Diagnostic Mammogram (both breasts) at HCA FLORIDA SARASOTA DOCTORS HOSPITAL
901 US Hwy 41 Bypass S, VENICE, FL · HCA Florida Healthcare · · NPI 1003862053
$777.30
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.
$777.30
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.
$36.53 with Access 2 Healthcare Physicians Freedom Optimum Group Members vs $715.12 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 | $36.53 | ↓ -95% |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $55.97 | ↓ -93% |
| Access 2 Healthcare Physicians Optimum | MGMCR | $55.97 | ↓ -93% |
| Optimum Healthcare | PFFS | $60.63 | ↓ -92% |
| Freedom Health Care | MGMGR | $60.63 | ↓ -92% |
| Optimum Healthcare | MCRHMO | $60.63 | ↓ -92% |
| Optimum Healthcare | MCRPPO | $60.63 | ↓ -92% |
| AvMed | HIX | $62.18 | ↓ -92% |
| Humana | TRICARE | $99.12 | ↓ -87% |
| CareSource | Tricare | $102.19 | ↓ -87% |
| Aetna | MCR | $106.06 | ↓ -86% |
| WellMed | MCR | $106.06 | ↓ -86% |
| NDMS Definitive Care | MCR | $106.06 | ↓ -86% |
| United | MGMCD | $106.06 | ↓ -86% |
| United Behavioral Health | VACNN | $106.06 | ↓ -86% |
| United VA CCN | FED | $106.06 | ↓ -86% |
| United | MCR | $108.18 | ↓ -86% |
| Ultimate Health Plan | MCR | $108.18 | ↓ -86% |
| BCBS | MCRPPO | $108.18 | ↓ -86% |
| BCBS | MGMCRHMO | $108.18 | ↓ -86% |
| WellCare | MCR | $111.36 | ↓ -86% |
| Sunshine State | MCR | $111.36 | ↓ -86% |
| HUMANA | MGMCRPPO | $111.36 | ↓ -86% |
| American Health Plan | MCR | $112.42 | ↓ -86% |
| Cigna HealthSpring | MCR | $113.48 | ↓ -85% |
| Align Senior Care | MCR | $113.48 | ↓ -85% |
| Florida Complete Care | MCR | $113.48 | ↓ -85% |
| SECUR | MGMCR | $114.54 | ↓ -85% |
| Gold Kidney of Florida | Medicare | $115.61 | ↓ -85% |
| HUMANA | MGMCRHMO | $116.67 | ↓ -85% |
| Clear Spring Health | MCR | $116.67 | ↓ -85% |
| Centurion | LOGOV | $116.67 | ↓ -85% |
| Simply Healthcare | MGMCR | $119.70 | ↓ -85% |
| United | OptionsPPO | $127.48 | ↓ -84% |
| Molina | MGMCR | $147.69 | ↓ -81% |
| AvMed | HMOFI | $171.01 | ↓ -78% |
| AvMed | ASOEO | $194.32 | ↓ -75% |
| Sunshine State Health Plan | QHP | $198.21 | ↓ -75% |
| Molina | HIX | $209.87 | ↓ -73% |
| Humana | PPO | $217.64 | ↓ -72% |
| Humana | HMO | $217.64 | ↓ -72% |
| Aetna | ASA | $233.19 | ↓ -70% |
| United | AllPayerAppendix | $263.00 | ↓ -66% |
| BeHealthy America | MCR | $303.15 | ↓ -61% |
| United | GlobalBenefitPlanAppendix | $349.79 | ↓ -55% |
| Beacon Health Options | COMM | $388.65 | ↓ -50% |
| Prime Health Sheriff | COMM | $388.65 | ↓ -50% |
| Plotkin Health | COMM | $388.65 | ↓ -50% |
| Healthcare Sarasota | COMM | $388.65 | ↓ -50% |
| Evolutions Healthcare Systems | PRIMENETWORK | $427.51 | ↓ -45% |
| Multiplan | PRIMARYPPO | $582.98 | ↓ -25% |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $621.84 | ↓ -20% |
| Evolutions Healthcare Systems | SELECTNETWORK | $621.84 | ↓ -20% |
| Evernorth | BHCOMM | $621.84 | ↓ -20% |
| Multiplan | COMPLEMENTARYPPO | $660.71 | ↓ -15% |
| Evolutions Healthcare Systems | CHOICENETWORK | $715.12 | ↓ -8% |
| Aetna | QHP | not published by hospital | — |
| Aetna | GatedCOMM | not published by hospital | — |
| Aetna | NonGatedCOMM | not published by hospital | — |
Visitor-reported prices
Comments
Diagnostic Mammogram (both breasts) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $627.61 | $106.90 – $203.35 |
| Adventhealth Lake Wales | Lake Wales | $1,704.92 | $112.53 – $257.80 |
| Adventhealth Palm Coast Parkway | Palm Coast | $507.36 | $106.90 – $306.90 |
| Adventhealth Tampa | Tampa | $687.12 | $112.53 – $249.82 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $647.27 | $106.90 – $245.82 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $1,366.00 | $84.85 – $127.27 |
| Adventhealth Port Charlotte | Port Charlotte | $1,027.30 | $112.53 – $205.48 |
| cleveland clinic florida weston hospital | Weston | $833.95 | $27.88 – $750.55 |