6/100
#2,476 nationally
Hca Florida Highlands Hospital
3600 S Highlands Ave, Sebring, FL 33870 · (863) 385-6101
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Hca Florida Highlands Hospital billed $10.42 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 10.4x
- volume-weighted across all its priced work
- Procedures priced
- 39
- inpatient and outpatient combined
- Rank in FL
- #120
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 8% of U.S. hospitals.
Better than 6% of U.S. hospitals.
Better than 6% of U.S. hospitals.
Better than 0% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
128 | $125,821 | $13,022 | +93% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
74 | $130,993 | $11,767 | +110% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
61 | $26,792 | $2,479 | +38% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
57 | $64,471 | $8,709 | +49% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
49 | $95,860 | $9,262 | +106% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
46 | $44,653 | $2,956 | +77% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
43 | $29,695 | $1,537 | +160% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
30 | $25,282 | $1,469 | +151% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
27 | $199,947 | $15,852 | +109% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
26 | $121,326 | $11,153 | +121% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$85,005 | $1,644 | +649% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$73,020 | $1,845 | +465% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$60,242 | $1,456 | +437% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$136,726 | $5,046 | +289% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$56,133 | $2,574 | +217% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$84,793 | $4,687 | +209% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$119,303 | $6,480 | +199% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$60,906 | $3,158 | +195% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$48,273 | $8,685 | about average |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$45,457 | $7,710 | +12% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
$47,487 | $10,448 | +15% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
$221,426 | $30,248 | +25% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
$283,502 | $40,048 | +28% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
$69,857 | $7,416 | +28% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$51,322 | $7,026 | +31% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$44,093 | $7,651 | +34% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.