Treatment inhalation pressurized/nonpressurized acute airway obstruction at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
not published by hospital
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.
not published by hospital
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.
$18.43 with Prime Health vs $238.50 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 |
|---|---|---|---|
| Prime Health | WORKERSCOMP | $18.43 | — |
| Freedom Health | MGMCR | $41.02 | — |
| AvMed | HIX | $62.01 | — |
| BCBS | SBN | $65.01 | — |
| BCBS | MBN | $65.01 | — |
| BCBS | BSL | $65.01 | — |
| Aetna | QHP | $83.00 | — |
| BCBS | HMO | $90.34 | — |
| Molina | MCR | $90.63 | — |
| Oscar | HIX | $90.63 | — |
| Aetna | HMO | $93.02 | — |
| BCBS | NWB | $96.08 | — |
| BCBS | PPO | $96.08 | — |
| Simply Healthcare | HIX | $112.09 | — |
| AvMed | FullyInsured | $114.48 | — |
| BCBS | PHS | $115.20 | — |
| Aetna | PPO | $116.39 | — |
| AvMed | Engage | $124.02 | — |
| AvMed | Focus | $124.02 | — |
| AvMed | Flex | $124.02 | — |
| AvMed | Select | $124.02 | — |
| AvMed | Empower | $124.02 | — |
| Cigna | NewBusinessNBN | $125.45 | — |
| AvMed | ASOEO | $133.56 | — |
| Aetna | ASA | $143.10 | — |
| Office of Sheiff Highland Co | GVT | $166.95 | — |
| Cigna | HMO | $167.43 | — |
| Cigna | PPO | $167.43 | — |
| Humana | HMO | $176.49 | — |
| Humana | PPO | $190.80 | — |
| United PPO | OptionsPPO | $209.88 | — |
| United | GlobalBenefitPlanAppendix | $214.65 | — |
| AvMed | JacksonFirstNetworkOON | $238.50 | — |
Visitor-reported prices
Comments
Treatment inhalation pressurized/nonpressurized acute airway obstruction at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $542.12 | not published |
| Adventhealth Daytona Beach | Daytona Beach | $570.93 | $217.24 – $381.66 |
| Adventhealth Lake Wales | Lake Wales | $919.85 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $396.63 | not published |
| Adventhealth Tampa | Tampa | $556.14 | $228.67 – $507.65 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $245.54 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $1,101.73 | $228.67 – $417.56 |
| Baptist Hospital | MIAMI | $193.05 | $36.79 – $207.00 |