Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$486.00
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.
$486.00
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.
$20.82 with HUMANA vs $243.00 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 |
|---|---|---|---|
| HUMANA | MGMCRHMO | $20.82 | ↓ -96% |
| Wellmed | MGMCR | $20.82 | ↓ -96% |
| Devoted Health | MCR | $20.82 | ↓ -96% |
| NDMS Definitive Care | MGMCR | $20.82 | ↓ -96% |
| United | GVT | $20.82 | ↓ -96% |
| HUMANA | MGMCRPPO | $20.82 | ↓ -96% |
| United | MCR | $21.24 | ↓ -96% |
| BCBS | MCRPPO | $21.24 | ↓ -96% |
| BCBS | MCRHMO | $21.24 | ↓ -96% |
| Aetna | MCR | $21.44 | ↓ -96% |
| Sunshine State | MCR | $21.86 | ↓ -96% |
| Prominence HealthFirst | MCRHMO | $21.86 | ↓ -96% |
| American Health Plan | MCR | $22.07 | ↓ -95% |
| Cigna Healthspring | MCR | $22.28 | ↓ -95% |
| Florida Complete Care | MCR | $22.28 | ↓ -95% |
| Sunshine State | MCD | $22.90 | ↓ -95% |
| Centurion | GVT | $22.90 | ↓ -95% |
| AmeriHealth Caritas | MGMCR | $24.98 | ↓ -95% |
| Longevity Health Plan | MCR | $24.98 | ↓ -95% |
| Prime Health | WORKERSCOMP | $25.22 | ↓ -95% |
| Freedom Health | MGMCR | $41.80 | ↓ -91% |
| AvMed | HIX | $63.18 | ↓ -87% |
| Molina | MCR | $92.34 | ↓ -81% |
| Oscar | HIX | $92.34 | ↓ -81% |
| Simply Healthcare | HIX | $114.21 | ↓ -77% |
| AvMed | FullyInsured | $116.64 | ↓ -76% |
| AvMed | Empower | $126.36 | ↓ -74% |
| AvMed | Focus | $126.36 | ↓ -74% |
| AvMed | Select | $126.36 | ↓ -74% |
| AvMed | Flex | $126.36 | ↓ -74% |
| AvMed | Engage | $126.36 | ↓ -74% |
| Cigna | NewBusinessNBN | $127.82 | ↓ -74% |
| AvMed | ASOEO | $136.08 | ↓ -72% |
| Aetna | ASA | $145.80 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $170.10 | ↓ -65% |
| Cigna | HMO | $170.59 | ↓ -65% |
| Cigna | PPO | $170.59 | ↓ -65% |
| Humana | HMO | $179.82 | ↓ -63% |
| Humana | PPO | $194.40 | ↓ -60% |
| United PPO | OptionsPPO | $213.84 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $218.70 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $243.00 | ↓ -50% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $172.19 | $18.93 – $41.97 |
| Adventhealth Daytona Beach | Daytona Beach | $131.68 | $17.55 – $30.83 |
| Adventhealth Lake Wales | Lake Wales | $314.65 | $18.47 – $41.00 |
| Adventhealth Palm Coast Parkway | Palm Coast | $173.58 | not published |
| Adventhealth Tampa | Tampa | $146.73 | $18.47 – $41.00 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $130.85 | $17.55 – $40.35 |
| Adventhealth Port Charlotte | Port Charlotte | $172.34 | not published |
| cleveland clinic florida weston hospital | Weston | $166.40 | $18.49 – $217.60 |