CMS Price Transparency Data

Diagnostic procedure preparation

Facility: HCA Florida Highlands Hospital

Billing Code: G0279 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$28
about 0.7× the $40 Medicare rate · typically $13–$95
modeled estimate · not a bill or quote
What this hospital charges insurers
$13
Below the fair price — a good deal
about $15 under the fair price · 0.3× Medicare
Medicare pays $40 Fair price $28 This hospital $13

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

A typical price — 0 charge more and 3 charge less, among the 9 FL hospitals compared.

Cheapest $12 Priciest $13

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a Diagnostic procedure preparation is about $28 (about 0.7× the $40 Medicare rate). HCA Florida Highlands Hospital charges insurers about $13 — below the fair price — a good deal. Located in Sebring, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $12 - $57 30%
Blue Cross Blue Shieldmajor $12 30%
Aetnamajor $12 30%
Cignamajor $13 32%
Humanamajor $12 30%
AmeriHealth $15 37%
Devoted Health $12 30%
WellMed $12 30%
+ 7 smaller / regional plans $12 - $15

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Facility Profile & Credentials

  • Address: 3600 S Highlands Ave, Sebring, FL 33870
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals