X-ray exam of arm infant 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.
$134.25 with Access 2 Healthcare Physicians Freedom Optimum Group Members vs $2,627.82 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 | $134.25 | — |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $205.66 | — |
| Access 2 Healthcare Physicians Optimum | MGMCR | $205.66 | — |
| Freedom Health Care | MGMGR | $222.79 | — |
| Optimum Healthcare | PFFS | $222.79 | — |
| Optimum Healthcare | MCRPPO | $222.79 | — |
| Optimum Healthcare | MCRHMO | $222.79 | — |
| AvMed | HIX | $228.51 | — |
| United | AllPayerAppendix | $245.18 | — |
| Rockport Healthcare Group | WORKERSCOMP | $435.69 | — |
| CorVel Corporation | WORKERSCOMP | $435.69 | — |
| Simply Healthcare | MGMCR | $439.87 | — |
| Prime Health | WorkersComp | $444.86 | — |
| United | OptionsPPO | $468.44 | — |
| Molina | MGMCR | $542.70 | — |
| AvMed | HMOFI | $628.39 | — |
| Evolutions Healthcare Systems | PrimeTier1 | $656.96 | — |
| AvMed | ASOEO | $714.08 | — |
| Sunshine State Health Plan | QHP | $728.36 | — |
| Molina | HIX | $771.21 | — |
| Humana | PPO | $799.77 | — |
| Humana | HMO | $799.77 | — |
| Aetna | ASA | $856.90 | — |
| BeHealthy America | MCR | $1,113.97 | — |
| United | GlobalBenefitPlanAppendix | $1,285.35 | — |
| Healthcare Sarasota | COMM | $1,428.16 | — |
| Beacon Health Options | COMM | $1,428.16 | — |
| Prime Health Sheriff | COMM | $1,428.16 | — |
| Plotkin Health | COMM | $1,428.16 | — |
| Evolutions Healthcare Systems | PRIMENETWORK | $1,570.98 | — |
| Multiplan | PRIMARYPPO | $2,142.25 | — |
| Evernorth | BHCOMM | $2,285.06 | — |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $2,285.06 | — |
| Evolutions Healthcare Systems | SELECTNETWORK | $2,285.06 | — |
| Multiplan | COMPLEMENTARYPPO | $2,427.88 | — |
| Evolutions Healthcare Systems | CHOICENETWORK | $2,627.82 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | GatedCOMM | not published by hospital | — |
| Aetna | NonGatedCOMM | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of arm infant at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $781.00 | $103.72 – $182.21 |
| Adventhealth Lake Wales | Lake Wales | $1,587.24 | $109.17 – $242.37 |
| Adventhealth Palm Coast Parkway | Palm Coast | $739.73 | $103.72 – $286.15 |
| Adventhealth Tampa | Tampa | $837.89 | $109.17 – $242.37 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $751.65 | $103.72 – $238.49 |
| Adventhealth Port Charlotte | Port Charlotte | $1,286.38 | $109.17 – $199.35 |
| cleveland clinic florida weston hospital | Weston | $638.30 | $6.68 – $780.30 |
| martin north hospital | Stuart | $596.70 | $5.97 – $459.00 |