Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug 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.
$40.74 with Prime Health vs $263.00 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 |
|---|---|---|---|
| Prime Health | WORKERSCOMP | $40.74 | — |
| Freedom Health | MGMCR | $45.24 | — |
| AvMed | HIX | $68.38 | — |
| BCBS | SBN | $71.54 | — |
| BCBS | MBN | $71.54 | — |
| BCBS | BSL | $71.54 | — |
| Aetna | QHP | $91.52 | — |
| BCBS | HMO | $99.41 | — |
| Molina | MCR | $99.94 | — |
| Oscar | HIX | $99.94 | — |
| Aetna | HMO | $102.57 | — |
| BCBS | NWB | $105.73 | — |
| BCBS | PPO | $105.73 | — |
| Simply Healthcare | HIX | $123.61 | — |
| AvMed | FullyInsured | $126.24 | — |
| BCBS | PHS | $126.77 | — |
| Aetna | PPO | $128.34 | — |
| AvMed | Engage | $136.76 | — |
| AvMed | Focus | $136.76 | — |
| AvMed | Flex | $136.76 | — |
| AvMed | Select | $136.76 | — |
| AvMed | Empower | $136.76 | — |
| Cigna | NewBusinessNBN | $138.34 | — |
| AvMed | ASOEO | $147.28 | — |
| Aetna | ASA | $157.80 | — |
| Office of Sheiff Highland Co | GVT | $184.10 | — |
| Cigna | HMO | $184.63 | — |
| Cigna | PPO | $184.63 | — |
| Humana | HMO | $194.62 | — |
| Humana | PPO | $210.40 | — |
| United PPO | OptionsPPO | $231.44 | — |
| United | GlobalBenefitPlanAppendix | $236.70 | — |
| AvMed | JacksonFirstNetworkOON | $263.00 | — |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $426.04 | $227.67 – $504.79 |
| Adventhealth Daytona Beach | Daytona Beach | $196.20 | $211.02 – $370.72 |
| Adventhealth Lake Wales | Lake Wales | $1,563.84 | $222.12 – $493.11 |
| Adventhealth Palm Coast Parkway | Palm Coast | $198.37 | $211.02 – $474.43 |
| Adventhealth Tampa | Tampa | $479.72 | $222.12 – $493.11 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $302.60 | $211.02 – $485.22 |
| Adventhealth Port Charlotte | Port Charlotte | $803.95 | $222.12 – $405.59 |
| cleveland clinic florida weston hospital | Weston | $1,181.70 | $26.81 – $244.33 |