Diffusing capacity at HCA FLORIDA SARASOTA DOCTORS HOSPITAL
901 US Hwy 41 Bypass S, VENICE, FL · HCA Florida Healthcare · · NPI 1003862053
$1,996.50
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.
$1,996.50
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.
$47.50 with Rockport Healthcare Group vs $1,836.78 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 |
|---|---|---|---|
| Rockport Healthcare Group | WORKERSCOMP | $47.50 | ↓ -98% |
| CorVel Corporation | WORKERSCOMP | $47.50 | ↓ -98% |
| Prime Health | WorkersComp | $48.50 | ↓ -98% |
| Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $93.84 | ↓ -95% |
| Aetna | MCR | $137.76 | ↓ -93% |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $143.75 | ↓ -93% |
| Access 2 Healthcare Physicians Optimum | MGMCR | $143.75 | ↓ -93% |
| BCBS | MGMCRHMO | $145.74 | ↓ -93% |
| Freedom Health Care | MGMGR | $155.73 | ↓ -92% |
| Optimum Healthcare | PFFS | $155.73 | ↓ -92% |
| Optimum Healthcare | MCRPPO | $155.73 | ↓ -92% |
| Optimum Healthcare | MCRHMO | $155.73 | ↓ -92% |
| AvMed | HIX | $159.72 | ↓ -92% |
| Truli | BSL | $169.70 | ↓ -92% |
| BCBS | BSL | $175.69 | ↓ -91% |
| BCBS | SBN | $175.69 | ↓ -91% |
| BCBS | MBN | $175.69 | ↓ -91% |
| BCBS | HMO | $229.60 | ↓ -88% |
| Truli | PPO | $241.58 | ↓ -88% |
| BCBS | NWB | $251.56 | ↓ -87% |
| BCBS | PPO | $251.56 | ↓ -87% |
| Simply Healthcare | HIX | $293.49 | ↓ -85% |
| Aetna | QHP | $295.48 | ↓ -85% |
| Oscar | HIX | $299.48 | ↓ -85% |
| Simply Healthcare | MGMCR | $307.46 | ↓ -85% |
| United | OptionsPPO | $327.43 | ↓ -84% |
| Cigna | HMO | $347.39 | ↓ -83% |
| Cigna | PPO | $347.39 | ↓ -83% |
| Molina | MGMCR | $379.33 | ↓ -81% |
| BCBS | PHS | $405.29 | ↓ -80% |
| AvMed | HMOFI | $439.23 | ↓ -78% |
| Aetna | NonGatedCOMM | $451.21 | ↓ -77% |
| Aetna | GatedCOMM | $451.21 | ↓ -77% |
| Evolutions Healthcare Systems | PrimeTier1 | $459.19 | ↓ -77% |
| AvMed | ASOEO | $499.13 | ↓ -75% |
| Sunshine State Health Plan | QHP | $509.11 | ↓ -74% |
| Molina | HIX | $539.05 | ↓ -73% |
| Humana | PPO | $559.02 | ↓ -72% |
| Humana | HMO | $559.02 | ↓ -72% |
| Aetna | ASA | $598.95 | ↓ -70% |
| BeHealthy America | MCR | $778.63 | ↓ -61% |
| United | GlobalBenefitPlanAppendix | $898.42 | ↓ -55% |
| Beacon Health Options | COMM | $998.25 | ↓ -50% |
| Prime Health Sheriff | COMM | $998.25 | ↓ -50% |
| Plotkin Health | COMM | $998.25 | ↓ -50% |
| Healthcare Sarasota | COMM | $998.25 | ↓ -50% |
| Evolutions Healthcare Systems | PRIMENETWORK | $1,098.08 | ↓ -45% |
| Multiplan | PRIMARYPPO | $1,497.38 | ↓ -25% |
| Evolutions Healthcare Systems | SELECTNETWORK | $1,597.20 | ↓ -20% |
| Evernorth | BHCOMM | $1,597.20 | ↓ -20% |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $1,597.20 | ↓ -20% |
| Multiplan | COMPLEMENTARYPPO | $1,697.03 | ↓ -15% |
| Evolutions Healthcare Systems | CHOICENETWORK | $1,836.78 | ↓ -8% |
Visitor-reported prices
Comments
Diffusing capacity at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $361.39 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $331.76 | not published |
| Adventhealth Tampa | Tampa | $646.29 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $547.14 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $683.00 | $47.50 – $48.50 |
| Adventhealth Port Charlotte | Port Charlotte | $731.24 | not published |
| cleveland clinic florida weston hospital | Weston | $540.80 | $6.96 – $642.60 |
| martin north hospital | Stuart | $540.80 | $6.23 – $855.00 |