Dup scan/ue art/graft/bilat/comp 93930 at HCA FLORIDA BLAKE HOSPITAL
2020 59TH STREET WEST, BRADENTON, FL · HCA Florida Healthcare · · NPI 1114964244
$5,373.25
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.
$5,373.25
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.
$167.20 with CorVel Corporation vs $4,943.39 with Evolutions Healthcare Systems — 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 |
|---|---|---|---|
| CorVel Corporation | WORKERSCOMP | $167.20 | ↓ -97% |
| Rockport Healthcare Group | WORKERSCOMP | $167.20 | ↓ -97% |
| Prime Health | WorkersComp | $170.72 | ↓ -97% |
| Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $252.54 | ↓ -95% |
| Access 2 Healthcare Physicians Optimum | MGMCR | $386.87 | ↓ -93% |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $386.87 | ↓ -93% |
| Optimum Healthcare | MCRHMO | $419.11 | ↓ -92% |
| Freedom Health Care | MGMGR | $419.11 | ↓ -92% |
| Optimum Healthcare | MCRPPO | $419.11 | ↓ -92% |
| Optimum Healthcare | PFFS | $419.11 | ↓ -92% |
| AvMed | HIX | $429.86 | ↓ -92% |
| Simply Healthcare | HIX | $789.87 | ↓ -85% |
| Oscar | HIX | $805.99 | ↓ -85% |
| United | OptionsPPO | $881.21 | ↓ -84% |
| Simply Healthcare | MCR | $913.45 | ↓ -83% |
| Cigna | PPO | $934.95 | ↓ -83% |
| Cigna | HMO | $934.95 | ↓ -83% |
| Molina | MGMCR | $1,020.92 | ↓ -81% |
| AvMed | HMOFI | $1,182.12 | ↓ -78% |
| Evolutions Healthcare Systems | PrimeTier1 | $1,235.85 | ↓ -77% |
| AvMed | ASOEO | $1,343.31 | ↓ -75% |
| Sunshine State Health Plan | QHP | $1,370.18 | ↓ -74% |
| Molina | HIX | $1,450.78 | ↓ -73% |
| Humana | PPO | $1,504.51 | ↓ -72% |
| Humana | HMO | $1,504.51 | ↓ -72% |
| Aetna | ASA | $1,611.97 | ↓ -70% |
| BeHealthy America | MCR | $2,095.57 | ↓ -61% |
| United | GlobalBenefitPlanAppendix | $2,417.96 | ↓ -55% |
| Healthcare Sarasota | COMM | $2,686.63 | ↓ -50% |
| Prime Health Sheriff | COMM | $2,686.63 | ↓ -50% |
| Plotkin Health | COMM | $2,686.63 | ↓ -50% |
| Evolutions Healthcare Systems | PRIMENETWORK | $3,223.95 | ↓ -40% |
| Multiplan | PRIMARYPPO | $4,029.94 | ↓ -25% |
| Evolutions Healthcare Systems | SELECTNETWORK | $4,567.26 | ↓ -15% |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $4,567.26 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $4,567.26 | ↓ -15% |
| Evolutions Healthcare Systems | CHOICENETWORK | $4,943.39 | ↓ -8% |
| Aetna | NonGatedCOMM | not published by hospital | — |
| Aetna | GatedCOMM | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Dup scan/ue art/graft/bilat/comp 93930 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,702.61 | $236.71 – $415.86 |
| Adventhealth Lake Wales | Lake Wales | $4,909.62 | $249.17 – $553.15 |
| Adventhealth Palm Coast Parkway | Palm Coast | $2,028.20 | $236.71 – $532.20 |
| Adventhealth Tampa | Tampa | $2,788.71 | $249.17 – $553.15 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,343.07 | $236.71 – $544.31 |
| Adventhealth Port Charlotte | Port Charlotte | $3,332.08 | $249.17 – $454.98 |
| cleveland clinic florida weston hospital | Weston | $1,337.70 | $19.60 – $1,477.30 |
| martin north hospital | Stuart | $1,337.70 | $17.54 – $869.00 |