Ultrasound exam k transpl w/doppler 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.
$98.21 with Freedom Health vs $835.70 with Prime Health — 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 | $98.21 | — |
| AvMed | HIX | $148.46 | — |
| Molina | MCR | $216.98 | — |
| United | AllPayerAppendix | $245.18 | — |
| AvMed | FullyInsured | $274.08 | — |
| AvMed | Select | $296.92 | — |
| AvMed | Focus | $296.92 | — |
| AvMed | Flex | $296.92 | — |
| AvMed | Engage | $296.92 | — |
| AvMed | Empower | $296.92 | — |
| AvMed | ASOEO | $319.76 | — |
| Aetna | ASA | $342.60 | — |
| Office of Sheiff Highland Co | GVT | $399.70 | — |
| Humana | HMO | $422.54 | — |
| Humana | PPO | $456.80 | — |
| United PPO | OptionsPPO | $502.48 | — |
| United | GlobalBenefitPlanAppendix | $513.90 | — |
| AvMed | JacksonFirstNetworkOON | $571.00 | — |
| Prime Health | WORKERSCOMP | $835.70 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound exam k transpl w/doppler at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $1,512.17 | $111.90 – $248.11 |
| Adventhealth Daytona Beach | Daytona Beach | $1,702.61 | $103.72 – $236.32 |
| Adventhealth Lake Wales | Lake Wales | $768.21 | $109.17 – $242.37 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,492.64 | $103.72 – $321.33 |
| Adventhealth Tampa | Tampa | $2,294.20 | $109.17 – $242.37 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,425.60 | $103.72 – $308.58 |
| Adventhealth Port Charlotte | Port Charlotte | $4,523.85 | $109.17 – $199.35 |
| cleveland clinic florida weston hospital | Weston | $794.30 | $31.25 – $780.30 |