Consultation/report referred slides prepared elsewhere at HCA FLORIDA SARASOTA DOCTORS HOSPITAL
901 US Hwy 41 Bypass S, VENICE, FL · HCA Florida Healthcare · · NPI 1003862053
$196.99
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.
$196.99
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.
$9.26 with Access 2 Healthcare Physicians Freedom Optimum Group Members vs $306.53 with Prime Health — 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 |
|---|---|---|---|
| Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $9.26 | ↓ -95% |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $14.18 | ↓ -93% |
| Access 2 Healthcare Physicians Optimum | MGMCR | $14.18 | ↓ -93% |
| Optimum Healthcare | MCRHMO | $15.37 | ↓ -92% |
| Freedom Health Care | MGMGR | $15.37 | ↓ -92% |
| Optimum Healthcare | MCRPPO | $15.37 | ↓ -92% |
| Optimum Healthcare | PFFS | $15.37 | ↓ -92% |
| AvMed | HIX | $15.76 | ↓ -92% |
| Simply Healthcare | HIX | $28.96 | ↓ -85% |
| Oscar | HIX | $29.55 | ↓ -85% |
| Simply Healthcare | MGMCR | $30.34 | ↓ -85% |
| United | OptionsPPO | $32.31 | ↓ -84% |
| United | AllPayerAppendix | $33.84 | ↓ -83% |
| Molina | MGMCR | $37.43 | ↓ -81% |
| AvMed | HMOFI | $43.34 | ↓ -78% |
| Evolutions Healthcare Systems | PrimeTier1 | $45.31 | ↓ -77% |
| AvMed | ASOEO | $49.25 | ↓ -75% |
| Sunshine State Health Plan | QHP | $50.23 | ↓ -75% |
| Molina | HIX | $53.19 | ↓ -73% |
| Humana | HMO | $55.16 | ↓ -72% |
| Humana | PPO | $55.16 | ↓ -72% |
| Aetna | ASA | $59.10 | ↓ -70% |
| BeHealthy America | MCR | $76.83 | ↓ -61% |
| United | GlobalBenefitPlanAppendix | $88.65 | ↓ -55% |
| Prime Health Sheriff | COMM | $98.50 | ↓ -50% |
| Healthcare Sarasota | COMM | $98.50 | ↓ -50% |
| Beacon Health Options | COMM | $98.50 | ↓ -50% |
| Plotkin Health | COMM | $98.50 | ↓ -50% |
| Evolutions Healthcare Systems | PRIMENETWORK | $108.34 | ↓ -45% |
| Multiplan | PRIMARYPPO | $147.74 | ↓ -25% |
| Evernorth | BHCOMM | $157.59 | ↓ -20% |
| Evolutions Healthcare Systems | SELECTNETWORK | $157.59 | ↓ -20% |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $157.59 | ↓ -20% |
| Multiplan | COMPLEMENTARYPPO | $167.44 | ↓ -15% |
| Evolutions Healthcare Systems | CHOICENETWORK | $181.23 | ↓ -8% |
| CorVel Corporation | WORKERSCOMP | $300.21 | ↑ +52% |
| Rockport Healthcare Group | WORKERSCOMP | $300.21 | ↑ +52% |
| Prime Health | WorkersComp | $306.53 | ↑ +56% |
| Aetna | GatedCOMM | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | NonGatedCOMM | not published by hospital | — |
Visitor-reported prices
Comments
Consultation/report referred slides prepared elsewhere at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $439.36 | not published |
| Adventhealth Lake Wales | Lake Wales | $1,024.75 | $39.00 – $86.59 |
| Adventhealth Palm Coast Parkway | Palm Coast | $492.75 | $37.05 – $83.31 |
| Adventhealth Tampa | Tampa | $639.19 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $169.00 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $406.00 | $33.84 – $301.96 |
| Adventhealth Port Charlotte | Port Charlotte | $225.94 | $39.00 – $71.22 |
| cleveland clinic florida weston hospital | Weston | $455.65 | $30.30 – $106.00 |