Gi tract capsule endoscopy (pillcam) 91110 at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$15,543.00
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.
$15,543.00
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.
$183.51 with Prime Health vs $15,600.00 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 | $183.51 | ↓ -99% |
| Freedom Health | MGMCR | $1,336.70 | ↓ -91% |
| AvMed | HIX | $2,020.59 | ↓ -87% |
| BCBS | BSL | $2,113.85 | ↓ -86% |
| BCBS | MBN | $2,113.85 | ↓ -86% |
| BCBS | SBN | $2,113.85 | ↓ -86% |
| BCBS | HMO | $2,937.63 | ↓ -81% |
| Molina | MCR | $2,953.17 | ↓ -81% |
| BCBS | NWB | $3,124.14 | ↓ -80% |
| BCBS | PPO | $3,124.14 | ↓ -80% |
| AvMed | FullyInsured | $3,730.32 | ↓ -76% |
| BCBS | PHS | $3,745.86 | ↓ -76% |
| AvMed | Empower | $4,041.18 | ↓ -74% |
| AvMed | Focus | $4,041.18 | ↓ -74% |
| AvMed | Flex | $4,041.18 | ↓ -74% |
| AvMed | Engage | $4,041.18 | ↓ -74% |
| AvMed | Select | $4,041.18 | ↓ -74% |
| Cigna | NewBusinessNBN | $4,087.81 | ↓ -74% |
| AvMed | ASOEO | $4,352.04 | ↓ -72% |
| Aetna | ASA | $4,662.90 | ↓ -70% |
| Simply Healthcare | HIX | $4,989.00 | ↓ -68% |
| Oscar | HIX | $5,336.00 | ↓ -66% |
| Office of Sheiff Highland Co | GVT | $5,440.05 | ↓ -65% |
| Cigna | PPO | $5,455.59 | ↓ -65% |
| Cigna | HMO | $5,455.59 | ↓ -65% |
| United PPO | OptionsPPO | $6,838.92 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $6,994.35 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $7,771.50 | ↓ -50% |
| United | AllPayerAppendix | $15,600.00 | ↑ +0% |
Visitor-reported prices
Comments
Gi tract capsule endoscopy (pillcam) 91110 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | not published | $970.82 – $2,152.48 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $7,140.00 | $195.87 – $199.99 |
| Adventhealth Port Charlotte | Port Charlotte | $4,042.31 | $947.15 – $1,729.49 |
| cleveland clinic florida weston hospital | Weston | $4,145.05 | $108.17 – $4,582.35 |
| martin north hospital | Stuart | $640.90 | $190.79 – $1,227.33 |
| indian river hospital | Vero Beach | $3,504.15 | $181.25 – $4,312.80 |
| Baptist Hospital | MIAMI | $2,484.95 | $173.17 – $3,440.70 |
| Bethesda Hospital East | BOYNTON BEACH | $2,484.95 | $227.47 – $3,440.70 |