Ins/rpl pm w/tv ld atrl 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.
$465.98 with Prime Health vs $60,389.00 with Aetna — 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 | $465.98 | — |
| Molina | MCR | $1,950.00 | — |
| Freedom Health | MGMCR | $2,350.00 | — |
| BCBS | MBN | $15,535.00 | — |
| BCBS | SBN | $15,535.00 | — |
| BCBS | BSL | $15,535.00 | — |
| AvMed | HIX | $18,863.00 | — |
| Cigna | NewBusinessNBN | $20,100.00 | — |
| BCBS | NWB | $23,689.00 | — |
| BCBS | PPO | $23,689.00 | — |
| BCBS | HMO | $23,866.00 | — |
| BCBS | PHS | $24,677.00 | — |
| Cigna | HMO | $27,002.00 | — |
| Cigna | PPO | $27,002.00 | — |
| United | AllPayerAppendix | $32,000.00 | — |
| Humana | HMO | $33,333.00 | — |
| Humana | PPO | $38,887.00 | — |
| AvMed | Empower | $40,980.00 | — |
| AvMed | FullyInsured | $40,980.00 | — |
| AvMed | Focus | $40,980.00 | — |
| AvMed | Flex | $40,980.00 | — |
| AvMed | Engage | $40,980.00 | — |
| AvMed | Select | $40,980.00 | — |
| Simply Healthcare | HIX | $42,205.00 | — |
| Oscar | HIX | $42,516.00 | — |
| AvMed | ASOEO | $45,016.00 | — |
| Aetna | QHP | $49,158.00 | — |
| Aetna | HMO | $60,024.00 | — |
| Aetna | PPO | $60,389.00 | — |
Visitor-reported prices
Comments
Ins/rpl pm w/tv ld atrl at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $51,406.62 | $11,187.67 – $24,804.97 |
| Adventhealth Daytona Beach | Daytona Beach | $38,571.42 | not published |
| Adventhealth Tampa | Tampa | $14,994.38 | $10,914.80 – $24,230.85 |
| cleveland clinic florida weston hospital | Weston | $21,850.40 | $343.92 – $28,573.60 |
| martin north hospital | Stuart | $21,850.40 | $343.92 – $16,808.00 |
| Baptist Hospital | MIAMI | $20,861.10 | $173.17 – $28,884.60 |
| Bethesda Hospital East | BOYNTON BEACH | $20,861.10 | $3,651.00 – $28,884.60 |
| Boca Raton Regional Hospital | BOCA RATON | $18,512.00 | $4,587.00 – $18,597.44 |