Gastroplasty duodenal switch 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.
$1,224.32 with Prime Health vs $38,433.00 with Aetna — 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 | $1,224.32 | — |
| Molina | MCR | $1,950.00 | — |
| Freedom Health | MGMCR | $2,350.00 | — |
| AvMed | HIX | $15,237.00 | — |
| BCBS | BSL | $15,831.00 | — |
| BCBS | SBN | $15,831.00 | — |
| BCBS | MBN | $15,831.00 | — |
| Oscar | HIX | $16,798.00 | — |
| Simply Healthcare | HIX | $19,617.00 | — |
| BCBS | HMO | $24,317.00 | — |
| BCBS | PPO | $25,077.00 | — |
| BCBS | NWB | $25,077.00 | — |
| Humana | PPO | $27,777.00 | — |
| Humana | HMO | $27,777.00 | — |
| Cigna | NewBusinessNBN | $27,916.00 | — |
| Aetna | QHP | $28,478.00 | — |
| United | AllPayerAppendix | $30,000.00 | — |
| BCBS | PHS | $30,469.00 | — |
| AvMed | FullyInsured | $33,913.00 | — |
| AvMed | Select | $33,913.00 | — |
| AvMed | Empower | $33,913.00 | — |
| AvMed | Engage | $33,913.00 | — |
| AvMed | Flex | $33,913.00 | — |
| AvMed | Focus | $33,913.00 | — |
| Aetna | HMO | $34,772.00 | — |
| AvMed | ASOEO | $37,254.00 | — |
| Cigna | PPO | $37,502.00 | — |
| Cigna | HMO | $37,502.00 | — |
| Aetna | PPO | $38,433.00 | — |
Visitor-reported prices
Comments
Gastroplasty duodenal switch at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $8,658.00 | $1,100.12 – $13,320.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $1,306.78 – $1,334.29 |
| martin north hospital | Stuart | not published | $3,308.42 – $3,970.10 |
| indian river hospital | Vero Beach | not published | $3,143.00 – $3,970.10 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $1,326.57 – $1,354.50 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $1,372.08 – $1,400.96 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $1,424.83 – $1,454.83 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | not published | $1,215.76 – $1,279.75 |