Immunoassay tumor antigen quantitative ca 19-9 at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$48.00
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.
$48.00
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.
$4.13 with Freedom Health vs $144.83 with Prime Health — 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 |
|---|---|---|---|
| Freedom Health | MGMCR | $4.13 | ↓ -91% |
| AvMed | HIX | $6.24 | ↓ -87% |
| Molina | MCR | $9.12 | ↓ -81% |
| AvMed | FullyInsured | $11.52 | ↓ -76% |
| AvMed | Flex | $12.48 | ↓ -74% |
| AvMed | Select | $12.48 | ↓ -74% |
| AvMed | Focus | $12.48 | ↓ -74% |
| AvMed | Empower | $12.48 | ↓ -74% |
| AvMed | Engage | $12.48 | ↓ -74% |
| AvMed | ASOEO | $13.44 | ↓ -72% |
| Aetna | ASA | $14.40 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $16.80 | ↓ -65% |
| Humana | HMO | $17.76 | ↓ -63% |
| Humana | PPO | $19.20 | ↓ -60% |
| United | AllPayerAppendix | $20.81 | ↓ -57% |
| Devoted Health | MCR | $20.81 | ↓ -57% |
| HUMANA | MGMCRHMO | $20.81 | ↓ -57% |
| Wellmed | MGMCR | $20.81 | ↓ -57% |
| HUMANA | MGMCRPPO | $20.81 | ↓ -57% |
| United | GVT | $20.81 | ↓ -57% |
| NDMS Definitive Care | MGMCR | $20.81 | ↓ -57% |
| United PPO | OptionsPPO | $21.12 | ↓ -56% |
| BCBS | MCRHMO | $21.23 | ↓ -56% |
| United | MCR | $21.23 | ↓ -56% |
| BCBS | MCRPPO | $21.23 | ↓ -56% |
| Aetna | MCR | $21.43 | ↓ -55% |
| United | GlobalBenefitPlanAppendix | $21.60 | ↓ -55% |
| Sunshine State | MCR | $21.85 | ↓ -54% |
| Prominence HealthFirst | MCRHMO | $21.85 | ↓ -54% |
| American Health Plan | MCR | $22.06 | ↓ -54% |
| Cigna Healthspring | MCR | $22.27 | ↓ -54% |
| Florida Complete Care | MCR | $22.27 | ↓ -54% |
| Centurion | GVT | $22.89 | ↓ -52% |
| Sunshine State | MCD | $22.89 | ↓ -52% |
| AvMed | JacksonFirstNetworkOON | $24.00 | ↓ -50% |
| AmeriHealth Caritas | MGMCR | $24.97 | ↓ -48% |
| Longevity Health Plan | MCR | $24.97 | ↓ -48% |
| Oscar | HIX | $40.16 | ↓ -16% |
| Simply Healthcare | HIX | $47.03 | ↓ -2% |
| Prime Health | WORKERSCOMP | $144.83 | ↑ +202% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Immunoassay tumor antigen quantitative ca 19-9 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $229.44 | $21.33 – $47.29 |
| Adventhealth Daytona Beach | Daytona Beach | $428.64 | $19.77 – $34.73 |
| Adventhealth Lake Wales | Lake Wales | $72.27 | $20.81 – $46.20 |
| Adventhealth Palm Coast Parkway | Palm Coast | $69.00 | $19.77 – $44.45 |
| Adventhealth Tampa | Tampa | $321.21 | $20.81 – $46.20 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $69.00 | $19.77 – $45.46 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $414.00 | $16.65 – $157.84 |
| Adventhealth Port Charlotte | Port Charlotte | $153.88 | $20.81 – $38.00 |