Kidney imag w/bld flow multi at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$11,496.00
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.
$11,496.00
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.
$988.66 with Freedom Health vs $5,748.00 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 | $988.66 | ↓ -91% |
| United | AllPayerAppendix | $1,101.15 | ↓ -90% |
| AvMed | HIX | $1,494.48 | ↓ -87% |
| Prime Health | WORKERSCOMP | $1,898.11 | ↓ -83% |
| Molina | MCR | $2,184.24 | ↓ -81% |
| AvMed | FullyInsured | $2,759.04 | ↓ -76% |
| AvMed | Engage | $2,988.96 | ↓ -74% |
| AvMed | Focus | $2,988.96 | ↓ -74% |
| AvMed | Flex | $2,988.96 | ↓ -74% |
| AvMed | Select | $2,988.96 | ↓ -74% |
| AvMed | Empower | $2,988.96 | ↓ -74% |
| AvMed | ASOEO | $3,218.88 | ↓ -72% |
| Aetna | ASA | $3,448.80 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $4,023.60 | ↓ -65% |
| Humana | HMO | $4,253.52 | ↓ -63% |
| Humana | PPO | $4,598.40 | ↓ -60% |
| United PPO | OptionsPPO | $5,058.24 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $5,173.20 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $5,748.00 | ↓ -50% |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Kidney imag w/bld flow multi at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $6,061.04 | $581.19 – $1,288.59 |
| Adventhealth Lake Wales | Lake Wales | $4,988.88 | $564.77 – $1,258.77 |
| Adventhealth Tampa | Tampa | $1,977.66 | $556.92 – $1,258.77 |
| Adventhealth Port Charlotte | Port Charlotte | $5,565.25 | $567.01 – $1,035.36 |
| cleveland clinic florida weston hospital | Weston | $3,384.55 | $57.23 – $3,946.55 |
| martin north hospital | Stuart | $3,017.95 | $51.21 – $2,321.50 |
| indian river hospital | Vero Beach | $3,017.95 | $51.44 – $3,714.40 |
| Baptist Hospital | MIAMI | $4,563.00 | $173.17 – $6,318.00 |