Pt re-evaluation patient/family at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$259.00
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.
$259.00
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.
$22.27 with Freedom Health vs $129.50 with AvMed — 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 | $22.27 | ↓ -91% |
| AvMed | HIX | $33.67 | ↓ -87% |
| Molina | MCR | $49.21 | ↓ -81% |
| Oscar | HIX | $49.21 | ↓ -81% |
| Wellmed | MGMCR | $58.16 | ↓ -78% |
| HUMANA | MGMCRPPO | $58.16 | ↓ -78% |
| Devoted Health | MCR | $58.16 | ↓ -78% |
| NDMS Definitive Care | MGMCR | $58.16 | ↓ -78% |
| HUMANA | MGMCRHMO | $58.16 | ↓ -78% |
| United | GVT | $58.16 | ↓ -78% |
| BCBS | MCRHMO | $59.32 | ↓ -77% |
| BCBS | MCRPPO | $59.32 | ↓ -77% |
| United | MCR | $59.32 | ↓ -77% |
| Aetna | MCR | $59.90 | ↓ -77% |
| Simply Healthcare | HIX | $60.87 | ↓ -76% |
| Sunshine State | MCR | $61.07 | ↓ -76% |
| Prominence HealthFirst | MCRHMO | $61.07 | ↓ -76% |
| American Health Plan | MCR | $61.65 | ↓ -76% |
| AvMed | FullyInsured | $62.16 | ↓ -76% |
| Florida Complete Care | MCR | $62.23 | ↓ -76% |
| Cigna Healthspring | MCR | $62.23 | ↓ -76% |
| Prime Health | WORKERSCOMP | $63.05 | ↓ -76% |
| Centurion | GVT | $63.97 | ↓ -75% |
| Sunshine State | MCD | $63.97 | ↓ -75% |
| AvMed | Empower | $67.34 | ↓ -74% |
| AvMed | Focus | $67.34 | ↓ -74% |
| AvMed | Flex | $67.34 | ↓ -74% |
| AvMed | Engage | $67.34 | ↓ -74% |
| AvMed | Select | $67.34 | ↓ -74% |
| Cigna | NewBusinessNBN | $68.12 | ↓ -74% |
| Longevity Health Plan | MCR | $69.79 | ↓ -73% |
| AmeriHealth Caritas | MGMCR | $69.79 | ↓ -73% |
| AvMed | ASOEO | $72.52 | ↓ -72% |
| Aetna | ASA | $77.70 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $90.65 | ↓ -65% |
| Cigna | HMO | $90.91 | ↓ -65% |
| Cigna | PPO | $90.91 | ↓ -65% |
| Humana | HMO | $95.83 | ↓ -63% |
| Humana | PPO | $103.60 | ↓ -60% |
| United PPO | OptionsPPO | $113.96 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $116.55 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $129.50 | ↓ -50% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Pt re-evaluation patient/family at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $316.34 | $67.74 – $150.20 |
| Adventhealth Daytona Beach | Daytona Beach | $300.25 | $62.79 – $110.30 |
| Adventhealth Lake Wales | Lake Wales | $326.78 | $66.09 – $146.72 |
| Adventhealth Palm Coast Parkway | Palm Coast | $303.28 | not published |
| Adventhealth Tampa | Tampa | $288.10 | $66.09 – $146.72 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $235.00 | $62.79 – $144.37 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $572.00 | $46.53 – $69.79 |
| Adventhealth Port Charlotte | Port Charlotte | $270.82 | not published |