IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$73.72 with Prime Health vs $656.00 with AvMed — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $73.72 | — |
| Freedom Health | MGMCR | $112.83 | — |
| AvMed | HIX | $170.56 | — |
| Aetna | QHP | $228.29 | — |
| Oscar | HIX | $249.28 | — |
| Molina | MCR | $249.28 | — |
| Aetna | HMO | $255.84 | — |
| Simply Healthcare | HIX | $308.32 | — |
| AvMed | FullyInsured | $314.88 | — |
| Aetna | PPO | $320.13 | — |
| AvMed | Empower | $341.12 | — |
| AvMed | Focus | $341.12 | — |
| AvMed | Flex | $341.12 | — |
| AvMed | Engage | $341.12 | — |
| AvMed | Select | $341.12 | — |
| Cigna | NewBusinessNBN | $345.06 | — |
| AvMed | ASOEO | $367.36 | — |
| Aetna | ASA | $393.60 | — |
| Office of Sheiff Highland Co | GVT | $459.20 | — |
| Cigna | HMO | $460.51 | — |
| Cigna | PPO | $460.51 | — |
| Humana | HMO | $485.44 | — |
| Humana | PPO | $524.80 | — |
| United PPO | OptionsPPO | $577.28 | — |
| United | GlobalBenefitPlanAppendix | $590.40 | — |
| AvMed | JacksonFirstNetworkOON | $656.00 | — |
Visitor-reported prices
Comments
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $1,065.07 | $227.67 – $504.79 |
| Adventhealth Daytona Beach | Daytona Beach | $965.64 | $211.02 – $370.72 |
| Adventhealth Lake Wales | Lake Wales | $1,563.84 | $222.12 – $493.11 |
| Adventhealth Palm Coast Parkway | Palm Coast | $976.31 | $211.02 – $474.43 |
| Adventhealth Tampa | Tampa | $964.75 | $222.12 – $493.11 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $792.51 | $211.02 – $485.22 |
| Adventhealth Port Charlotte | Port Charlotte | $1,390.46 | $222.12 – $405.59 |
| cleveland clinic florida weston hospital | Weston | $273.65 | $45.70 – $357.85 |