Pertussis ag if at HCA FLORIDA SARASOTA DOCTORS HOSPITAL
901 US Hwy 41 Bypass S, VENICE, FL · HCA Florida Healthcare · · NPI 1003862053
$15.00
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.
$15.00
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.
$0.70 with Access 2 Healthcare Physicians Freedom Optimum Group Members vs $104.50 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 | $0.70 | ↓ -95% |
| Access 2 Healthcare Physicians Optimum | MGMCR | $1.08 | ↓ -93% |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $1.08 | ↓ -93% |
| Optimum Healthcare | PFFS | $1.17 | ↓ -92% |
| Optimum Healthcare | MCRPPO | $1.17 | ↓ -92% |
| Optimum Healthcare | MCRHMO | $1.17 | ↓ -92% |
| Freedom Health Care | MGMGR | $1.17 | ↓ -92% |
| AvMed | HIX | $1.20 | ↓ -92% |
| Simply Healthcare | MGMCR | $2.31 | ↓ -85% |
| United | OptionsPPO | $2.46 | ↓ -84% |
| Molina | MGMCR | $2.85 | ↓ -81% |
| AvMed | HMOFI | $3.30 | ↓ -78% |
| Evolutions Healthcare Systems | PrimeTier1 | $3.45 | ↓ -77% |
| AvMed | ASOEO | $3.75 | ↓ -75% |
| Sunshine State Health Plan | QHP | $3.83 | ↓ -74% |
| Molina | HIX | $4.05 | ↓ -73% |
| Humana | HMO | $4.20 | ↓ -72% |
| Humana | PPO | $4.20 | ↓ -72% |
| Aetna | ASA | $4.50 | ↓ -70% |
| BeHealthy America | MCR | $5.85 | ↓ -61% |
| United | GlobalBenefitPlanAppendix | $6.75 | ↓ -55% |
| Plotkin Health | COMM | $7.50 | ↓ -50% |
| Healthcare Sarasota | COMM | $7.50 | ↓ -50% |
| Prime Health Sheriff | COMM | $7.50 | ↓ -50% |
| Beacon Health Options | COMM | $7.50 | ↓ -50% |
| Evolutions Healthcare Systems | PRIMENETWORK | $8.25 | ↓ -45% |
| Humana | TRICARE | $10.85 | ↓ -28% |
| CareSource | Tricare | $11.19 | ↓ -25% |
| Multiplan | PRIMARYPPO | $11.25 | ↓ -25% |
| United VA CCN | FED | $11.98 | ↓ -20% |
| United | MGMCD | $11.98 | ↓ -20% |
| United | AllPayerAppendix | $11.98 | ↓ -20% |
| WellMed | MCR | $11.98 | ↓ -20% |
| Aetna | MCR | $11.98 | ↓ -20% |
| NDMS Definitive Care | MCR | $11.98 | ↓ -20% |
| United Behavioral Health | VACNN | $11.98 | ↓ -20% |
| Evernorth | BHCOMM | $12.00 | ↓ -20% |
| Evolutions Healthcare Systems | SELECTNETWORK | $12.00 | ↓ -20% |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $12.00 | ↓ -20% |
| BCBS | MGMCRHMO | $12.22 | ↓ -19% |
| BCBS | MCRPPO | $12.22 | ↓ -19% |
| Ultimate Health Plan | MCR | $12.22 | ↓ -19% |
| United | MCR | $12.22 | ↓ -19% |
| Sunshine State | MCR | $12.58 | ↓ -16% |
| HUMANA | MGMCRPPO | $12.58 | ↓ -16% |
| WellCare | MCR | $12.58 | ↓ -16% |
| American Health Plan | MCR | $12.70 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $12.75 | ↓ -15% |
| Cigna HealthSpring | MCR | $12.82 | ↓ -15% |
| Florida Complete Care | MCR | $12.82 | ↓ -15% |
| Align Senior Care | MCR | $12.82 | ↓ -15% |
| SECUR | MGMCR | $12.94 | ↓ -14% |
| Gold Kidney of Florida | Medicare | $13.06 | ↓ -13% |
| Clear Spring Health | MCR | $13.18 | ↓ -12% |
| Centurion | LOGOV | $13.18 | ↓ -12% |
| HUMANA | MGMCRHMO | $13.18 | ↓ -12% |
| Evolutions Healthcare Systems | CHOICENETWORK | $13.80 | ↓ -8% |
| Simply Healthcare | HIX | $17.01 | ↑ +13% |
| Oscar | HIX | $18.45 | ↑ +23% |
| Rockport Healthcare Group | WORKERSCOMP | $102.34 | ↑ +582% |
| CorVel Corporation | WORKERSCOMP | $102.34 | ↑ +582% |
| Prime Health | WorkersComp | $104.50 | ↑ +597% |
| Aetna | NonGatedCOMM | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | GatedCOMM | not published by hospital | — |
Visitor-reported prices
Comments
Pertussis ag if at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $11.05 | $4.02 – $17.00 |
| martin north hospital | Stuart | $11.05 | $4.23 – $17.00 |
| Boca Raton Regional Hospital | BOCA RATON | $65.00 | $11.98 – $65.30 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $18.53 | $10.85 – $104.50 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | $334.00 | $11.86 – $112.24 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD | $19.75 | $10.85 – $106.29 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH | $79.00 | $11.86 – $112.24 |
| HCA FLORIDA LEHIGH HOSPITAL | LEHIGH ACRES | $16.30 | $10.85 – $18.45 |