Sialography s&i at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$2,921.00
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.
$2,921.00
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.
$251.21 with Freedom Health vs $2,061.39 with Prime Health — 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 | $251.21 | ↓ -91% |
| AvMed | HIX | $379.73 | ↓ -87% |
| United | AllPayerAppendix | $517.79 | ↓ -82% |
| Molina | MCR | $554.99 | ↓ -81% |
| AvMed | FullyInsured | $701.04 | ↓ -76% |
| AvMed | Select | $759.46 | ↓ -74% |
| AvMed | Focus | $759.46 | ↓ -74% |
| AvMed | Flex | $759.46 | ↓ -74% |
| AvMed | Engage | $759.46 | ↓ -74% |
| AvMed | Empower | $759.46 | ↓ -74% |
| AvMed | ASOEO | $817.88 | ↓ -72% |
| Aetna | ASA | $876.30 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $1,022.35 | ↓ -65% |
| Humana | HMO | $1,080.77 | ↓ -63% |
| Humana | PPO | $1,168.40 | ↓ -60% |
| United PPO | OptionsPPO | $1,285.24 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $1,314.45 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $1,460.50 | ↓ -50% |
| Prime Health | WORKERSCOMP | $2,061.39 | ↓ -29% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Sialography s&i at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | not published | $255.40 – $566.26 |
| cleveland clinic florida weston hospital | Weston | $1,454.05 | $16.05 – $1,772.25 |
| martin north hospital | Stuart | $98.80 | $14.36 – $274.08 |
| indian river hospital | Vero Beach | $98.80 | $14.33 – $274.08 |
| Boca Raton Regional Hospital | BOCA RATON | $743.60 | $244.69 – $747.03 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $481.20 | $242.63 – $525.31 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $488.40 | $259.86 – $525.31 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City | $654.80 | $242.63 – $525.31 |