Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$640.00
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.
$640.00
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.
$55.04 with Freedom Health vs $320.00 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 |
|---|---|---|---|
| Freedom Health | MGMCR | $55.04 | ↓ -91% |
| AvMed | HIX | $83.20 | ↓ -87% |
| BCBS | BSL | $87.04 | ↓ -86% |
| BCBS | SBN | $87.04 | ↓ -86% |
| BCBS | MBN | $87.04 | ↓ -86% |
| Aetna | QHP | $111.36 | ↓ -83% |
| BCBS | HMO | $120.96 | ↓ -81% |
| Oscar | HIX | $121.60 | ↓ -81% |
| Molina | MCR | $121.60 | ↓ -81% |
| Aetna | HMO | $124.80 | ↓ -81% |
| BCBS | NWB | $128.64 | ↓ -80% |
| BCBS | PPO | $128.64 | ↓ -80% |
| Simply Healthcare | HIX | $150.40 | ↓ -77% |
| AvMed | FullyInsured | $153.60 | ↓ -76% |
| BCBS | PHS | $154.24 | ↓ -76% |
| Aetna | PPO | $156.16 | ↓ -76% |
| AvMed | Flex | $166.40 | ↓ -74% |
| AvMed | Select | $166.40 | ↓ -74% |
| AvMed | Focus | $166.40 | ↓ -74% |
| AvMed | Empower | $166.40 | ↓ -74% |
| AvMed | Engage | $166.40 | ↓ -74% |
| Cigna | NewBusinessNBN | $168.32 | ↓ -74% |
| AvMed | ASOEO | $179.20 | ↓ -72% |
| Aetna | ASA | $192.00 | ↓ -70% |
| Prime Health | WORKERSCOMP | $215.00 | ↓ -66% |
| Office of Sheiff Highland Co | GVT | $224.00 | ↓ -65% |
| Cigna | HMO | $224.64 | ↓ -65% |
| Cigna | PPO | $224.64 | ↓ -65% |
| Humana | HMO | $236.80 | ↓ -63% |
| Humana | PPO | $256.00 | ↓ -60% |
| United PPO | OptionsPPO | $281.60 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $288.00 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $320.00 | ↓ -50% |
Visitor-reported prices
Comments
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $2,281.34 | not published |
| Adventhealth Daytona Beach | Daytona Beach | $644.16 | $217.24 – $381.66 |
| Adventhealth Palm Coast Parkway | Palm Coast | $693.72 | not published |
| Adventhealth Tampa | Tampa | $1,819.13 | $228.67 – $507.65 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $604.74 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $351.71 | $228.67 – $417.56 |
| cleveland clinic florida weston hospital | Weston | $760.50 | $38.83 – $994.50 |
| martin north hospital | Stuart | $760.50 | $40.87 – $585.00 |