Ot re-evaluation patient/family at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$535.00
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.
$535.00
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.
$46.01 with Freedom Health vs $267.50 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 | $46.01 | ↓ -91% |
| Wellmed | MGMCR | $59.00 | ↓ -89% |
| HUMANA | MGMCRHMO | $59.00 | ↓ -89% |
| NDMS Definitive Care | MGMCR | $59.00 | ↓ -89% |
| Devoted Health | MCR | $59.00 | ↓ -89% |
| United | GVT | $59.00 | ↓ -89% |
| HUMANA | MGMCRPPO | $59.00 | ↓ -89% |
| BCBS | MCRPPO | $60.18 | ↓ -89% |
| United | MCR | $60.18 | ↓ -89% |
| BCBS | MCRHMO | $60.18 | ↓ -89% |
| Aetna | MCR | $60.77 | ↓ -89% |
| Sunshine State | MCR | $61.95 | ↓ -88% |
| Prominence HealthFirst | MCRHMO | $61.95 | ↓ -88% |
| American Health Plan | MCR | $62.54 | ↓ -88% |
| Cigna Healthspring | MCR | $63.13 | ↓ -88% |
| Florida Complete Care | MCR | $63.13 | ↓ -88% |
| Centurion | GVT | $64.90 | ↓ -88% |
| Sunshine State | MCD | $64.90 | ↓ -88% |
| Prime Health | WORKERSCOMP | $66.93 | ↓ -87% |
| AvMed | HIX | $69.55 | ↓ -87% |
| Longevity Health Plan | MCR | $70.80 | ↓ -87% |
| AmeriHealth Caritas | MGMCR | $70.80 | ↓ -87% |
| Molina | MCR | $101.65 | ↓ -81% |
| Oscar | HIX | $101.65 | ↓ -81% |
| Simply Healthcare | HIX | $125.72 | ↓ -77% |
| AvMed | FullyInsured | $128.40 | ↓ -76% |
| AvMed | Empower | $139.10 | ↓ -74% |
| AvMed | Focus | $139.10 | ↓ -74% |
| AvMed | Select | $139.10 | ↓ -74% |
| AvMed | Flex | $139.10 | ↓ -74% |
| AvMed | Engage | $139.10 | ↓ -74% |
| Cigna | NewBusinessNBN | $140.71 | ↓ -74% |
| AvMed | ASOEO | $149.80 | ↓ -72% |
| Aetna | ASA | $160.50 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $187.25 | ↓ -65% |
| Cigna | HMO | $187.78 | ↓ -65% |
| Cigna | PPO | $187.78 | ↓ -65% |
| Humana | HMO | $197.95 | ↓ -63% |
| Humana | PPO | $214.00 | ↓ -60% |
| United PPO | OptionsPPO | $235.40 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $240.75 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $267.50 | ↓ -50% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Ot re-evaluation patient/family at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $231.29 | $70.94 – $157.29 |
| Adventhealth Daytona Beach | Daytona Beach | $241.42 | $65.75 – $115.51 |
| Adventhealth Lake Wales | Lake Wales | $444.81 | $69.21 – $153.65 |
| Adventhealth Palm Coast Parkway | Palm Coast | $262.48 | not published |
| Adventhealth Tampa | Tampa | $367.84 | $69.21 – $153.65 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $235.00 | $65.75 – $151.19 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $677.00 | $47.20 – $70.80 |
| Adventhealth Port Charlotte | Port Charlotte | $333.59 | not published |