Prgrmg dev eval scrms ip at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$21,758.00
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.
?
What you pay up front if you don't use insurance.
$21,758.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$28.13 with Prime Health vs $10,879.00 with AvMed — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $28.13 | ↓ -100% |
| Freedom Health | MGMCR | $1,871.19 | ↓ -91% |
| AvMed | HIX | $2,828.54 | ↓ -87% |
| BCBS | SBN | $2,959.09 | ↓ -86% |
| BCBS | MBN | $2,959.09 | ↓ -86% |
| BCBS | BSL | $2,959.09 | ↓ -86% |
| BCBS | HMO | $4,112.26 | ↓ -81% |
| Oscar | HIX | $4,134.02 | ↓ -81% |
| Molina | MCR | $4,134.02 | ↓ -81% |
| BCBS | NWB | $4,373.36 | ↓ -80% |
| BCBS | PPO | $4,373.36 | ↓ -80% |
| Simply Healthcare | HIX | $5,113.13 | ↓ -77% |
| AvMed | FullyInsured | $5,221.92 | ↓ -76% |
| BCBS | PHS | $5,243.68 | ↓ -76% |
| AvMed | Engage | $5,657.08 | ↓ -74% |
| AvMed | Flex | $5,657.08 | ↓ -74% |
| AvMed | Select | $5,657.08 | ↓ -74% |
| AvMed | Empower | $5,657.08 | ↓ -74% |
| AvMed | Focus | $5,657.08 | ↓ -74% |
| Cigna | NewBusinessNBN | $5,722.35 | ↓ -74% |
| AvMed | ASOEO | $6,092.24 | ↓ -72% |
| Aetna | ASA | $6,527.40 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $7,615.30 | ↓ -65% |
| Cigna | PPO | $7,637.06 | ↓ -65% |
| Cigna | HMO | $7,637.06 | ↓ -65% |
| Humana | HMO | $8,050.46 | ↓ -63% |
| Humana | PPO | $8,703.20 | ↓ -60% |
| United PPO | OptionsPPO | $9,573.52 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $9,791.10 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $10,879.00 | ↓ -50% |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Prgrmg dev eval scrms ip at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $132.07 | not published |
| cleveland clinic florida weston hospital | Weston | $309.40 | $13.93 – $227.80 |
| martin north hospital | Stuart | $309.40 | $22.26 – $476.00 |
| indian river hospital | Vero Beach | $174.20 | $21.15 – $214.40 |
| Baptist Hospital | MIAMI | $367.25 | $22.77 – $508.50 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $367.25 | $22.07 – $508.50 |
| Homestead Hospital | HOMESTEAD | $367.25 | $22.07 – $508.50 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $287.08 | $27.55 – $28.13 |