Mnt subs tx for change dx at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$144.00
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.
?
What you pay up front if you don't use insurance.
$144.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$12.38 with Freedom Health vs $72.00 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 |
|---|---|---|---|
| Freedom Health | MGMCR | $12.38 | ↓ -91% |
| AvMed | HIX | $18.72 | ↓ -87% |
| BCBS | BSL | $19.58 | ↓ -86% |
| BCBS | SBN | $19.58 | ↓ -86% |
| BCBS | MBN | $19.58 | ↓ -86% |
| Aetna | QHP | $25.06 | ↓ -83% |
| Wellmed | MGMCR | $26.50 | ↓ -82% |
| United | GVT | $26.50 | ↓ -82% |
| Devoted Health | MCR | $26.50 | ↓ -82% |
| HUMANA | MGMCRPPO | $26.50 | ↓ -82% |
| NDMS Definitive Care | MGMCR | $26.50 | ↓ -82% |
| HUMANA | MGMCRHMO | $26.50 | ↓ -82% |
| United | MCR | $27.03 | ↓ -81% |
| BCBS | MCRHMO | $27.03 | ↓ -81% |
| BCBS | MCRPPO | $27.03 | ↓ -81% |
| BCBS | HMO | $27.22 | ↓ -81% |
| Aetna | MCR | $27.30 | ↓ -81% |
| Oscar | HIX | $27.36 | ↓ -81% |
| Molina | MCR | $27.36 | ↓ -81% |
| Sunshine State | MCR | $27.83 | ↓ -81% |
| Prominence HealthFirst | MCRHMO | $27.83 | ↓ -81% |
| Aetna | HMO | $28.08 | ↓ -81% |
| American Health Plan | MCR | $28.09 | ↓ -80% |
| Cigna Healthspring | MCR | $28.36 | ↓ -80% |
| Florida Complete Care | MCR | $28.36 | ↓ -80% |
| BCBS | NWB | $28.94 | ↓ -80% |
| BCBS | PPO | $28.94 | ↓ -80% |
| Centurion | GVT | $29.15 | ↓ -80% |
| Sunshine State | MCD | $29.15 | ↓ -80% |
| Prime Health | WORKERSCOMP | $31.04 | ↓ -78% |
| Longevity Health Plan | MCR | $31.80 | ↓ -78% |
| AmeriHealth Caritas | MGMCR | $31.80 | ↓ -78% |
| Simply Healthcare | HIX | $33.84 | ↓ -77% |
| AvMed | FullyInsured | $34.56 | ↓ -76% |
| BCBS | PHS | $34.70 | ↓ -76% |
| Aetna | PPO | $35.14 | ↓ -76% |
| AvMed | Engage | $37.44 | ↓ -74% |
| AvMed | Select | $37.44 | ↓ -74% |
| AvMed | Empower | $37.44 | ↓ -74% |
| AvMed | Flex | $37.44 | ↓ -74% |
| AvMed | Focus | $37.44 | ↓ -74% |
| Cigna | NewBusinessNBN | $37.87 | ↓ -74% |
| AvMed | ASOEO | $40.32 | ↓ -72% |
| Aetna | ASA | $43.20 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $50.40 | ↓ -65% |
| Cigna | HMO | $50.54 | ↓ -65% |
| Cigna | PPO | $50.54 | ↓ -65% |
| Humana | HMO | $53.28 | ↓ -63% |
| Humana | PPO | $57.60 | ↓ -60% |
| United PPO | OptionsPPO | $63.36 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $64.80 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $72.00 | ↓ -50% |
Visitor-reported prices
Comments
Mnt subs tx for change dx at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | not published | $23.40 – $51.88 |
| cleveland clinic florida weston hospital | Weston | $128.70 | $22.51 – $198.00 |
| martin north hospital | Stuart | $128.70 | $20.76 – $198.00 |
| indian river hospital | Vero Beach | $128.70 | $6.16 – $198.00 |
| Boca Raton Regional Hospital | BOCA RATON | $66.30 | $27.38 – $102.00 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville | $58.74 | $75.58 – $75.58 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | $159.05 | $26.50 – $45.05 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH | $161.00 | $27.69 – $40.56 |