Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$286.00
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.
$286.00
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.
$24.60 with Freedom Health vs $143.00 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 |
|---|---|---|---|
| Freedom Health | MGMCR | $24.60 | ↓ -91% |
| AvMed | HIX | $37.18 | ↓ -87% |
| HUMANA | MGMCRPPO | $42.94 | ↓ -85% |
| Wellmed | MGMCR | $42.94 | ↓ -85% |
| NDMS Definitive Care | MGMCR | $42.94 | ↓ -85% |
| Devoted Health | MCR | $42.94 | ↓ -85% |
| United | GVT | $42.94 | ↓ -85% |
| HUMANA | MGMCRHMO | $42.94 | ↓ -85% |
| BCBS | MCRHMO | $43.79 | ↓ -85% |
| BCBS | MCRPPO | $43.79 | ↓ -85% |
| United | MCR | $43.79 | ↓ -85% |
| Aetna | MCR | $44.22 | ↓ -85% |
| Prominence HealthFirst | MCRHMO | $45.08 | ↓ -84% |
| Sunshine State | MCR | $45.08 | ↓ -84% |
| American Health Plan | MCR | $45.51 | ↓ -84% |
| Florida Complete Care | MCR | $45.94 | ↓ -84% |
| Cigna Healthspring | MCR | $45.94 | ↓ -84% |
| Centurion | GVT | $47.23 | ↓ -83% |
| Sunshine State | MCD | $47.23 | ↓ -83% |
| AmeriHealth Caritas | MGMCR | $51.52 | ↓ -82% |
| Longevity Health Plan | MCR | $51.52 | ↓ -82% |
| Oscar | HIX | $54.34 | ↓ -81% |
| Molina | MCR | $54.34 | ↓ -81% |
| Prime Health | WORKERSCOMP | $56.26 | ↓ -80% |
| Simply Healthcare | HIX | $67.21 | ↓ -77% |
| AvMed | FullyInsured | $68.64 | ↓ -76% |
| AvMed | Empower | $74.36 | ↓ -74% |
| AvMed | Focus | $74.36 | ↓ -74% |
| AvMed | Select | $74.36 | ↓ -74% |
| AvMed | Flex | $74.36 | ↓ -74% |
| AvMed | Engage | $74.36 | ↓ -74% |
| Cigna | NewBusinessNBN | $75.22 | ↓ -74% |
| AvMed | ASOEO | $80.08 | ↓ -72% |
| Aetna | ASA | $85.80 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $100.10 | ↓ -65% |
| Cigna | HMO | $100.39 | ↓ -65% |
| Cigna | PPO | $100.39 | ↓ -65% |
| Humana | HMO | $105.82 | ↓ -63% |
| Humana | PPO | $114.40 | ↓ -60% |
| United PPO | OptionsPPO | $125.84 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $128.70 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $143.00 | ↓ -50% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $170.57 | $50.01 – $110.88 |
| Adventhealth Daytona Beach | Daytona Beach | $146.42 | $46.35 – $81.43 |
| Adventhealth Lake Wales | Lake Wales | $297.69 | $48.79 – $108.31 |
| Adventhealth Palm Coast Parkway | Palm Coast | $110.07 | not published |
| Adventhealth Tampa | Tampa | $314.28 | $48.79 – $108.31 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $178.70 | $46.35 – $106.58 |
| Adventhealth Port Charlotte | Port Charlotte | $414.84 | not published |
| cleveland clinic florida weston hospital | Weston | $260.00 | $20.97 – $340.00 |