Contrast x-ray of knee joint at HCA FLORIDA SARASOTA DOCTORS HOSPITAL
901 US Hwy 41 Bypass S, VENICE, FL · HCA Florida Healthcare · · NPI 1003862053
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.
$393.86 with Access 2 Healthcare Physicians Freedom Optimum Group Members vs $7,709.58 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 |
|---|---|---|---|
| Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $393.86 | — |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $603.36 | — |
| Access 2 Healthcare Physicians Optimum | MGMCR | $603.36 | — |
| Freedom Health Care | MGMGR | $653.64 | — |
| Optimum Healthcare | PFFS | $653.64 | — |
| Optimum Healthcare | MCRPPO | $653.64 | — |
| Optimum Healthcare | MCRHMO | $653.64 | — |
| AvMed | HIX | $670.40 | — |
| Rockport Healthcare Group | WORKERSCOMP | $717.38 | — |
| CorVel Corporation | WORKERSCOMP | $717.38 | — |
| Prime Health | WorkersComp | $732.49 | — |
| United | AllPayerAppendix | $828.27 | — |
| Simply Healthcare | MGMCR | $1,290.52 | — |
| United | OptionsPPO | $1,374.32 | — |
| Molina | MGMCR | $1,592.20 | — |
| AvMed | HMOFI | $1,843.60 | — |
| Evolutions Healthcare Systems | PrimeTier1 | $1,927.40 | — |
| AvMed | ASOEO | $2,094.99 | — |
| Sunshine State Health Plan | QHP | $2,136.89 | — |
| Molina | HIX | $2,262.59 | — |
| Humana | PPO | $2,346.39 | — |
| Humana | HMO | $2,346.39 | — |
| Aetna | ASA | $2,513.99 | — |
| BeHealthy America | MCR | $3,268.19 | — |
| United | GlobalBenefitPlanAppendix | $3,770.99 | — |
| Healthcare Sarasota | COMM | $4,189.99 | — |
| Beacon Health Options | COMM | $4,189.99 | — |
| Prime Health Sheriff | COMM | $4,189.99 | — |
| Plotkin Health | COMM | $4,189.99 | — |
| Evolutions Healthcare Systems | PRIMENETWORK | $4,608.99 | — |
| Multiplan | PRIMARYPPO | $6,284.98 | — |
| Evernorth | BHCOMM | $6,703.98 | — |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $6,703.98 | — |
| Evolutions Healthcare Systems | SELECTNETWORK | $6,703.98 | — |
| Multiplan | COMPLEMENTARYPPO | $7,122.98 | — |
| Evolutions Healthcare Systems | CHOICENETWORK | $7,709.58 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | GatedCOMM | not published by hospital | — |
| Aetna | NonGatedCOMM | not published by hospital | — |
Visitor-reported prices
Comments
Contrast x-ray of knee joint at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,572.77 | $346.11 – $608.05 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,370.11 | $346.11 – $1,140.93 |
| Adventhealth Tampa | Tampa | $3,495.47 | $364.32 – $808.79 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $2,458.01 | $346.11 – $795.86 |
| Adventhealth Port Charlotte | Port Charlotte | $1,638.34 | $364.32 – $665.25 |
| cleveland clinic florida weston hospital | Weston | $2,171.00 | $24.88 – $2,618.00 |
| martin north hospital | Stuart | $2,002.00 | $22.26 – $1,484.50 |
| indian river hospital | Vero Beach | $2,002.00 | $22.17 – $2,375.20 |