Electrophysiology evaluation at HCA FLORIDA BLAKE HOSPITAL
2020 59TH STREET WEST, BRADENTON, FL · HCA Florida Healthcare · · NPI 1114964244
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.
$1,045.42 with Aetna vs $38,272.00 with Oscar — 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 |
|---|---|---|---|
| Aetna | MCR | $1,045.42 | — |
| BCBS | MGMCRHMO | $1,075.72 | — |
| AvMed | HIX | $1,212.08 | — |
| Aetna | QHP | $2,242.35 | — |
| United | OptionsPPO | $2,484.77 | — |
| Simply Healthcare | MCR | $2,575.68 | — |
| AvMed | HMOFI | $3,333.23 | — |
| Aetna | GatedCOMM | $3,424.14 | — |
| Aetna | NonGatedCOMM | $3,424.14 | — |
| AvMed | ASOEO | $3,787.76 | — |
| Aetna | ASA | $4,545.31 | — |
| Molina | HIX | $5,010.00 | — |
| Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $6,426.00 | — |
| United | GlobalBenefitPlanAppendix | $6,817.97 | — |
| Molina | MGMCR | $7,500.00 | — |
| Plotkin Health | COMM | $7,575.52 | — |
| Prime Health Sheriff | COMM | $7,575.52 | — |
| Freedom Health Care | MGMGR | $7,650.00 | — |
| Optimum Healthcare | PFFS | $7,650.00 | — |
| Optimum Healthcare | MCRPPO | $7,650.00 | — |
| Optimum Healthcare | MCRHMO | $7,650.00 | — |
| Access 2 Healthcare Physicians Optimum | MGMCR | $7,650.00 | — |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $7,650.00 | — |
| BeHealthy America | MCR | $8,050.00 | — |
| Evolutions Healthcare Systems | PRIMENETWORK | $9,090.62 | — |
| Sunshine State Health Plan | QHP | $10,402.00 | — |
| Rockport Healthcare Group | WORKERSCOMP | $10,878.63 | — |
| CorVel Corporation | WORKERSCOMP | $10,878.63 | — |
| Prime Health | WorkersComp | $11,107.65 | — |
| Multiplan | PRIMARYPPO | $11,363.28 | — |
| Evolutions Healthcare Systems | SELECTNETWORK | $12,878.38 | — |
| Multiplan | COMPLEMENTARYPPO | $12,878.38 | — |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $12,878.38 | — |
| Truli | BSL | $13,847.00 | — |
| Evolutions Healthcare Systems | CHOICENETWORK | $13,938.96 | — |
| BCBS | BSL | $14,676.00 | — |
| BCBS | SBN | $14,676.00 | — |
| BCBS | MBN | $14,676.00 | — |
| United | AllPayerAppendix | $18,752.00 | — |
| BCBS | HMO | $19,143.00 | — |
| Truli | PPO | $20,733.00 | — |
| BCBS | NWB | $21,975.00 | — |
| BCBS | PPO | $21,975.00 | — |
| Cigna | HMO | $22,806.00 | — |
| Cigna | PPO | $22,806.00 | — |
| Evolutions Healthcare Systems | PrimeTier1 | $23,125.00 | — |
| Humana | PPO | $25,450.00 | — |
| Humana | HMO | $25,450.00 | — |
| BCBS | PHS | $27,922.00 | — |
| Simply Healthcare | HIX | $34,857.00 | — |
| Oscar | HIX | $38,272.00 | — |
| Healthcare Sarasota | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $6,594.98 | not published |
| Adventhealth Tampa | Tampa | $13,826.18 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $38,984.00 | $10,716.40 – $10,942.01 |
| Adventhealth Port Charlotte | Port Charlotte | $15,900.11 | not published |
| cleveland clinic florida weston hospital | Weston | $9,396.40 | $68.27 – $19,642.00 |
| martin north hospital | Stuart | $8,542.95 | $630.94 – $16,407.00 |
| indian river hospital | Vero Beach | $8,542.95 | $374.67 – $11,703.95 |
| Baptist Hospital | MIAMI | $12,358.45 | $173.17 – $17,111.70 |