X-ray exam of sinuses at HCA FLORIDA SARASOTA DOCTORS HOSPITAL
901 US Hwy 41 Bypass S, VENICE, FL · HCA Florida Healthcare · · NPI 1003862053
$1,887.36
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.
$1,887.36
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.
$88.71 with Access 2 Healthcare Physicians Freedom Optimum Group Members vs $1,736.37 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 | $88.71 | ↓ -95% |
| Access 2 Healthcare Physicians Optimum | MGMCR | $135.89 | ↓ -93% |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $135.89 | ↓ -93% |
| Optimum Healthcare | MCRPPO | $147.21 | ↓ -92% |
| Optimum Healthcare | MCRHMO | $147.21 | ↓ -92% |
| Freedom Health Care | MGMGR | $147.21 | ↓ -92% |
| Optimum Healthcare | PFFS | $147.21 | ↓ -92% |
| AvMed | HIX | $150.99 | ↓ -92% |
| United | AllPayerAppendix | $182.03 | ↓ -90% |
| Simply Healthcare | MGMCR | $290.65 | ↓ -85% |
| United | OptionsPPO | $309.53 | ↓ -84% |
| Molina | MGMCR | $358.60 | ↓ -81% |
| AvMed | HMOFI | $415.22 | ↓ -78% |
| Evolutions Healthcare Systems | PrimeTier1 | $434.09 | ↓ -77% |
| AvMed | ASOEO | $471.84 | ↓ -75% |
| Sunshine State Health Plan | QHP | $481.28 | ↓ -74% |
| Molina | HIX | $509.59 | ↓ -73% |
| Humana | PPO | $528.46 | ↓ -72% |
| Humana | HMO | $528.46 | ↓ -72% |
| Rockport Healthcare Group | WORKERSCOMP | $542.91 | ↓ -71% |
| CorVel Corporation | WORKERSCOMP | $542.91 | ↓ -71% |
| Prime Health | WorkersComp | $554.34 | ↓ -71% |
| Aetna | ASA | $566.21 | ↓ -70% |
| BeHealthy America | MCR | $736.07 | ↓ -61% |
| United | GlobalBenefitPlanAppendix | $849.31 | ↓ -55% |
| Prime Health Sheriff | COMM | $943.68 | ↓ -50% |
| Beacon Health Options | COMM | $943.68 | ↓ -50% |
| Healthcare Sarasota | COMM | $943.68 | ↓ -50% |
| Plotkin Health | COMM | $943.68 | ↓ -50% |
| Evolutions Healthcare Systems | PRIMENETWORK | $1,038.05 | ↓ -45% |
| Multiplan | PRIMARYPPO | $1,415.52 | ↓ -25% |
| Evolutions Healthcare Systems | SELECTNETWORK | $1,509.89 | ↓ -20% |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $1,509.89 | ↓ -20% |
| Evernorth | BHCOMM | $1,509.89 | ↓ -20% |
| Multiplan | COMPLEMENTARYPPO | $1,604.26 | ↓ -15% |
| Evolutions Healthcare Systems | CHOICENETWORK | $1,736.37 | ↓ -8% |
| 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 sinuses at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $387.60 | $86.33 – $151.68 |
| Adventhealth Lake Wales | Lake Wales | $830.26 | $77.67 – $201.75 |
| Adventhealth Palm Coast Parkway | Palm Coast | $681.59 | $85.22 – $194.11 |
| Adventhealth Tampa | Tampa | $1,056.67 | $76.59 – $201.75 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $558.28 | $86.33 – $198.52 |
| Adventhealth Port Charlotte | Port Charlotte | $907.10 | $80.04 – $165.94 |
| cleveland clinic florida weston hospital | Weston | $538.20 | $7.25 – $646.00 |
| martin north hospital | Stuart | $538.20 | $6.48 – $380.00 |