Ercp biliary & pancreas at HCA FLORIDA SARASOTA DOCTORS HOSPITAL
901 US Hwy 41 Bypass S, VENICE, FL · HCA Florida Healthcare · · NPI 1003862053
$5,173.60
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.
?
What you pay up front if you don't use insurance.
$5,173.60
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.
?
The hospital's undiscounted list price — almost no one pays this.
$243.16 with Access 2 Healthcare Physicians Freedom Optimum Group Members vs $4,759.71 with Evolutions Healthcare Systems — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $243.16 | ↓ -95% |
| Aetna | MCR | $356.98 | ↓ -93% |
| Access 2 Healthcare Physicians Optimum | MGMCR | $372.50 | ↓ -93% |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $372.50 | ↓ -93% |
| BCBS | MGMCRHMO | $377.67 | ↓ -93% |
| Optimum Healthcare | PFFS | $403.54 | ↓ -92% |
| Optimum Healthcare | MCRHMO | $403.54 | ↓ -92% |
| Optimum Healthcare | MCRPPO | $403.54 | ↓ -92% |
| Freedom Health Care | MGMGR | $403.54 | ↓ -92% |
| AvMed | HIX | $413.89 | ↓ -92% |
| Simply Healthcare | MGMCR | $796.73 | ↓ -85% |
| CorVel Corporation | WORKERSCOMP | $798.28 | ↓ -85% |
| Rockport Healthcare Group | WORKERSCOMP | $798.28 | ↓ -85% |
| Prime Health | WorkersComp | $815.08 | ↓ -84% |
| United | OptionsPPO | $848.47 | ↓ -84% |
| Molina | MGMCR | $982.98 | ↓ -81% |
| AvMed | HMOFI | $1,138.19 | ↓ -78% |
| Evolutions Healthcare Systems | PrimeTier1 | $1,189.93 | ↓ -77% |
| AvMed | ASOEO | $1,293.40 | ↓ -75% |
| Sunshine State Health Plan | QHP | $1,319.27 | ↓ -74% |
| Molina | HIX | $1,396.87 | ↓ -73% |
| Humana | PPO | $1,448.61 | ↓ -72% |
| Humana | HMO | $1,448.61 | ↓ -72% |
| Aetna | ASA | $1,552.08 | ↓ -70% |
| BeHealthy America | MCR | $2,017.70 | ↓ -61% |
| United | GlobalBenefitPlanAppendix | $2,328.12 | ↓ -55% |
| Healthcare Sarasota | COMM | $2,586.80 | ↓ -50% |
| Beacon Health Options | COMM | $2,586.80 | ↓ -50% |
| Prime Health Sheriff | COMM | $2,586.80 | ↓ -50% |
| Plotkin Health | COMM | $2,586.80 | ↓ -50% |
| Evolutions Healthcare Systems | PRIMENETWORK | $2,845.48 | ↓ -45% |
| Multiplan | PRIMARYPPO | $3,880.20 | ↓ -25% |
| Evernorth | BHCOMM | $4,138.88 | ↓ -20% |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $4,138.88 | ↓ -20% |
| Evolutions Healthcare Systems | SELECTNETWORK | $4,138.88 | ↓ -20% |
| Multiplan | COMPLEMENTARYPPO | $4,397.56 | ↓ -15% |
| Evolutions Healthcare Systems | CHOICENETWORK | $4,759.71 | ↓ -8% |
| Aetna | QHP | not published by hospital | — |
| Aetna | GatedCOMM | not published by hospital | — |
| Aetna | NonGatedCOMM | not published by hospital | — |
Visitor-reported prices
Comments
Ercp biliary & pancreas at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $4,264.27 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $4,008.33 | not published |
| Adventhealth Tampa | Tampa | $2,844.15 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $2,079.35 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $5,248.89 | not published |
| cleveland clinic florida weston hospital | Weston | $922.35 | $26.36 – $985.15 |
| martin north hospital | Stuart | $753.35 | $27.68 – $579.50 |
| indian river hospital | Vero Beach | $753.35 | $26.36 – $927.20 |