Hcg qualitative 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.
$7.52 with NDMS Definitive Care vs $222.00 with AvMed — 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 |
|---|---|---|---|
| NDMS Definitive Care | MGMCR | $7.52 | — |
| Wellmed | MGMCR | $7.52 | — |
| Devoted Health | MCR | $7.52 | — |
| HUMANA | MGMCRPPO | $7.52 | — |
| HUMANA | MGMCRHMO | $7.52 | — |
| United | GVT | $7.52 | — |
| United | AllPayerAppendix | $7.52 | — |
| BCBS | MCRPPO | $7.67 | — |
| United | MCR | $7.67 | — |
| BCBS | MCRHMO | $7.67 | — |
| Aetna | MCR | $7.75 | — |
| Prominence HealthFirst | MCRHMO | $7.90 | — |
| Sunshine State | MCR | $7.90 | — |
| American Health Plan | MCR | $7.97 | — |
| Florida Complete Care | MCR | $8.05 | — |
| Cigna Healthspring | MCR | $8.05 | — |
| Sunshine State | MCD | $8.27 | — |
| Centurion | GVT | $8.27 | — |
| Longevity Health Plan | MCR | $9.02 | — |
| AmeriHealth Caritas | MGMCR | $9.02 | — |
| Oscar | HIX | $14.51 | — |
| Simply Healthcare | HIX | $17.00 | — |
| Freedom Health | MGMCR | $38.18 | — |
| AvMed | HIX | $57.72 | — |
| Molina | MCR | $84.36 | — |
| AvMed | FullyInsured | $106.56 | — |
| Prime Health | WORKERSCOMP | $109.75 | — |
| AvMed | Select | $115.44 | — |
| AvMed | Empower | $115.44 | — |
| AvMed | Engage | $115.44 | — |
| AvMed | Flex | $115.44 | — |
| AvMed | Focus | $115.44 | — |
| AvMed | ASOEO | $124.32 | — |
| Aetna | ASA | $133.20 | — |
| Office of Sheiff Highland Co | GVT | $155.40 | — |
| Humana | HMO | $164.28 | — |
| Humana | PPO | $177.60 | — |
| United PPO | OptionsPPO | $195.36 | — |
| United | GlobalBenefitPlanAppendix | $199.80 | — |
| AvMed | JacksonFirstNetworkOON | $222.00 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Hcg qualitative at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $280.71 | $7.71 – $17.09 |
| Adventhealth Daytona Beach | Daytona Beach | $186.83 | $7.14 – $12.55 |
| Adventhealth Lake Wales | Lake Wales | $565.54 | $7.52 – $16.69 |
| Adventhealth Palm Coast Parkway | Palm Coast | $197.74 | $7.14 – $16.06 |
| Adventhealth Tampa | Tampa | $400.94 | $7.52 – $16.69 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $72.18 | $7.14 – $16.43 |
| Adventhealth Port Charlotte | Port Charlotte | $55.40 | $7.52 – $13.73 |
| cleveland clinic florida weston hospital | Weston | $61.10 | $2.59 – $68.85 |