $471.43 | not published |
| Adventhealth Daytona Beach | Daytona Beach | $265.94 | not published |
| Adventhealth Lake Wales | Lake Wales | $543.34 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $360.17 | not published |
| Adventhealth Tampa | Tampa | $313.58 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $197.87 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $584.72 | not published |
| cleveland clinic florida weston hospital | Weston | $122.20 | $5.59 – $159.80 |