Ostomy clamp, replacement at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$12.00
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.
$12.00
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.
$2.09 with Aetna vs $6.00 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 |
|---|---|---|---|
| Aetna | QHP | $2.09 | ↓ -83% |
| Aetna | HMO | $2.34 | ↓ -81% |
| Aetna | PPO | $2.93 | ↓ -76% |
| Devoted Health | MCR | $3.38 | ↓ -72% |
| United | GVT | $3.38 | ↓ -72% |
| HUMANA | MGMCRHMO | $3.38 | ↓ -72% |
| HUMANA | MGMCRPPO | $3.38 | ↓ -72% |
| NDMS Definitive Care | MGMCR | $3.38 | ↓ -72% |
| Wellmed | MGMCR | $3.38 | ↓ -72% |
| BCBS | MCRHMO | $3.45 | ↓ -71% |
| United | MCR | $3.45 | ↓ -71% |
| BCBS | MCRPPO | $3.45 | ↓ -71% |
| Aetna | MCR | $3.48 | ↓ -71% |
| Prominence HealthFirst | MCRHMO | $3.55 | ↓ -70% |
| Sunshine State | MCR | $3.55 | ↓ -70% |
| American Health Plan | MCR | $3.58 | ↓ -70% |
| Aetna | ASA | $3.60 | ↓ -70% |
| Cigna Healthspring | MCR | $3.62 | ↓ -70% |
| Florida Complete Care | MCR | $3.62 | ↓ -70% |
| Centurion | GVT | $3.72 | ↓ -69% |
| Sunshine State | MCD | $3.72 | ↓ -69% |
| AmeriHealth Caritas | MGMCR | $4.06 | ↓ -66% |
| Longevity Health Plan | MCR | $4.06 | ↓ -66% |
| Office of Sheiff Highland Co | GVT | $4.20 | ↓ -65% |
| United PPO | OptionsPPO | $5.28 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $5.40 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $6.00 | ↓ -50% |
Visitor-reported prices
Comments
Ostomy clamp, replacement at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $12.00 | $2.70 – $4.06 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | $53.00 | $3.21 – $4.90 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | $12.00 | $3.28 – $4.90 |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | VENICE | $2.07 | $3.28 – $3.72 |
| HCA FLORIDA SOUTH SHORE HOSPITAL | PARRISH | $2.06 | $3.28 – $4.90 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE | $26.00 | $3.28 – $4.90 |
| HCA FLORIDA PALMS WEST HOSPITAL | LOXAHATCHEE | $10.00 | $3.28 – $4.90 |
| HCA FLORIDA UNIVERSITY HOSPITAL | Davie | $14.00 | $3.35 – $4.90 |