M.avium-intra dna dir prob 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.
$4.30 with Freedom Health vs $94.46 with Prime Health — 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 |
|---|---|---|---|
| Freedom Health | MGMCR | $4.30 | — |
| AvMed | HIX | $6.50 | — |
| Molina | MCR | $9.50 | — |
| AvMed | FullyInsured | $12.00 | — |
| AvMed | Engage | $13.00 | — |
| AvMed | Select | $13.00 | — |
| AvMed | Focus | $13.00 | — |
| AvMed | Flex | $13.00 | — |
| AvMed | Empower | $13.00 | — |
| AvMed | ASOEO | $14.00 | — |
| Aetna | ASA | $15.00 | — |
| Office of Sheiff Highland Co | GVT | $17.50 | — |
| Humana | HMO | $18.50 | — |
| Humana | PPO | $20.00 | — |
| United PPO | OptionsPPO | $22.00 | — |
| United | GlobalBenefitPlanAppendix | $22.50 | — |
| AvMed | JacksonFirstNetworkOON | $25.00 | — |
| United | GVT | $27.29 | — |
| United | AllPayerAppendix | $27.29 | — |
| Devoted Health | MCR | $27.29 | — |
| HUMANA | MGMCRHMO | $27.29 | — |
| HUMANA | MGMCRPPO | $27.29 | — |
| NDMS Definitive Care | MGMCR | $27.29 | — |
| Wellmed | MGMCR | $27.29 | — |
| BCBS | MCRHMO | $27.84 | — |
| United | MCR | $27.84 | — |
| BCBS | MCRPPO | $27.84 | — |
| Aetna | MCR | $28.11 | — |
| Prominence HealthFirst | MCRHMO | $28.65 | — |
| Sunshine State | MCR | $28.65 | — |
| American Health Plan | MCR | $28.93 | — |
| Florida Complete Care | MCR | $29.20 | — |
| Cigna Healthspring | MCR | $29.20 | — |
| Sunshine State | MCD | $30.02 | — |
| Centurion | GVT | $30.02 | — |
| Longevity Health Plan | MCR | $32.75 | — |
| AmeriHealth Caritas | MGMCR | $32.75 | — |
| Oscar | HIX | $52.67 | — |
| Simply Healthcare | HIX | $61.68 | — |
| Prime Health | WORKERSCOMP | $94.46 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
M.avium-intra dna dir prob at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | not published | $27.97 – $62.02 |
| Adventhealth Port Charlotte | Port Charlotte | $201.88 | $27.29 – $49.83 |
| cleveland clinic florida weston hospital | Weston | $156.00 | $4.02 – $204.00 |
| martin north hospital | Stuart | $156.00 | $4.23 – $180.00 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $22.99 | $24.73 – $104.50 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | $283.00 | $27.02 – $112.24 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD | $58.25 | $24.73 – $106.29 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH | $161.00 | $27.02 – $112.24 |