Special physics consult at HCA FLORIDA SARASOTA DOCTORS HOSPITAL
901 US Hwy 41 Bypass S, VENICE, FL · HCA Florida Healthcare · · NPI 1003862053
$1,079.00
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.
$1,079.00
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.
$50.71 with Access 2 Healthcare Physicians Freedom Optimum Group Members vs $6,000.00 with Molina — 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 | $50.71 | ↓ -95% |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $77.69 | ↓ -93% |
| Access 2 Healthcare Physicians Optimum | MGMCR | $77.69 | ↓ -93% |
| Optimum Healthcare | MCRPPO | $84.16 | ↓ -92% |
| Optimum Healthcare | MCRHMO | $84.16 | ↓ -92% |
| Freedom Health Care | MGMGR | $84.16 | ↓ -92% |
| Optimum Healthcare | PFFS | $84.16 | ↓ -92% |
| AvMed | HIX | $86.32 | ↓ -92% |
| Simply Healthcare | HIX | $158.61 | ↓ -85% |
| Oscar | HIX | $161.85 | ↓ -85% |
| United | OptionsPPO | $176.96 | ↓ -84% |
| Cigna | HMO | $187.75 | ↓ -83% |
| Cigna | PPO | $187.75 | ↓ -83% |
| AvMed | HMOFI | $237.38 | ↓ -78% |
| Evolutions Healthcare Systems | PrimeTier1 | $248.17 | ↓ -77% |
| AvMed | ASOEO | $269.75 | ↓ -75% |
| Sunshine State Health Plan | QHP | $275.14 | ↓ -75% |
| Molina | HIX | $291.33 | ↓ -73% |
| Humana | PPO | $302.12 | ↓ -72% |
| Humana | HMO | $302.12 | ↓ -72% |
| Aetna | ASA | $323.70 | ↓ -70% |
| United | GlobalBenefitPlanAppendix | $485.55 | ↓ -55% |
| Beacon Health Options | COMM | $539.50 | ↓ -50% |
| Healthcare Sarasota | COMM | $539.50 | ↓ -50% |
| Prime Health Sheriff | COMM | $539.50 | ↓ -50% |
| Plotkin Health | COMM | $539.50 | ↓ -50% |
| Evolutions Healthcare Systems | PRIMENETWORK | $593.45 | ↓ -45% |
| Multiplan | PRIMARYPPO | $809.25 | ↓ -25% |
| Evernorth | BHCOMM | $863.20 | ↓ -20% |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $863.20 | ↓ -20% |
| Evolutions Healthcare Systems | SELECTNETWORK | $863.20 | ↓ -20% |
| Multiplan | COMPLEMENTARYPPO | $917.15 | ↓ -15% |
| Evolutions Healthcare Systems | CHOICENETWORK | $992.68 | ↓ -8% |
| Rockport Healthcare Group | WORKERSCOMP | $1,708.65 | ↑ +58% |
| CorVel Corporation | WORKERSCOMP | $1,708.65 | ↑ +58% |
| Prime Health | WorkersComp | $1,744.62 | ↑ +62% |
| Molina | MGMCR | $6,000.00 | ↑ +456% |
| Aetna | QHP | not published by hospital | — |
| Aetna | GatedCOMM | not published by hospital | — |
| Aetna | NonGatedCOMM | not published by hospital | — |
Visitor-reported prices
Comments
Special physics consult at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,300.75 | $133.34 – $234.26 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,345.49 | not published |
| Adventhealth Tampa | Tampa | $1,661.78 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,440.15 | $133.34 – $306.62 |
| Adventhealth Port Charlotte | Port Charlotte | $564.29 | not published |
| cleveland clinic florida weston hospital | Weston | $1,479.40 | $71.21 – $2,276.00 |
| martin north hospital | Stuart | $1,479.40 | $74.96 – $1,131.00 |
| indian river hospital | Vero Beach | $744.25 | $71.21 – $1,131.00 |