Prolactin 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.52 with Freedom Health vs $66.57 with Prime Health — 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 |
|---|---|---|---|
| Freedom Health | MGMCR | $0.52 | — |
| AvMed | HIX | $0.78 | — |
| Molina | MCR | $1.14 | — |
| AvMed | FullyInsured | $1.44 | — |
| AvMed | Engage | $1.56 | — |
| AvMed | Select | $1.56 | — |
| AvMed | Focus | $1.56 | — |
| AvMed | Flex | $1.56 | — |
| AvMed | Empower | $1.56 | — |
| AvMed | ASOEO | $1.68 | — |
| Aetna | ASA | $1.80 | — |
| Office of Sheiff Highland Co | GVT | $2.10 | — |
| Humana | HMO | $2.22 | — |
| Humana | PPO | $2.40 | — |
| United PPO | OptionsPPO | $2.64 | — |
| United | GlobalBenefitPlanAppendix | $2.70 | — |
| AvMed | JacksonFirstNetworkOON | $3.00 | — |
| United | GVT | $19.38 | — |
| United | AllPayerAppendix | $19.38 | — |
| Devoted Health | MCR | $19.38 | — |
| HUMANA | MGMCRHMO | $19.38 | — |
| HUMANA | MGMCRPPO | $19.38 | — |
| NDMS Definitive Care | MGMCR | $19.38 | — |
| Wellmed | MGMCR | $19.38 | — |
| BCBS | MCRHMO | $19.77 | — |
| United | MCR | $19.77 | — |
| BCBS | MCRPPO | $19.77 | — |
| Aetna | MCR | $19.96 | — |
| Prominence HealthFirst | MCRHMO | $20.35 | — |
| Sunshine State | MCR | $20.35 | — |
| American Health Plan | MCR | $20.54 | — |
| Florida Complete Care | MCR | $20.74 | — |
| Cigna Healthspring | MCR | $20.74 | — |
| Sunshine State | MCD | $21.32 | — |
| Centurion | GVT | $21.32 | — |
| Longevity Health Plan | MCR | $23.26 | — |
| AmeriHealth Caritas | MGMCR | $23.26 | — |
| Oscar | HIX | $37.40 | — |
| Simply Healthcare | HIX | $43.80 | — |
| Prime Health | WORKERSCOMP | $66.57 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Prolactin at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $66.05 | $19.86 – $44.04 |
| Adventhealth Daytona Beach | Daytona Beach | $293.28 | $18.41 – $32.35 |
| Adventhealth Lake Wales | Lake Wales | $67.31 | $19.38 – $43.02 |
| Adventhealth Palm Coast Parkway | Palm Coast | $310.40 | $18.41 – $41.39 |
| Adventhealth Tampa | Tampa | $167.03 | $19.38 – $43.02 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $66.00 | $18.41 – $42.34 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $389.00 | $15.50 – $72.55 |
| Adventhealth Port Charlotte | Port Charlotte | $142.80 | $19.38 – $35.39 |