Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< 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.
$40.74 with Prime Health vs $7,600.00 with United — 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 |
|---|---|---|---|
| Prime Health | WORKERSCOMP | $40.74 | — |
| United | GVT | $99.09 | — |
| Devoted Health | MCR | $99.09 | — |
| NDMS Definitive Care | MGMCR | $99.09 | — |
| HUMANA | MGMCRPPO | $99.09 | — |
| Wellmed | MGMCR | $99.09 | — |
| HUMANA | MGMCRHMO | $99.09 | — |
| BCBS | MCRHMO | $101.07 | — |
| BCBS | MCRPPO | $101.07 | — |
| United | MCR | $101.07 | — |
| Aetna | MCR | $102.06 | — |
| Sunshine State | MCR | $104.04 | — |
| Prominence HealthFirst | MCRHMO | $104.04 | — |
| American Health Plan | MCR | $105.04 | — |
| Florida Complete Care | MCR | $106.03 | — |
| Cigna Healthspring | MCR | $106.03 | — |
| Sunshine State | MCD | $109.00 | — |
| Centurion | GVT | $109.00 | — |
| Longevity Health Plan | MCR | $118.91 | — |
| AmeriHealth Caritas | MGMCR | $118.91 | — |
| Freedom Health | MGMCR | $145.08 | — |
| BCBS | SBN | $215.97 | — |
| BCBS | BSL | $215.97 | — |
| BCBS | MBN | $215.97 | — |
| AvMed | HIX | $219.31 | — |
| Aetna | QHP | $276.31 | — |
| BCBS | HMO | $300.13 | — |
| Oscar | HIX | $301.72 | — |
| Aetna | HMO | $309.66 | — |
| BCBS | NWB | $319.19 | — |
| BCBS | PPO | $319.19 | — |
| Molina | MCR | $320.53 | — |
| Simply Healthcare | HIX | $373.18 | — |
| BCBS | PHS | $382.71 | — |
| Aetna | PPO | $387.47 | — |
| AvMed | FullyInsured | $404.88 | — |
| AvMed | Select | $438.62 | — |
| AvMed | Empower | $438.62 | — |
| AvMed | Engage | $438.62 | — |
| AvMed | Flex | $438.62 | — |
| AvMed | Focus | $438.62 | — |
| Cigna | NewBusinessNBN | $443.68 | — |
| AvMed | ASOEO | $472.36 | — |
| Aetna | ASA | $476.40 | — |
| Office of Sheiff Highland Co | GVT | $555.80 | — |
| Cigna | PPO | $592.14 | — |
| Cigna | HMO | $592.14 | — |
| United PPO | OptionsPPO | $698.72 | — |
| United | GlobalBenefitPlanAppendix | $714.60 | — |
| AvMed | JacksonFirstNetworkOON | $794.00 | — |
| United | AllPayerAppendix | $7,600.00 | — |
Visitor-reported prices
Comments
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $712.82 | $214.76 – $476.15 |
| Adventhealth Daytona Beach | Daytona Beach | $441.91 | $199.04 – $349.69 |
| Adventhealth Lake Wales | Lake Wales | $758.33 | $209.52 – $465.13 |
| Adventhealth Palm Coast Parkway | Palm Coast | $226.32 | $199.04 – $447.51 |
| Adventhealth Tampa | Tampa | $642.62 | $209.52 – $465.13 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $726.56 | $199.04 – $457.69 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $922.00 | $39.90 – $118.91 |
| Adventhealth Port Charlotte | Port Charlotte | $912.28 | $209.52 – $382.58 |