Lung function test (mbc/mvv) at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$351.00
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.
$351.00
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.
$18.43 with Prime Health vs $175.50 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 |
|---|---|---|---|
| Prime Health | WORKERSCOMP | $18.43 | ↓ -95% |
| Freedom Health | MGMCR | $30.19 | ↓ -91% |
| AvMed | HIX | $45.63 | ↓ -87% |
| Aetna | QHP | $61.07 | ↓ -83% |
| Oscar | HIX | $66.69 | ↓ -81% |
| Molina | MCR | $66.69 | ↓ -81% |
| Aetna | HMO | $68.44 | ↓ -81% |
| Simply Healthcare | HIX | $82.48 | ↓ -77% |
| AvMed | FullyInsured | $84.24 | ↓ -76% |
| Aetna | PPO | $85.64 | ↓ -76% |
| AvMed | Empower | $91.26 | ↓ -74% |
| AvMed | Focus | $91.26 | ↓ -74% |
| AvMed | Flex | $91.26 | ↓ -74% |
| AvMed | Engage | $91.26 | ↓ -74% |
| AvMed | Select | $91.26 | ↓ -74% |
| Cigna | NewBusinessNBN | $92.31 | ↓ -74% |
| AvMed | ASOEO | $98.28 | ↓ -72% |
| Aetna | ASA | $105.30 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $122.85 | ↓ -65% |
| Cigna | HMO | $123.20 | ↓ -65% |
| Cigna | PPO | $123.20 | ↓ -65% |
| Humana | HMO | $129.87 | ↓ -63% |
| Humana | PPO | $140.40 | ↓ -60% |
| United PPO | OptionsPPO | $154.44 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $157.95 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $175.50 | ↓ -50% |
Visitor-reported prices
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Lung function test (mbc/mvv) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $840.90 | $63.14 – $140.00 |
| Adventhealth Daytona Beach | Daytona Beach | $190.11 | $58.52 – $102.82 |
| Adventhealth Lake Wales | Lake Wales | $513.99 | $61.60 – $136.76 |
| Adventhealth Palm Coast Parkway | Palm Coast | $218.61 | $58.52 – $131.58 |
| Adventhealth Tampa | Tampa | $670.29 | $61.60 – $136.76 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $298.60 | $58.52 – $134.57 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $745.00 | $18.05 – $18.43 |
| Adventhealth Port Charlotte | Port Charlotte | $248.20 | $61.60 – $112.49 |