Pretreat rbc w enzyme reference at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$60.00
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.
$60.00
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.
$5.16 with Freedom Health vs $291.26 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 |
|---|---|---|---|
| Freedom Health | MGMCR | $5.16 | ↓ -91% |
| AvMed | HIX | $7.80 | ↓ -87% |
| Molina | MCR | $11.40 | ↓ -81% |
| Oscar | HIX | $11.40 | ↓ -81% |
| Simply Healthcare | HIX | $14.10 | ↓ -77% |
| AvMed | FullyInsured | $14.40 | ↓ -76% |
| AvMed | Engage | $15.60 | ↓ -74% |
| AvMed | Focus | $15.60 | ↓ -74% |
| AvMed | Flex | $15.60 | ↓ -74% |
| AvMed | Select | $15.60 | ↓ -74% |
| AvMed | Empower | $15.60 | ↓ -74% |
| AvMed | ASOEO | $16.80 | ↓ -72% |
| Aetna | ASA | $18.00 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $21.00 | ↓ -65% |
| Humana | HMO | $22.20 | ↓ -63% |
| Humana | PPO | $24.00 | ↓ -60% |
| United PPO | OptionsPPO | $26.40 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $27.00 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $30.00 | ↓ -50% |
| Prime Health | WORKERSCOMP | $40.48 | ↓ -33% |
| United | AllPayerAppendix | $291.26 | ↑ +385% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Pretreat rbc w enzyme reference at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | not published | $182.36 – $404.33 |
| cleveland clinic florida weston hospital | Weston | $167.05 | $51.52 – $218.45 |
| martin north hospital | Stuart | $167.05 | $54.23 – $195.71 |
| indian river hospital | Vero Beach | $167.05 | $51.52 – $205.60 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | $71.00 | $45.36 – $291.26 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | $1,508.00 | $47.11 – $291.26 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | $878.80 | $40.19 – $291.26 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH | $124.00 | $47.11 – $291.26 |