Established Patient Office Visit (level 5) at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$1,548.00
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.
$1,548.00
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.
$106.81 with Aetna vs $696.60 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 |
|---|---|---|---|
| Aetna | MCR | $106.81 | ↓ -93% |
| BCBS | MCRHMO | $113.00 | ↓ -93% |
| Prime Health | WORKERSCOMP | $121.25 | ↓ -92% |
| Freedom Health | MGMCR | $133.13 | ↓ -91% |
| BCBS | BSL | $210.53 | ↓ -86% |
| BCBS | SBN | $210.53 | ↓ -86% |
| BCBS | MBN | $210.53 | ↓ -86% |
| Aetna | QHP | $269.35 | ↓ -83% |
| BCBS | HMO | $292.57 | ↓ -81% |
| Molina | MCR | $294.12 | ↓ -81% |
| Aetna | HMO | $301.86 | ↓ -81% |
| BCBS | PPO | $311.15 | ↓ -80% |
| BCBS | NWB | $311.15 | ↓ -80% |
| BCBS | PHS | $373.07 | ↓ -76% |
| Aetna | PPO | $377.71 | ↓ -76% |
| Cigna | NewBusinessNBN | $407.12 | ↓ -74% |
| Aetna | ASA | $464.40 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $541.80 | ↓ -65% |
| Cigna | HMO | $543.35 | ↓ -65% |
| Cigna | PPO | $543.35 | ↓ -65% |
| Humana | HMO | $572.76 | ↓ -63% |
| Humana | PPO | $619.20 | ↓ -60% |
| United PPO | OptionsPPO | $681.12 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $696.60 | ↓ -55% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 5) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $1,485.35 | not published |
| Adventhealth Daytona Beach | Daytona Beach | $486.05 | not published |
| Adventhealth Lake Wales | Lake Wales | $828.10 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,062.55 | not published |
| Adventhealth Tampa | Tampa | $951.11 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $637.55 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $1,107.88 | not published |
| cleveland clinic florida weston hospital | Weston | $728.00 | $50.40 – $560.00 |