Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$11.11
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.
$11.11
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.
$0.96 with Freedom Health vs $94.46 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 | $0.96 | ↓ -91% |
| AvMed | HIX | $1.44 | ↓ -87% |
| Molina | MCR | $2.11 | ↓ -81% |
| AvMed | FullyInsured | $2.67 | ↓ -76% |
| AvMed | Engage | $2.89 | ↓ -74% |
| AvMed | Select | $2.89 | ↓ -74% |
| AvMed | Focus | $2.89 | ↓ -74% |
| AvMed | Flex | $2.89 | ↓ -74% |
| AvMed | Empower | $2.89 | ↓ -74% |
| AvMed | ASOEO | $3.11 | ↓ -72% |
| Aetna | ASA | $3.33 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $3.89 | ↓ -65% |
| Humana | HMO | $4.11 | ↓ -63% |
| Humana | PPO | $4.44 | ↓ -60% |
| United PPO | OptionsPPO | $4.89 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $5.00 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $5.55 | ↓ -50% |
| United | GVT | $13.42 | ↑ +21% |
| United | AllPayerAppendix | $13.42 | ↑ +21% |
| Devoted Health | MCR | $13.42 | ↑ +21% |
| HUMANA | MGMCRHMO | $13.42 | ↑ +21% |
| HUMANA | MGMCRPPO | $13.42 | ↑ +21% |
| NDMS Definitive Care | MGMCR | $13.42 | ↑ +21% |
| Wellmed | MGMCR | $13.42 | ↑ +21% |
| BCBS | MCRHMO | $13.69 | ↑ +23% |
| United | MCR | $13.69 | ↑ +23% |
| BCBS | MCRPPO | $13.69 | ↑ +23% |
| Aetna | MCR | $13.82 | ↑ +24% |
| Prominence HealthFirst | MCRHMO | $14.09 | ↑ +27% |
| Sunshine State | MCR | $14.09 | ↑ +27% |
| American Health Plan | MCR | $14.23 | ↑ +28% |
| Florida Complete Care | MCR | $14.36 | ↑ +29% |
| Cigna Healthspring | MCR | $14.36 | ↑ +29% |
| Sunshine State | MCD | $14.76 | ↑ +33% |
| Centurion | GVT | $14.76 | ↑ +33% |
| Longevity Health Plan | MCR | $16.10 | ↑ +45% |
| AmeriHealth Caritas | MGMCR | $16.10 | ↑ +45% |
| Oscar | HIX | $25.90 | ↑ +133% |
| Simply Healthcare | HIX | $30.33 | ↑ +173% |
| Prime Health | WORKERSCOMP | $94.46 | ↑ +750% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | not published | $13.76 – $30.50 |
| Adventhealth Lake Wales | Lake Wales | $42.27 | $13.42 – $29.79 |
| Adventhealth Port Charlotte | Port Charlotte | $98.60 | $13.42 – $24.50 |
| martin north hospital | Stuart | $42.25 | $4.23 – $48.75 |
| Boca Raton Regional Hospital | BOCA RATON | $102.05 | $13.42 – $41.79 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH | $124.00 | $13.29 – $112.24 |
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION | $74.00 | $13.29 – $113.17 |
| HCA FLORIDA PUTNAM HOSPITAL | Palatka | $362.25 | $12.16 – $99.87 |