Lev 1 hosp type b ed visit 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.
$190.71 with Prime Health vs $7,272.00 with Cigna — 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 | $190.71 | — |
| AvMed | HIX | $693.00 | — |
| Oscar | HIX | $875.00 | — |
| Simply Healthcare | HIX | $1,020.00 | — |
| BCBS | MBN | $1,586.00 | — |
| BCBS | BSL | $1,586.00 | — |
| BCBS | SBN | $1,586.00 | — |
| United | AllPayerAppendix | $1,610.00 | — |
| BCBS | HMO | $2,436.00 | — |
| BCBS | PPO | $2,650.00 | — |
| BCBS | NWB | $2,650.00 | — |
| BCBS | PHS | $3,124.00 | — |
| Cigna | NewBusinessNBN | $5,387.00 | — |
| AvMed | Select | $5,653.00 | — |
| AvMed | FullyInsured | $5,653.00 | — |
| AvMed | Focus | $5,653.00 | — |
| AvMed | Empower | $5,653.00 | — |
| AvMed | Engage | $5,653.00 | — |
| AvMed | Flex | $5,653.00 | — |
| AvMed | ASOEO | $6,209.00 | — |
| Cigna | HMO | $7,272.00 | — |
| Cigna | PPO | $7,272.00 | — |
Visitor-reported prices
Comments
Lev 1 hosp type b ed visit at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA CITRUS HOSPITAL | Inverness | $988.42 | $192.28 – $196.33 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON | $908.49 | $206.63 – $210.98 |
| HCA FLORIDA GULF COAST HOSPITAL | PANAMA CITY | $1,333.65 | $189.64 – $199.62 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE | $586.00 | $223.77 – $228.48 |
| HCA FLORIDA POINCIANA HOSPITAL | DAVENPORT | $425.80 | $203.88 – $214.61 |
| HCA FLORIDA OAK HILL HOSPITAL | BROOKSVILLE | $1,042.80 | $206.63 – $210.98 |
| HCA FLORIDA TRINITY HOSPITAL | TRINITY | $928.70 | $206.63 – $210.98 |
| HCA FLORIDA UNIVERSITY HOSPITAL | Davie | $1,201.00 | $228.48 – $228.48 |