X-ray arthrogram shoulder supervision & interpretation (both sides) 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.
$428.20 with Prime Health vs $3,346.00 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 | $428.20 | — |
| Freedom Health | MGMCR | $575.51 | — |
| United | AllPayerAppendix | $828.27 | — |
| AvMed | HIX | $869.96 | — |
| Molina | MCR | $1,271.48 | — |
| AvMed | FullyInsured | $1,606.08 | — |
| AvMed | Engage | $1,739.92 | — |
| AvMed | Focus | $1,739.92 | — |
| AvMed | Flex | $1,739.92 | — |
| AvMed | Select | $1,739.92 | — |
| AvMed | Empower | $1,739.92 | — |
| AvMed | ASOEO | $1,873.76 | — |
| Aetna | ASA | $2,007.60 | — |
| Office of Sheiff Highland Co | GVT | $2,342.20 | — |
| Humana | HMO | $2,476.04 | — |
| Humana | PPO | $2,676.80 | — |
| United PPO | OptionsPPO | $2,944.48 | — |
| United | GlobalBenefitPlanAppendix | $3,011.40 | — |
| AvMed | JacksonFirstNetworkOON | $3,346.00 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
X-ray arthrogram shoulder supervision & interpretation (both sides) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Sebring | Sebring | $2,572.74 | $373.43 – $827.96 |
| Adventhealth Daytona Beach | Daytona Beach | $3,579.19 | $346.11 – $608.05 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,187.22 | $346.11 – $1,140.93 |
| Adventhealth Tampa | Tampa | $1,337.76 | $364.32 – $808.79 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,720.50 | $346.11 – $795.86 |
| Adventhealth Port Charlotte | Port Charlotte | $2,035.68 | $364.32 – $665.25 |
| cleveland clinic florida weston hospital | Weston | $2,156.70 | $23.30 – $2,618.00 |
| martin north hospital | Stuart | $2,002.00 | $20.85 – $1,540.00 |