Factor ix recombinant nos at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$13.00
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.
$13.00
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.
$1.12 with Freedom Health vs $6.50 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 |
|---|---|---|---|
| Freedom Health | MGMCR | $1.12 | ↓ -91% |
| BCBS | BSL | $1.77 | ↓ -86% |
| BCBS | MBN | $1.77 | ↓ -86% |
| BCBS | SBN | $1.77 | ↓ -86% |
| BCBS | HMO | $2.46 | ↓ -81% |
| BCBS | NWB | $2.61 | ↓ -80% |
| BCBS | PPO | $2.61 | ↓ -80% |
| United | AllPayerAppendix | $3.02 | ↓ -77% |
| BCBS | PHS | $3.13 | ↓ -76% |
| Aetna | ASA | $3.90 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $4.55 | ↓ -65% |
| United PPO | OptionsPPO | $5.72 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $5.85 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $6.50 | ↓ -50% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Factor ix recombinant nos at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $7.00 | $1.79 – $3.93 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $1.60 | $2.76 – $3.05 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City | $1.57 | $2.26 – $2.76 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | $10.00 | $1.79 – $4.85 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness | $6.00 | $1.79 – $3.93 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | $8.00 | $1.79 – $3.02 |
| HCA FLORIDA OAK HILL HOSPITAL | BROOKSVILLE | $7.00 | $1.79 – $3.93 |
| HCA FLORIDA WOODMONT HOSPITAL | TAMARAC | $11.00 | $1.79 – $3.02 |