Mayo infectious agent antigen immunoassay direct optical observation cryptococcus 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.
$3.54 with Freedom Health vs $104.35 with Prime Health — 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 | $3.54 | — |
| AvMed | HIX | $5.35 | — |
| Molina | MCR | $7.82 | — |
| AvMed | FullyInsured | $9.88 | — |
| AvMed | Focus | $10.70 | — |
| AvMed | Flex | $10.70 | — |
| AvMed | Engage | $10.70 | — |
| AvMed | Empower | $10.70 | — |
| AvMed | Select | $10.70 | — |
| AvMed | ASOEO | $11.52 | — |
| Aetna | ASA | $12.35 | — |
| Office of Sheiff Highland Co | GVT | $14.41 | — |
| Humana | HMO | $15.23 | — |
| United | GVT | $16.07 | — |
| United | AllPayerAppendix | $16.07 | — |
| Devoted Health | MCR | $16.07 | — |
| HUMANA | MGMCRHMO | $16.07 | — |
| HUMANA | MGMCRPPO | $16.07 | — |
| NDMS Definitive Care | MGMCR | $16.07 | — |
| Wellmed | MGMCR | $16.07 | — |
| BCBS | MCRPPO | $16.39 | — |
| BCBS | MCRHMO | $16.39 | — |
| United | MCR | $16.39 | — |
| Humana | PPO | $16.46 | — |
| Aetna | MCR | $16.55 | — |
| Sunshine State | MCR | $16.87 | — |
| Prominence HealthFirst | MCRHMO | $16.87 | — |
| American Health Plan | MCR | $17.03 | — |
| Florida Complete Care | MCR | $17.19 | — |
| Cigna Healthspring | MCR | $17.19 | — |
| Centurion | GVT | $17.68 | — |
| Sunshine State | MCD | $17.68 | — |
| United PPO | OptionsPPO | $18.11 | — |
| United | GlobalBenefitPlanAppendix | $18.52 | — |
| Longevity Health Plan | MCR | $19.28 | — |
| AmeriHealth Caritas | MGMCR | $19.28 | — |
| AvMed | JacksonFirstNetworkOON | $20.58 | — |
| Oscar | HIX | $31.02 | — |
| Simply Healthcare | HIX | $36.32 | — |
| Prime Health | WORKERSCOMP | $104.35 | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $202.18 | $16.47 – $36.52 |
| Adventhealth Daytona Beach | Daytona Beach | $267.33 | $15.27 – $26.82 |
| Adventhealth Lake Wales | Lake Wales | $267.33 | $16.07 – $35.68 |
| Adventhealth Palm Coast Parkway | Palm Coast | $267.33 | $15.27 – $34.32 |
| Adventhealth Tampa | Tampa | $248.04 | $16.07 – $35.68 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $248.81 | $15.27 – $35.10 |
| Adventhealth Port Charlotte | Port Charlotte | $118.18 | $16.07 – $29.34 |
| cleveland clinic florida weston hospital | Weston | $276.25 | $4.02 – $45.05 |