Lev 2 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.
?
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.
$491.17 with Prime Health vs $7,451.00 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 | $491.17 | — |
| AvMed | HIX | $1,081.00 | — |
| BCBS | SBN | $1,586.00 | — |
| BCBS | MBN | $1,586.00 | — |
| BCBS | BSL | $1,586.00 | — |
| Oscar | HIX | $2,100.00 | — |
| BCBS | HMO | $2,436.00 | — |
| Simply Healthcare | HIX | $2,453.00 | — |
| BCBS | NWB | $2,650.00 | — |
| BCBS | PPO | $2,650.00 | — |
| United | AllPayerAppendix | $3,010.00 | — |
| BCBS | PHS | $3,124.00 | — |
| Cigna | NewBusinessNBN | $5,387.00 | — |
| AvMed | FullyInsured | $6,783.00 | — |
| AvMed | Select | $6,783.00 | — |
| AvMed | Engage | $6,783.00 | — |
| AvMed | Flex | $6,783.00 | — |
| AvMed | Focus | $6,783.00 | — |
| AvMed | Empower | $6,783.00 | — |
| Cigna | PPO | $7,272.00 | — |
| Cigna | HMO | $7,272.00 | — |
| AvMed | ASOEO | $7,451.00 | — |
Visitor-reported prices
Comments
Lev 2 hosp type b ed visit at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $1,880.35 | $532.19 – $543.39 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness | $2,107.51 | $495.21 – $505.63 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON | $1,214.68 | $532.19 – $543.39 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE | $802.00 | $576.33 – $588.46 |
| HCA FLORIDA TRINITY HOSPITAL | TRINITY | $2,280.57 | $532.19 – $543.39 |
| UCF LAKE NONA HOSPITAL | Orlando | $912.01 | $525.08 – $536.14 |
| cleveland clinic florida weston hospital | Weston | not published | $97.00 – $116.63 |
| martin north hospital | Stuart | not published | $97.00 – $116.63 |