Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$187.00
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.
$187.00
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.
$16.08 with Freedom Health vs $93.50 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 |
|---|---|---|---|
| Freedom Health | MGMCR | $16.08 | ↓ -91% |
| AvMed | HIX | $24.31 | ↓ -87% |
| BCBS | MBN | $25.43 | ↓ -86% |
| BCBS | SBN | $25.43 | ↓ -86% |
| BCBS | BSL | $25.43 | ↓ -86% |
| United | GVT | $26.50 | ↓ -86% |
| NDMS Definitive Care | MGMCR | $26.50 | ↓ -86% |
| HUMANA | MGMCRHMO | $26.50 | ↓ -86% |
| HUMANA | MGMCRPPO | $26.50 | ↓ -86% |
| Wellmed | MGMCR | $26.50 | ↓ -86% |
| Devoted Health | MCR | $26.50 | ↓ -86% |
| BCBS | MCRHMO | $27.03 | ↓ -86% |
| BCBS | MCRPPO | $27.03 | ↓ -86% |
| United | MCR | $27.03 | ↓ -86% |
| Aetna | MCR | $27.30 | ↓ -85% |
| Prominence HealthFirst | MCRHMO | $27.83 | ↓ -85% |
| Sunshine State | MCR | $27.83 | ↓ -85% |
| American Health Plan | MCR | $28.09 | ↓ -85% |
| Cigna Healthspring | MCR | $28.36 | ↓ -85% |
| Florida Complete Care | MCR | $28.36 | ↓ -85% |
| Centurion | GVT | $29.15 | ↓ -84% |
| Sunshine State | MCD | $29.15 | ↓ -84% |
| Prime Health | WORKERSCOMP | $31.04 | ↓ -83% |
| Longevity Health Plan | MCR | $31.80 | ↓ -83% |
| AmeriHealth Caritas | MGMCR | $31.80 | ↓ -83% |
| Aetna | QHP | $32.54 | ↓ -83% |
| BCBS | HMO | $35.34 | ↓ -81% |
| Oscar | HIX | $35.53 | ↓ -81% |
| Molina | MCR | $35.53 | ↓ -81% |
| Aetna | HMO | $36.47 | ↓ -80% |
| BCBS | NWB | $37.59 | ↓ -80% |
| BCBS | PPO | $37.59 | ↓ -80% |
| Simply Healthcare | HIX | $43.95 | ↓ -76% |
| AvMed | FullyInsured | $44.88 | ↓ -76% |
| BCBS | PHS | $45.07 | ↓ -76% |
| Aetna | PPO | $45.63 | ↓ -76% |
| AvMed | Select | $48.62 | ↓ -74% |
| AvMed | Empower | $48.62 | ↓ -74% |
| AvMed | Engage | $48.62 | ↓ -74% |
| AvMed | Flex | $48.62 | ↓ -74% |
| AvMed | Focus | $48.62 | ↓ -74% |
| Cigna | NewBusinessNBN | $49.18 | ↓ -74% |
| AvMed | ASOEO | $52.36 | ↓ -72% |
| Aetna | ASA | $56.10 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $65.45 | ↓ -65% |
| Cigna | HMO | $65.64 | ↓ -65% |
| Cigna | PPO | $65.64 | ↓ -65% |
| Humana | HMO | $69.19 | ↓ -63% |
| Humana | PPO | $74.80 | ↓ -60% |
| United PPO | OptionsPPO | $82.28 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $84.15 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $93.50 | ↓ -50% |
Visitor-reported prices
Comments
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $203.41 | $22.96 – $50.91 |
| Adventhealth Daytona Beach | Daytona Beach | $85.84 | $21.28 – $37.39 |
| Adventhealth Tampa | Tampa | $91.47 | $22.40 – $49.73 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $90.71 | $21.28 – $48.93 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $282.00 | $21.20 – $31.80 |
| Adventhealth Port Charlotte | Port Charlotte | $120.20 | not published |
| cleveland clinic florida weston hospital | Weston | $117.00 | $15.26 – $153.00 |
| martin north hospital | Stuart | $117.00 | $20.76 – $151.35 |