Prolactin at HCA FLORIDA SARASOTA DOCTORS HOSPITAL
901 US Hwy 41 Bypass S, VENICE, FL · HCA Florida Healthcare · · NPI 1003862053
$242.00
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.
$242.00
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.
$11.37 with Access 2 Healthcare Physicians Freedom Optimum Group Members vs $222.64 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 | $11.37 | ↓ -95% |
| Access 2 Healthcare Physicians Optimum | MGMCR | $17.42 | ↓ -93% |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $17.42 | ↓ -93% |
| Humana | TRICARE | $17.57 | ↓ -93% |
| CareSource | Tricare | $18.11 | ↓ -93% |
| Optimum Healthcare | MCRPPO | $18.88 | ↓ -92% |
| Freedom Health Care | MGMGR | $18.88 | ↓ -92% |
| Optimum Healthcare | MCRHMO | $18.88 | ↓ -92% |
| Optimum Healthcare | PFFS | $18.88 | ↓ -92% |
| AvMed | HIX | $19.36 | ↓ -92% |
| United | AllPayerAppendix | $19.38 | ↓ -92% |
| WellMed | MCR | $19.38 | ↓ -92% |
| Aetna | MCR | $19.38 | ↓ -92% |
| United VA CCN | FED | $19.38 | ↓ -92% |
| United Behavioral Health | VACNN | $19.38 | ↓ -92% |
| United | MGMCD | $19.38 | ↓ -92% |
| NDMS Definitive Care | MCR | $19.38 | ↓ -92% |
| BCBS | MGMCRHMO | $19.77 | ↓ -92% |
| Ultimate Health Plan | MCR | $19.77 | ↓ -92% |
| United | MCR | $19.77 | ↓ -92% |
| BCBS | MCRPPO | $19.77 | ↓ -92% |
| WellCare | MCR | $20.35 | ↓ -92% |
| HUMANA | MGMCRPPO | $20.35 | ↓ -92% |
| Sunshine State | MCR | $20.35 | ↓ -92% |
| American Health Plan | MCR | $20.54 | ↓ -92% |
| Cigna HealthSpring | MCR | $20.74 | ↓ -91% |
| Florida Complete Care | MCR | $20.74 | ↓ -91% |
| Align Senior Care | MCR | $20.74 | ↓ -91% |
| SECUR | MGMCR | $20.93 | ↓ -91% |
| Gold Kidney of Florida | Medicare | $21.12 | ↓ -91% |
| Clear Spring Health | MCR | $21.32 | ↓ -91% |
| Centurion | LOGOV | $21.32 | ↓ -91% |
| HUMANA | MGMCRHMO | $21.32 | ↓ -91% |
| Simply Healthcare | HIX | $27.52 | ↓ -89% |
| Oscar | HIX | $29.85 | ↓ -88% |
| Simply Healthcare | MGMCR | $37.27 | ↓ -85% |
| United | OptionsPPO | $39.69 | ↓ -84% |
| Molina | MGMCR | $45.98 | ↓ -81% |
| AvMed | HMOFI | $53.24 | ↓ -78% |
| Evolutions Healthcare Systems | PrimeTier1 | $55.66 | ↓ -77% |
| AvMed | ASOEO | $60.50 | ↓ -75% |
| Sunshine State Health Plan | QHP | $61.71 | ↓ -75% |
| Molina | HIX | $65.34 | ↓ -73% |
| Humana | PPO | $67.76 | ↓ -72% |
| Humana | HMO | $67.76 | ↓ -72% |
| CorVel Corporation | WORKERSCOMP | $72.12 | ↓ -70% |
| Rockport Healthcare Group | WORKERSCOMP | $72.12 | ↓ -70% |
| Aetna | ASA | $72.60 | ↓ -70% |
| Prime Health | WorkersComp | $73.64 | ↓ -70% |
| BeHealthy America | MCR | $94.38 | ↓ -61% |
| United | GlobalBenefitPlanAppendix | $108.90 | ↓ -55% |
| Beacon Health Options | COMM | $121.00 | ↓ -50% |
| Prime Health Sheriff | COMM | $121.00 | ↓ -50% |
| Plotkin Health | COMM | $121.00 | ↓ -50% |
| Healthcare Sarasota | COMM | $121.00 | ↓ -50% |
| Evolutions Healthcare Systems | PRIMENETWORK | $133.10 | ↓ -45% |
| Multiplan | PRIMARYPPO | $181.50 | ↓ -25% |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $193.60 | ↓ -20% |
| Evolutions Healthcare Systems | SELECTNETWORK | $193.60 | ↓ -20% |
| Evernorth | BHCOMM | $193.60 | ↓ -20% |
| Multiplan | COMPLEMENTARYPPO | $205.70 | ↓ -15% |
| Evolutions Healthcare Systems | CHOICENETWORK | $222.64 | ↓ -8% |
| Aetna | NonGatedCOMM | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | GatedCOMM | not published by hospital | — |
Visitor-reported prices
Comments
Prolactin at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $293.28 | $18.41 – $32.35 |
| Adventhealth Lake Wales | Lake Wales | $67.31 | $19.38 – $43.02 |
| Adventhealth Palm Coast Parkway | Palm Coast | $310.40 | $18.41 – $41.39 |
| Adventhealth Tampa | Tampa | $167.03 | $19.38 – $43.02 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $66.00 | $18.41 – $42.34 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $389.00 | $15.50 – $72.55 |
| Adventhealth Port Charlotte | Port Charlotte | $142.80 | $19.38 – $35.39 |
| cleveland clinic florida weston hospital | Weston | $131.30 | $6.33 – $29.88 |