Tissue culture tumor at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$495.00
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.
$495.00
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.
$42.57 with Freedom Health vs $333.40 with Simply Healthcare — 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 | $42.57 | ↓ -91% |
| AvMed | HIX | $64.35 | ↓ -87% |
| Molina | MCR | $94.05 | ↓ -81% |
| AvMed | FullyInsured | $118.80 | ↓ -76% |
| AvMed | Empower | $128.70 | ↓ -74% |
| AvMed | Flex | $128.70 | ↓ -74% |
| AvMed | Select | $128.70 | ↓ -74% |
| AvMed | Focus | $128.70 | ↓ -74% |
| AvMed | Engage | $128.70 | ↓ -74% |
| AvMed | ASOEO | $138.60 | ↓ -72% |
| United | GVT | $147.52 | ↓ -70% |
| Wellmed | MGMCR | $147.52 | ↓ -70% |
| NDMS Definitive Care | MGMCR | $147.52 | ↓ -70% |
| Devoted Health | MCR | $147.52 | ↓ -70% |
| United | AllPayerAppendix | $147.52 | ↓ -70% |
| HUMANA | MGMCRPPO | $147.52 | ↓ -70% |
| HUMANA | MGMCRHMO | $147.52 | ↓ -70% |
| Aetna | ASA | $148.50 | ↓ -70% |
| United | MCR | $150.47 | ↓ -70% |
| BCBS | MCRHMO | $150.47 | ↓ -70% |
| BCBS | MCRPPO | $150.47 | ↓ -70% |
| Aetna | MCR | $151.95 | ↓ -69% |
| Prominence HealthFirst | MCRHMO | $154.90 | ↓ -69% |
| Sunshine State | MCR | $154.90 | ↓ -69% |
| American Health Plan | MCR | $156.37 | ↓ -68% |
| Cigna Healthspring | MCR | $157.85 | ↓ -68% |
| Florida Complete Care | MCR | $157.85 | ↓ -68% |
| Sunshine State | MCD | $162.27 | ↓ -67% |
| Centurion | GVT | $162.27 | ↓ -67% |
| Office of Sheiff Highland Co | GVT | $173.25 | ↓ -65% |
| Longevity Health Plan | MCR | $177.02 | ↓ -64% |
| AmeriHealth Caritas | MGMCR | $177.02 | ↓ -64% |
| Humana | HMO | $183.15 | ↓ -63% |
| Humana | PPO | $198.00 | ↓ -60% |
| United PPO | OptionsPPO | $217.80 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $222.75 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $247.50 | ↓ -50% |
| Oscar | HIX | $284.71 | ↓ -42% |
| Simply Healthcare | HIX | $333.40 | ↓ -33% |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Tissue culture tumor at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | not published | $151.21 – $335.25 |
| Adventhealth Port Charlotte | Port Charlotte | $985.01 | $147.52 – $269.37 |
| cleveland clinic florida weston hospital | Weston | $221.00 | $85.00 – $289.00 |
| martin north hospital | Stuart | $221.00 | $99.62 – $255.00 |
| indian river hospital | Vero Beach | $221.00 | $79.56 – $272.55 |
| Boca Raton Regional Hospital | BOCA RATON | $268.45 | $117.00 – $234.01 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $167.99 | $133.70 – $213.90 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $93.98 | $129.82 – $368.80 |