Kras gene addl variants at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$42.66
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.
$42.66
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.
$3.67 with Freedom Health vs $436.74 with Simply Healthcare — 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 | $3.67 | ↓ -91% |
| AvMed | HIX | $5.55 | ↓ -87% |
| Molina | MCR | $8.11 | ↓ -81% |
| AvMed | FullyInsured | $10.24 | ↓ -76% |
| AvMed | Select | $11.09 | ↓ -74% |
| AvMed | Focus | $11.09 | ↓ -74% |
| AvMed | Flex | $11.09 | ↓ -74% |
| AvMed | Engage | $11.09 | ↓ -74% |
| AvMed | Empower | $11.09 | ↓ -74% |
| AvMed | ASOEO | $11.94 | ↓ -72% |
| Aetna | ASA | $12.80 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $14.93 | ↓ -65% |
| Humana | HMO | $15.78 | ↓ -63% |
| Humana | PPO | $17.06 | ↓ -60% |
| United PPO | OptionsPPO | $18.77 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $19.20 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $21.33 | ↓ -50% |
| Prime Health | WORKERSCOMP | $98.50 | ↑ +131% |
| HUMANA | MGMCRHMO | $193.25 | ↑ +353% |
| United | GVT | $193.25 | ↑ +353% |
| United | AllPayerAppendix | $193.25 | ↑ +353% |
| Devoted Health | MCR | $193.25 | ↑ +353% |
| HUMANA | MGMCRPPO | $193.25 | ↑ +353% |
| Wellmed | MGMCR | $193.25 | ↑ +353% |
| NDMS Definitive Care | MGMCR | $193.25 | ↑ +353% |
| United | MCR | $197.12 | ↑ +362% |
| BCBS | MCRHMO | $197.12 | ↑ +362% |
| BCBS | MCRPPO | $197.12 | ↑ +362% |
| Aetna | MCR | $199.05 | ↑ +367% |
| Sunshine State | MCR | $202.91 | ↑ +376% |
| Prominence HealthFirst | MCRHMO | $202.91 | ↑ +376% |
| American Health Plan | MCR | $204.84 | ↑ +380% |
| Cigna Healthspring | MCR | $206.78 | ↑ +385% |
| Florida Complete Care | MCR | $206.78 | ↑ +385% |
| Sunshine State | MCD | $212.58 | ↑ +398% |
| Centurion | GVT | $212.58 | ↑ +398% |
| Longevity Health Plan | MCR | $231.90 | ↑ +444% |
| AmeriHealth Caritas | MGMCR | $231.90 | ↑ +444% |
| Oscar | HIX | $372.97 | ↑ +774% |
| Simply Healthcare | HIX | $436.74 | ↑ +924% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Kras gene addl variants at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | not published | $198.08 – $439.18 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $334.00 | $105.14 – $280.21 |
| Adventhealth Port Charlotte | Port Charlotte | $1,291.08 | $193.25 – $352.87 |
| cleveland clinic florida weston hospital | Weston | $393.25 | $76.88 – $297.99 |
| martin north hospital | Stuart | $393.25 | $69.73 – $238.00 |
| indian river hospital | Vero Beach | $313.95 | $76.88 – $386.40 |
| Boca Raton Regional Hospital | BOCA RATON | $588.25 | $64.08 – $185.12 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD | $166.25 | $105.31 – $301.47 |