MRI lower extremity other than joint without & w/contrast (both sides) 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.
$625.13 with Freedom Health vs $3,898.77 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 | $625.13 | — |
| United | AllPayerAppendix | $828.27 | — |
| AvMed | HIX | $1,088.00 | — |
| Molina | MCR | $1,381.11 | — |
| Aetna | QHP | $1,499.00 | — |
| Aetna | HMO | $1,831.00 | — |
| Aetna | PPO | $2,012.00 | — |
| Aetna | ASA | $2,180.70 | — |
| Office of Sheiff Highland Co | GVT | $2,544.15 | — |
| United PPO | OptionsPPO | $3,198.36 | — |
| United | GlobalBenefitPlanAppendix | $3,271.05 | — |
| AvMed | Engage | $3,533.00 | — |
| AvMed | Select | $3,533.00 | — |
| AvMed | Focus | $3,533.00 | — |
| AvMed | FullyInsured | $3,533.00 | — |
| AvMed | Flex | $3,533.00 | — |
| AvMed | Empower | $3,533.00 | — |
| AvMed | JacksonFirstNetworkOON | $3,634.50 | — |
| AvMed | ASOEO | $3,879.00 | — |
| Prime Health | WORKERSCOMP | $3,898.77 | — |
Visitor-reported prices
Comments
MRI lower extremity other than joint without & w/contrast (both sides) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $9,476.29 | $373.43 – $827.96 |
| Adventhealth Daytona Beach | Daytona Beach | $9,700.76 | $346.11 – $865.63 |
| Adventhealth Lake Wales | Lake Wales | $15,975.12 | $364.32 – $958.38 |
| Adventhealth Palm Coast Parkway | Palm Coast | $8,799.02 | $346.11 – $1,177.02 |
| Adventhealth Tampa | Tampa | $6,387.80 | $364.32 – $808.79 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $3,451.54 | $346.11 – $1,130.31 |
| Adventhealth Port Charlotte | Port Charlotte | $10,239.27 | $364.32 – $687.95 |
| cleveland clinic florida weston hospital | Weston | $2,616.90 | $88.92 – $2,618.00 |