HCA Florida Sarasota Doctors Hospital
5731 Bee Ridge Rd, Sarasota, FL 34233 · 130 Priced Procedures · 68% Patient Recommendation
Typical commercial prices here are +61% above the fair benchmark (1.61×) even after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.61× fair market pricing.
Loss-Leader / Captive Ancillary Cross-Subsidizer
HCA Florida Sarasota Doctors Hospital prices routine shoppable procedures near 6.1× Medicare (p50 1.40×) while skewing captive emergency, lab, and upper-quartile codes to 10.1× Medicare (p75 2.54×, +81% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.00× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 2% of shoppable procedures (25/100 Cash Honesty)
- 4-Star CMS clinical rating with 68% patient recommendation (70/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 7.0× markup over Medicare rates
- Captive ER (3.9×) & laboratory (4.8×) services average 1.66× higher multiples than routine shoppable care (6.1×)
- Upper-quartile procedures (Q75 2.54×) jump +81% above the median procedure ratio (Q50 1.40×)
- Unnegotiated chargemaster list prices average 21.0× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at HCA Florida Sarasota Doctors Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 130 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $15,986 | 0.8× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $15,780 | unverified |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $13,617 | 2.2× |
| Breast lump removal CPT Code: 19120 | $12,361 | 3.2× |
| Bunion correction surgery CPT Code: 28296 | $8,253 | 2.4× |
| Inguinal hernia repair CPT Code: 49505 | $8,253 | 2.3× |
| Total hip replacement CPT Code: 27130 | $8,253 | 0.6× |
| Cataract surgery with lens implant CPT Code: 66984 | $5,950 | 2.3× |
| Trauma team activation HCPCS Code: G0390 | $4,322 | 3.0× |
| Colonoscopy with biopsy CPT Code: 45380 | $3,813 | 3.0× |
| Behavioral health counseling (per session) HCPCS Code: H0008 | $3,836 | unverified |
| Behavioral health counseling (group) HCPCS Code: H0009 | $3,836 | unverified |
| Behavioral health day treatment HCPCS Code: H0010 | $3,836 | unverified |
| Behavioral health residential care HCPCS Code: H0011 | $3,836 | unverified |
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $3,320 | 0.1× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $3,265 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $3,265 | unverified |
| Colonoscopy (diagnostic) CPT Code: 45378 | $3,129 | 3.2× |
| Upper endoscopy with biopsy CPT Code: 43239 | $3,129 | 3.2× |
| MRI, brain (no contrast) CPT Code: 70551 | $2,956 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,956 | unverified |
| Vaginal delivery (full package) CPT Code: 59400 | $2,896 | 1.1× |
| C-section delivery (full package) CPT Code: 59510 | $2,896 | 1.0× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,900 | unverified |
| Injection procedure for pain management HCPCS Code: G0260 | $2,821 | unverified |
Audit a Bill or Quote at HCA Florida Sarasota Doctors Hospital (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask HCA Florida Sarasota Doctors Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)
Your bill ($38,366) is $18,934 above the denoised Fair BaseRate ($19,432) and 2.7× the $14,044 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify HCA Florida Sarasota Doctors Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at HCA Florida Sarasota Doctors Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-05-05·administrative_or_closure
Met Requirements
Recorded - 2023-04-28·administrative_or_closure
Closure Notice
Recorded - 2022-11-02·cap_corrective_action
CAP Request
Recorded - 2021-09-29·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (518 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for HCA Florida Sarasota Doctors Hospital.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.