Tc-99m mertiatide at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$1,680.00
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.
$1,680.00
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.
$115.92 with Aetna vs $1,308.90 with United — 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 |
|---|---|---|---|
| Aetna | MCR | $115.92 | ↓ -93% |
| BCBS | MCRHMO | $122.64 | ↓ -93% |
| Freedom Health | MGMCR | $144.48 | ↓ -91% |
| AvMed | HIX | $218.40 | ↓ -87% |
| Molina | MCR | $319.20 | ↓ -81% |
| Oscar | HIX | $319.20 | ↓ -81% |
| Simply Healthcare | HIX | $394.80 | ↓ -77% |
| AvMed | FullyInsured | $403.20 | ↓ -76% |
| AvMed | Flex | $436.80 | ↓ -74% |
| AvMed | Focus | $436.80 | ↓ -74% |
| AvMed | Engage | $436.80 | ↓ -74% |
| AvMed | Empower | $436.80 | ↓ -74% |
| AvMed | Select | $436.80 | ↓ -74% |
| Cigna | NewBusinessNBN | $441.84 | ↓ -74% |
| AvMed | ASOEO | $470.40 | ↓ -72% |
| Office of Sheiff Highland Co | GVT | $588.00 | ↓ -65% |
| Cigna | HMO | $589.68 | ↓ -65% |
| Cigna | PPO | $589.68 | ↓ -65% |
| Humana | HMO | $621.60 | ↓ -63% |
| Humana | PPO | $672.00 | ↓ -60% |
| United PPO | OptionsPPO | $739.20 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $756.00 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $840.00 | ↓ -50% |
| United | AllPayerAppendix | $1,308.90 | ↓ -22% |
Visitor-reported prices
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Tc-99m mertiatide at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $1,936.00 | $1,308.90 – $1,308.90 |
| cleveland clinic florida weston hospital | Weston | $406.25 | $95.42 – $1,390.00 |
| martin north hospital | Stuart | $406.25 | $118.14 – $883.24 |
| indian river hospital | Vero Beach | $406.25 | $133.48 – $1,575.00 |
| Baptist Hospital | MIAMI | $837.85 | $173.17 – $1,160.10 |
| Bethesda Hospital East | BOYNTON BEACH | $837.85 | $259.09 – $1,289.00 |
| Boca Raton Regional Hospital | BOCA RATON | $143.65 | $79.56 – $221.00 |
| Doctors Hospital | CORAL GABLES | $837.85 | $225.58 – $1,160.10 |