Kidney function study at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$4,312.00
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.
$4,312.00
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.
$370.83 with Freedom Health vs $2,156.00 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 | $370.83 | ↓ -91% |
| AvMed | HIX | $560.56 | ↓ -87% |
| Molina | MCR | $819.28 | ↓ -81% |
| United | AllPayerAppendix | $848.52 | ↓ -80% |
| AvMed | FullyInsured | $1,034.88 | ↓ -76% |
| AvMed | Select | $1,121.12 | ↓ -74% |
| AvMed | Focus | $1,121.12 | ↓ -74% |
| AvMed | Flex | $1,121.12 | ↓ -74% |
| AvMed | Engage | $1,121.12 | ↓ -74% |
| AvMed | Empower | $1,121.12 | ↓ -74% |
| AvMed | ASOEO | $1,207.36 | ↓ -72% |
| Aetna | ASA | $1,293.60 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $1,509.20 | ↓ -65% |
| Humana | HMO | $1,595.44 | ↓ -63% |
| Humana | PPO | $1,724.80 | ↓ -60% |
| United PPO | OptionsPPO | $1,897.28 | ↓ -56% |
| Prime Health | WORKERSCOMP | $1,898.11 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $1,940.40 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $2,156.00 | ↓ -50% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Kidney function study at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | not published | $427.91 – $948.75 |
| cleveland clinic florida weston hospital | Weston | $2,351.70 | $14.91 – $459.22 |
| martin north hospital | Stuart | $98.80 | $13.34 – $459.22 |
| indian river hospital | Vero Beach | $98.80 | $13.82 – $459.22 |
| Baptist Hospital | MIAMI | $1,064.05 | $173.17 – $1,473.30 |
| Bethesda Hospital East | BOYNTON BEACH | $1,064.05 | $234.02 – $1,473.30 |
| Doctors Hospital | CORAL GABLES | $1,064.05 | $226.86 – $1,473.30 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $1,064.05 | $226.86 – $1,473.30 |