Use 1st target lesion at HCA FLORIDA HIGHLANDS HOSPITAL
3600 S Highlands Ave, Sebring, FL · HCA Florida Healthcare · · NPI 1598282246
$1,481.00
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.
$1,481.00
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.
$127.37 with Freedom Health vs $740.50 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 |
|---|---|---|---|
| Freedom Health | MGMCR | $127.37 | ↓ -91% |
| AvMed | HIX | $192.53 | ↓ -87% |
| United | AllPayerAppendix | $245.18 | ↓ -83% |
| Molina | MCR | $281.39 | ↓ -81% |
| AvMed | FullyInsured | $355.44 | ↓ -76% |
| AvMed | Select | $385.06 | ↓ -74% |
| AvMed | Focus | $385.06 | ↓ -74% |
| AvMed | Flex | $385.06 | ↓ -74% |
| AvMed | Engage | $385.06 | ↓ -74% |
| AvMed | Empower | $385.06 | ↓ -74% |
| AvMed | ASOEO | $414.68 | ↓ -72% |
| Aetna | ASA | $444.30 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $518.35 | ↓ -65% |
| Humana | HMO | $547.97 | ↓ -63% |
| Prime Health | WORKERSCOMP | $553.24 | ↓ -63% |
| Humana | PPO | $592.40 | ↓ -60% |
| United PPO | OptionsPPO | $651.64 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $666.45 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $740.50 | ↓ -50% |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Use 1st target lesion at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | not published | $111.90 – $248.11 |
| cleveland clinic florida weston hospital | Weston | $750.10 | $27.90 – $780.30 |
| martin north hospital | Stuart | $153.40 | $29.11 – $236.00 |
| indian river hospital | Vero Beach | $153.40 | $22.74 – $236.00 |
| Baptist Hospital | MIAMI | $404.30 | $69.11 – $559.80 |
| Bethesda Hospital East | BOYNTON BEACH | $404.30 | $69.11 – $559.80 |
| Boca Raton Regional Hospital | BOCA RATON | $362.05 | $107.21 – $363.72 |
| Doctors Hospital | CORAL GABLES | $404.30 | $66.99 – $559.80 |