Tc-99m mebrofenin at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$442.00
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.
$442.00
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.
$30.50 with Aetna vs $221.00 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 |
|---|---|---|---|
| Aetna | MCR | $30.50 | ↓ -93% |
| BCBS | MCRHMO | $32.27 | ↓ -93% |
| Freedom Health | MGMCR | $38.01 | ↓ -91% |
| AvMed | HIX | $57.46 | ↓ -87% |
| Molina | MCR | $83.98 | ↓ -81% |
| Oscar | HIX | $83.98 | ↓ -81% |
| Simply Healthcare | HIX | $103.87 | ↓ -77% |
| AvMed | FullyInsured | $106.08 | ↓ -76% |
| AvMed | Flex | $114.92 | ↓ -74% |
| AvMed | Focus | $114.92 | ↓ -74% |
| AvMed | Engage | $114.92 | ↓ -74% |
| AvMed | Empower | $114.92 | ↓ -74% |
| AvMed | Select | $114.92 | ↓ -74% |
| Cigna | NewBusinessNBN | $116.25 | ↓ -74% |
| AvMed | ASOEO | $123.76 | ↓ -72% |
| Office of Sheiff Highland Co | GVT | $154.70 | ↓ -65% |
| Cigna | HMO | $155.14 | ↓ -65% |
| Cigna | PPO | $155.14 | ↓ -65% |
| Humana | HMO | $163.54 | ↓ -63% |
| Humana | PPO | $176.80 | ↓ -60% |
| United | AllPayerAppendix | $187.21 | ↓ -58% |
| United PPO | OptionsPPO | $194.48 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $198.90 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $221.00 | ↓ -50% |
Visitor-reported prices
Comments
Tc-99m mebrofenin at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $44.20 | $10.42 – $1,390.00 |
| martin north hospital | Stuart | $44.20 | $12.90 – $649.00 |
| indian river hospital | Vero Beach | $44.20 | $14.57 – $1,575.00 |
| Baptist Hospital | MIAMI | $167.70 | $44.63 – $232.20 |
| Bethesda Hospital East | BOYNTON BEACH | $167.70 | $51.86 – $258.00 |
| Boca Raton Regional Hospital | BOCA RATON | $115.05 | $63.72 – $177.00 |
| Doctors Hospital | CORAL GABLES | $167.70 | $45.15 – $232.20 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $167.70 | $44.89 – $232.20 |