Foam drg > 48 sq in without brdr at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
not published by hospital
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.
not published by hospital
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.
$41.86 with Devoted Health vs $50.23 with Longevity Health Plan — 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 |
|---|---|---|---|
| Devoted Health | MCR | $41.86 | — |
| United | GVT | $41.86 | — |
| HUMANA | MGMCRHMO | $41.86 | — |
| HUMANA | MGMCRPPO | $41.86 | — |
| NDMS Definitive Care | MGMCR | $41.86 | — |
| Wellmed | MGMCR | $41.86 | — |
| BCBS | MCRHMO | $42.70 | — |
| BCBS | MCRPPO | $42.70 | — |
| United | MCR | $42.70 | — |
| Aetna | MCR | $43.12 | — |
| Sunshine State | MCR | $43.95 | — |
| Prominence HealthFirst | MCRHMO | $43.95 | — |
| American Health Plan | MCR | $44.37 | — |
| Cigna Healthspring | MCR | $44.79 | — |
| Florida Complete Care | MCR | $44.79 | — |
| Centurion | GVT | $46.05 | — |
| Sunshine State | MCD | $46.05 | — |
| AmeriHealth Caritas | MGMCR | $50.23 | — |
| Longevity Health Plan | MCR | $50.23 | — |
Visitor-reported prices
Comments
Foam drg > 48 sq in without brdr at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $85.15 | $22.66 – $173.17 |
| Bethesda Hospital East | BOYNTON BEACH | $85.15 | $26.33 – $117.90 |
| Doctors Hospital | CORAL GABLES | $85.15 | $22.93 – $117.90 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $85.15 | $22.79 – $117.90 |
| Fishermens Community Hospital | MARATHON | $85.15 | $21.88 – $117.90 |
| Homestead Hospital | HOMESTEAD | $85.15 | $22.27 – $167.89 |
| Mariners Hospital | TAVERNIER | $85.15 | $22.66 – $117.90 |
| West Kendall Baptist Hospital | MIAMI | $85.15 | $22.40 – $117.90 |