MRI tmj at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$9,240.00
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.
$9,240.00
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.
$517.79 with United vs $4,620.00 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 |
|---|---|---|---|
| United | AllPayerAppendix | $517.79 | ↓ -94% |
| Freedom Health | MGMCR | $794.64 | ↓ -91% |
| AvMed | HIX | $1,088.00 | ↓ -88% |
| Aetna | QHP | $1,499.00 | ↓ -84% |
| Molina | MCR | $1,755.60 | ↓ -81% |
| Aetna | HMO | $1,831.00 | ↓ -80% |
| Aetna | PPO | $2,012.00 | ↓ -78% |
| Prime Health | WORKERSCOMP | $2,061.39 | ↓ -78% |
| Aetna | ASA | $2,772.00 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $3,234.00 | ↓ -65% |
| AvMed | Select | $3,533.00 | ↓ -62% |
| AvMed | Engage | $3,533.00 | ↓ -62% |
| AvMed | Flex | $3,533.00 | ↓ -62% |
| AvMed | Focus | $3,533.00 | ↓ -62% |
| AvMed | FullyInsured | $3,533.00 | ↓ -62% |
| AvMed | Empower | $3,533.00 | ↓ -62% |
| AvMed | ASOEO | $3,879.00 | ↓ -58% |
| United PPO | OptionsPPO | $4,065.60 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $4,158.00 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $4,620.00 | ↓ -50% |
Visitor-reported prices
Comments
MRI tmj at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $3,090.93 | $255.40 – $566.26 |
| Adventhealth Daytona Beach | Daytona Beach | $4,613.86 | $236.71 – $517.67 |
| Adventhealth Lake Wales | Lake Wales | $6,727.86 | $249.17 – $553.15 |
| Adventhealth Palm Coast Parkway | Palm Coast | $4,686.75 | $236.71 – $703.89 |
| Adventhealth Tampa | Tampa | $2,586.58 | $249.17 – $553.15 |
| Adventhealth Port Charlotte | Port Charlotte | $1,025.07 | $249.17 – $454.98 |
| cleveland clinic florida weston hospital | Weston | $1,740.05 | $60.79 – $1,772.25 |
| martin north hospital | Stuart | $1,355.25 | $54.39 – $1,042.50 |