Initiation & management bipap/cpap initial day at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$859.00
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.
$859.00
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.
$52.38 with Prime Health vs $429.50 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 |
|---|---|---|---|
| Prime Health | WORKERSCOMP | $52.38 | ↓ -94% |
| Freedom Health | MGMCR | $73.87 | ↓ -91% |
| AvMed | HIX | $111.67 | ↓ -87% |
| BCBS | SBN | $116.82 | ↓ -86% |
| BCBS | MBN | $116.82 | ↓ -86% |
| BCBS | BSL | $116.82 | ↓ -86% |
| Aetna | QHP | $149.47 | ↓ -83% |
| BCBS | HMO | $162.35 | ↓ -81% |
| Molina | MCR | $163.21 | ↓ -81% |
| Oscar | HIX | $163.21 | ↓ -81% |
| Aetna | HMO | $167.50 | ↓ -81% |
| BCBS | NWB | $172.66 | ↓ -80% |
| BCBS | PPO | $172.66 | ↓ -80% |
| Simply Healthcare | HIX | $201.87 | ↓ -76% |
| AvMed | FullyInsured | $206.16 | ↓ -76% |
| BCBS | PHS | $207.02 | ↓ -76% |
| Aetna | PPO | $209.60 | ↓ -76% |
| AvMed | Engage | $223.34 | ↓ -74% |
| AvMed | Focus | $223.34 | ↓ -74% |
| AvMed | Flex | $223.34 | ↓ -74% |
| AvMed | Select | $223.34 | ↓ -74% |
| AvMed | Empower | $223.34 | ↓ -74% |
| Cigna | NewBusinessNBN | $225.92 | ↓ -74% |
| AvMed | ASOEO | $240.52 | ↓ -72% |
| Aetna | ASA | $257.70 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $300.65 | ↓ -65% |
| Cigna | HMO | $301.51 | ↓ -65% |
| Cigna | PPO | $301.51 | ↓ -65% |
| Humana | HMO | $317.83 | ↓ -63% |
| Humana | PPO | $343.60 | ↓ -60% |
| United PPO | OptionsPPO | $377.96 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $386.55 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $429.50 | ↓ -50% |
Visitor-reported prices
Comments
Initiation & management bipap/cpap initial day at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $645.79 | not published |
| Adventhealth Daytona Beach | Daytona Beach | $737.26 | $217.24 – $381.66 |
| Adventhealth Lake Wales | Lake Wales | $1,629.08 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,351.16 | not published |
| Adventhealth Tampa | Tampa | $1,785.80 | $228.67 – $507.65 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $2,071.27 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $915.00 | $51.30 – $52.38 |
| Adventhealth Port Charlotte | Port Charlotte | $2,460.73 | $228.67 – $417.56 |