Tc-99m pyroph diag per dose up to 25 mci at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$861.00
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.
$861.00
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.
$59.41 with Aetna vs $430.50 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 |
|---|---|---|---|
| Aetna | MCR | $59.41 | ↓ -93% |
| BCBS | MCRHMO | $62.85 | ↓ -93% |
| United | AllPayerAppendix | $65.59 | ↓ -92% |
| Freedom Health | MGMCR | $74.05 | ↓ -91% |
| AvMed | HIX | $111.93 | ↓ -87% |
| Molina | MCR | $163.59 | ↓ -81% |
| Oscar | HIX | $163.59 | ↓ -81% |
| Simply Healthcare | HIX | $202.34 | ↓ -76% |
| AvMed | FullyInsured | $206.64 | ↓ -76% |
| AvMed | Empower | $223.86 | ↓ -74% |
| AvMed | Focus | $223.86 | ↓ -74% |
| AvMed | Flex | $223.86 | ↓ -74% |
| AvMed | Engage | $223.86 | ↓ -74% |
| AvMed | Select | $223.86 | ↓ -74% |
| Cigna | NewBusinessNBN | $226.44 | ↓ -74% |
| AvMed | ASOEO | $241.08 | ↓ -72% |
| Office of Sheiff Highland Co | GVT | $301.35 | ↓ -65% |
| Cigna | HMO | $302.21 | ↓ -65% |
| Cigna | PPO | $302.21 | ↓ -65% |
| Humana | HMO | $318.57 | ↓ -63% |
| Humana | PPO | $344.40 | ↓ -60% |
| United PPO | OptionsPPO | $378.84 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $387.45 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $430.50 | ↓ -50% |
Visitor-reported prices
Comments
Tc-99m pyroph diag per dose up to 25 mci at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $133.00 | $65.59 – $65.59 |
| cleveland clinic florida weston hospital | Weston | $84.50 | $19.82 – $1,390.00 |
| martin north hospital | Stuart | $84.50 | $24.54 – $649.00 |
| indian river hospital | Vero Beach | $84.50 | $27.73 – $1,575.00 |
| Baptist Hospital | MIAMI | $123.50 | $32.87 – $173.17 |
| Bethesda Hospital East | BOYNTON BEACH | $123.50 | $38.19 – $190.00 |
| Boca Raton Regional Hospital | BOCA RATON | $190.45 | $105.48 – $293.00 |
| Doctors Hospital | CORAL GABLES | $123.50 | $33.25 – $171.00 |