Phlebotomy therapeutic 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.
$23.99 with Freedom Health vs $139.50 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 | $23.99 | — |
| AvMed | HIX | $36.27 | — |
| BCBS | BSL | $37.94 | — |
| BCBS | SBN | $37.94 | — |
| BCBS | MBN | $37.94 | — |
| Aetna | QHP | $48.55 | — |
| BCBS | HMO | $52.73 | — |
| Oscar | HIX | $53.01 | — |
| Molina | MCR | $53.01 | — |
| Aetna | HMO | $54.41 | — |
| BCBS | NWB | $56.08 | — |
| BCBS | PPO | $56.08 | — |
| Simply Healthcare | HIX | $65.56 | — |
| AvMed | FullyInsured | $66.96 | — |
| BCBS | PHS | $67.24 | — |
| Aetna | PPO | $68.08 | — |
| AvMed | Flex | $72.54 | — |
| AvMed | Empower | $72.54 | — |
| AvMed | Focus | $72.54 | — |
| AvMed | Select | $72.54 | — |
| AvMed | Engage | $72.54 | — |
| Cigna | NewBusinessNBN | $73.38 | — |
| AvMed | ASOEO | $78.12 | — |
| Aetna | ASA | $83.70 | — |
| Office of Sheiff Highland Co | GVT | $97.65 | — |
| Cigna | HMO | $97.93 | — |
| Cigna | PPO | $97.93 | — |
| Humana | HMO | $103.23 | — |
| Prime Health | WORKERSCOMP | $104.76 | — |
| Humana | PPO | $111.60 | — |
| United PPO | OptionsPPO | $122.76 | — |
| United | GlobalBenefitPlanAppendix | $125.55 | — |
| AvMed | JacksonFirstNetworkOON | $139.50 | — |
Visitor-reported prices
Comments
Phlebotomy therapeutic at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | not published | $142.41 – $315.75 |
| Adventhealth Palm Coast Parkway | Palm Coast | $312.89 | $131.99 – $296.76 |
| Adventhealth Tampa | Tampa | $545.07 | $138.94 – $308.45 |
| Adventhealth Port Charlotte | Port Charlotte | $827.22 | $138.94 – $253.70 |
| cleveland clinic florida weston hospital | Weston | $722.15 | $44.56 – $379.95 |
| martin north hospital | Stuart | $722.15 | $46.91 – $555.50 |
| indian river hospital | Vero Beach | $722.15 | $44.56 – $888.80 |
| Baptist Hospital | MIAMI | $611.65 | $45.26 – $269.10 |