Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes 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.
$20.21 with Freedom Health vs $117.50 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 | $20.21 | — |
| AvMed | HIX | $30.55 | — |
| NDMS Definitive Care | MGMCR | $39.58 | — |
| Wellmed | MGMCR | $39.58 | — |
| HUMANA | MGMCRPPO | $39.58 | — |
| HUMANA | MGMCRHMO | $39.58 | — |
| Devoted Health | MCR | $39.58 | — |
| United | GVT | $39.58 | — |
| BCBS | MCRHMO | $40.37 | — |
| BCBS | MCRPPO | $40.37 | — |
| United | MCR | $40.37 | — |
| Aetna | MCR | $40.77 | — |
| Aetna | QHP | $40.89 | — |
| Sunshine State | MCR | $41.56 | — |
| Prominence HealthFirst | MCRHMO | $41.56 | — |
| American Health Plan | MCR | $41.96 | — |
| Cigna Healthspring | MCR | $42.35 | — |
| Florida Complete Care | MCR | $42.35 | — |
| Centurion | GVT | $43.54 | — |
| Sunshine State | MCD | $43.54 | — |
| Molina | MCR | $44.65 | — |
| Oscar | HIX | $44.65 | — |
| Aetna | HMO | $45.83 | — |
| Longevity Health Plan | MCR | $47.50 | — |
| AmeriHealth Caritas | MGMCR | $47.50 | — |
| Prime Health | WORKERSCOMP | $52.38 | — |
| Simply Healthcare | HIX | $55.23 | — |
| AvMed | FullyInsured | $56.40 | — |
| Aetna | PPO | $57.34 | — |
| AvMed | Empower | $61.10 | — |
| AvMed | Engage | $61.10 | — |
| AvMed | Select | $61.10 | — |
| AvMed | Flex | $61.10 | — |
| AvMed | Focus | $61.10 | — |
| Cigna | NewBusinessNBN | $61.80 | — |
| AvMed | ASOEO | $65.80 | — |
| Aetna | ASA | $70.50 | — |
| Office of Sheiff Highland Co | GVT | $82.25 | — |
| Cigna | HMO | $82.48 | — |
| Cigna | PPO | $82.48 | — |
| Humana | HMO | $86.95 | — |
| Humana | PPO | $94.00 | — |
| United PPO | OptionsPPO | $103.40 | — |
| United | GlobalBenefitPlanAppendix | $105.75 | — |
| AvMed | JacksonFirstNetworkOON | $117.50 | — |
Visitor-reported prices
Comments
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $155.84 | $48.99 – $108.63 |
| Adventhealth Daytona Beach | Daytona Beach | $139.48 | $45.41 – $79.78 |
| Adventhealth Lake Wales | Lake Wales | $342.70 | $47.80 – $106.12 |
| Adventhealth Palm Coast Parkway | Palm Coast | $106.94 | not published |
| Adventhealth Tampa | Tampa | $282.32 | $47.80 – $106.12 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $177.30 | $45.41 – $104.42 |
| Adventhealth Port Charlotte | Port Charlotte | $446.85 | not published |
| cleveland clinic florida weston hospital | Weston | $239.85 | $20.97 – $313.65 |