Pouch uros new (both sides) 2.75in clr 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.
$1.22 with Aetna vs $6.13 with Longevity Health Plan — 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 |
|---|---|---|---|
| Aetna | QHP | $1.22 | — |
| Aetna | HMO | $1.36 | — |
| Aetna | PPO | $1.71 | — |
| Aetna | ASA | $2.10 | — |
| Office of Sheiff Highland Co | GVT | $2.45 | — |
| United PPO | OptionsPPO | $3.08 | — |
| United | GlobalBenefitPlanAppendix | $3.15 | — |
| AvMed | JacksonFirstNetworkOON | $3.50 | — |
| HUMANA | MGMCRPPO | $5.11 | — |
| United | GVT | $5.11 | — |
| HUMANA | MGMCRHMO | $5.11 | — |
| Devoted Health | MCR | $5.11 | — |
| NDMS Definitive Care | MGMCR | $5.11 | — |
| Wellmed | MGMCR | $5.11 | — |
| BCBS | MCRHMO | $5.21 | — |
| BCBS | MCRPPO | $5.21 | — |
| United | MCR | $5.21 | — |
| Aetna | MCR | $5.26 | — |
| Sunshine State | MCR | $5.37 | — |
| Prominence HealthFirst | MCRHMO | $5.37 | — |
| American Health Plan | MCR | $5.42 | — |
| Cigna Healthspring | MCR | $5.47 | — |
| Florida Complete Care | MCR | $5.47 | — |
| Sunshine State | MCD | $5.62 | — |
| Centurion | GVT | $5.62 | — |
| AmeriHealth Caritas | MGMCR | $6.13 | — |
| Longevity Health Plan | MCR | $6.13 | — |
Visitor-reported prices
Comments
Pouch uros new (both sides) 2.75in clr at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $9.75 | $0.35 – $173.17 |
| Bethesda Hospital East | BOYNTON BEACH | $9.75 | $0.40 – $1.80 |
| Doctors Hospital | CORAL GABLES | $9.75 | $0.35 – $1.80 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $9.75 | $0.35 – $1.80 |
| Fishermens Community Hospital | MARATHON | $9.75 | $0.33 – $1.80 |
| Homestead Hospital | HOMESTEAD | $9.75 | $0.34 – $167.89 |
| Mariners Hospital | TAVERNIER | $9.75 | $0.35 – $1.80 |
| West Kendall Baptist Hospital | MIAMI | $9.75 | $0.34 – $1.80 |