Pt application of modality >=1 area ultrasound each 15 minutes at HCA FLORIDA SARASOTA DOCTORS HOSPITAL
901 US Hwy 41 Bypass S, VENICE, FL · HCA Florida Healthcare · · NPI 1003862053
not published by hospital
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.
not published by hospital
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.
$12.51 with United vs $543.68 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 |
|---|---|---|---|
| United | MGMCD | $12.51 | — |
| United VA CCN | FED | $12.51 | — |
| NDMS Definitive Care | MCR | $12.51 | — |
| United Behavioral Health | VACNN | $12.51 | — |
| Aetna | MCR | $12.51 | — |
| WellMed | MCR | $12.51 | — |
| BCBS | MCRPPO | $12.76 | — |
| BCBS | MGMCRHMO | $12.76 | — |
| Ultimate Health Plan | MCR | $12.76 | — |
| United | MCR | $12.76 | — |
| Sunshine State | MCR | $13.14 | — |
| WellCare | MCR | $13.14 | — |
| HUMANA | MGMCRPPO | $13.14 | — |
| Humana | TRICARE | $13.24 | — |
| American Health Plan | MCR | $13.26 | — |
| Florida Complete Care | MCR | $13.39 | — |
| Cigna HealthSpring | MCR | $13.39 | — |
| Align Senior Care | MCR | $13.39 | — |
| SECUR | MGMCR | $13.52 | — |
| Gold Kidney of Florida | Medicare | $13.64 | — |
| CareSource | Tricare | $13.65 | — |
| HUMANA | MGMCRHMO | $13.77 | — |
| Centurion | LOGOV | $13.77 | — |
| Clear Spring Health | MCR | $13.77 | — |
| CorVel Corporation | WORKERSCOMP | $15.20 | — |
| Rockport Healthcare Group | WORKERSCOMP | $15.20 | — |
| Prime Health | WorkersComp | $15.52 | — |
| Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $27.78 | — |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $42.55 | — |
| Access 2 Healthcare Physicians Optimum | MGMCR | $42.55 | — |
| Optimum Healthcare | MCRPPO | $46.09 | — |
| Freedom Health Care | MGMGR | $46.09 | — |
| Optimum Healthcare | MCRHMO | $46.09 | — |
| Optimum Healthcare | PFFS | $46.09 | — |
| AvMed | HIX | $47.28 | — |
| Simply Healthcare | HIX | $86.87 | — |
| Oscar | HIX | $88.64 | — |
| Simply Healthcare | MGMCR | $91.01 | — |
| United | OptionsPPO | $96.92 | — |
| Cigna | HMO | $102.83 | — |
| Cigna | PPO | $102.83 | — |
| Molina | MGMCR | $112.28 | — |
| AvMed | HMOFI | $130.01 | — |
| Evolutions Healthcare Systems | PrimeTier1 | $135.92 | — |
| AvMed | ASOEO | $147.74 | — |
| Sunshine State Health Plan | QHP | $150.69 | — |
| Molina | HIX | $159.56 | — |
| Humana | HMO | $165.47 | — |
| Humana | PPO | $165.47 | — |
| Aetna | ASA | $177.29 | — |
| BeHealthy America | MCR | $230.47 | — |
| United | GlobalBenefitPlanAppendix | $265.93 | — |
| Prime Health Sheriff | COMM | $295.48 | — |
| Plotkin Health | COMM | $295.48 | — |
| Healthcare Sarasota | COMM | $295.48 | — |
| Beacon Health Options | COMM | $295.48 | — |
| Evolutions Healthcare Systems | PRIMENETWORK | $325.03 | — |
| Multiplan | PRIMARYPPO | $443.22 | — |
| Evernorth | BHCOMM | $472.77 | — |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $472.77 | — |
| Evolutions Healthcare Systems | SELECTNETWORK | $472.77 | — |
| Multiplan | COMPLEMENTARYPPO | $502.32 | — |
| Evolutions Healthcare Systems | CHOICENETWORK | $543.68 | — |
| Aetna | GatedCOMM | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | NonGatedCOMM | not published by hospital | — |
Visitor-reported prices
Comments
Pt application of modality >=1 area ultrasound each 15 minutes at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $92.80 | $14.40 – $25.30 |
| Adventhealth Lake Wales | Lake Wales | $333.70 | $15.16 – $33.66 |
| Adventhealth Palm Coast Parkway | Palm Coast | $125.36 | not published |
| Adventhealth Tampa | Tampa | $317.81 | $15.16 – $33.66 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $92.86 | $14.40 – $33.12 |
| Adventhealth Port Charlotte | Port Charlotte | $398.45 | not published |
| cleveland clinic florida weston hospital | Weston | $141.70 | $9.90 – $185.30 |
| martin north hospital | Stuart | $141.70 | $9.29 – $109.00 |