Svc venogram s&i 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$754.99 with Freedom Health vs $4,389.50 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 | $754.99 | — |
| AvMed | HIX | $1,141.27 | — |
| Molina | MCR | $1,668.01 | — |
| Prime Health | WORKERSCOMP | $2,090.62 | — |
| AvMed | FullyInsured | $2,106.96 | — |
| AvMed | Select | $2,282.54 | — |
| AvMed | Focus | $2,282.54 | — |
| AvMed | Flex | $2,282.54 | — |
| AvMed | Engage | $2,282.54 | — |
| AvMed | Empower | $2,282.54 | — |
| AvMed | ASOEO | $2,458.12 | — |
| Aetna | ASA | $2,633.70 | — |
| Office of Sheiff Highland Co | GVT | $3,072.65 | — |
| United | AllPayerAppendix | $3,163.82 | — |
| Humana | HMO | $3,248.23 | — |
| Humana | PPO | $3,511.60 | — |
| United PPO | OptionsPPO | $3,862.76 | — |
| United | GlobalBenefitPlanAppendix | $3,950.55 | — |
| AvMed | JacksonFirstNetworkOON | $4,389.50 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Svc venogram s&i at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $14,155.30 | $1,684.95 – $3,735.83 |
| Adventhealth Daytona Beach | Daytona Beach | $6,921.01 | $1,361.03 – $2,743.60 |
| Adventhealth Lake Wales | Lake Wales | $7,980.57 | $1,119.93 – $3,649.36 |
| Adventhealth Palm Coast Parkway | Palm Coast | $4,222.55 | $1,228.81 – $3,511.11 |
| Adventhealth Tampa | Tampa | $12,975.70 | $1,041.37 – $3,649.36 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $2,871.70 | $1,561.66 – $3,591.00 |
| Adventhealth Port Charlotte | Port Charlotte | $7,801.24 | $1,041.37 – $3,001.68 |
| cleveland clinic florida weston hospital | Weston | $9,005.75 | $46.72 – $11,389.15 |