Diagnostic Mammogram (both breasts) at HCA FLORIDA ST. LUCIE HOSPITAL
2551 S Kanner Hwy, STUART, FL · HCA Florida Healthcare · · NPI 1538115696
$1,001.00
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.
$1,001.00
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.
$86.09 with Optimum vs $850.85 with Multiplan — 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 |
|---|---|---|---|
| Optimum | MGMCR | $86.09 | ↓ -91% |
| Freedom Health | MGMCR | $86.09 | ↓ -91% |
| Humana | TRICR | $105.39 | ↓ -89% |
| Devoted Health | MCR | $112.53 | ↓ -89% |
| United Behavioral Health | VACCN | $112.53 | ↓ -89% |
| United | GVT | $112.53 | ↓ -89% |
| HUMANA | MGMCRHMO | $112.53 | ↓ -89% |
| HUMANA | MGMCRPPO | $112.53 | ↓ -89% |
| NDMS Definitive Care | MGMCR | $112.53 | ↓ -89% |
| Veterans Evaluation Services | MCR | $112.53 | ↓ -89% |
| Wellmed | MGMCR | $112.53 | ↓ -89% |
| CarePlus | MGMCR | $112.53 | ↓ -89% |
| Hospice Treasure Coast | MGMCD | $112.53 | ↓ -89% |
| Hospice Treasure Coast | MGMCR | $112.53 | ↓ -89% |
| Hospice of Treasure Coast | COMM | $112.53 | ↓ -89% |
| Ultimate Health Plan | MCR | $114.78 | ↓ -89% |
| United | MCR | $114.78 | ↓ -89% |
| BCBS | MCRPPO | $114.78 | ↓ -89% |
| BCBS | MCRHMO | $114.78 | ↓ -89% |
| Aetna | MCR | $115.91 | ↓ -88% |
| Sunshine State | MCR | $118.16 | ↓ -88% |
| Prominence HealthFirst | MCRHMO | $118.16 | ↓ -88% |
| American Health Plan | MCR | $119.28 | ↓ -88% |
| Florida Complete Care | MCR | $120.41 | ↓ -88% |
| Cigna Healthspring | MCR | $120.41 | ↓ -88% |
| Centurion | GVT | $123.78 | ↓ -88% |
| Sunshine State | MCD | $123.78 | ↓ -88% |
| AvMed | HIX | $130.13 | ↓ -87% |
| Simply Healthcare Plans | MGMCR | $130.13 | ↓ -87% |
| AmeriHealth Caritas | MGMCR | $135.04 | ↓ -87% |
| Longevity Health Plan | MCR | $135.04 | ↓ -87% |
| Freedom Health | MGMCD | $160.16 | ↓ -84% |
| Solis Health Plan | MCR | $163.17 | ↓ -84% |
| Molina | MCR | $190.19 | ↓ -81% |
| Health Sun Health Plan | MGMCR | $213.21 | ↓ -79% |
| AvMed | FullyInsured | $240.24 | ↓ -76% |
| Sunshine State Health Plan | QHP | $255.25 | ↓ -75% |
| AvMed | Select | $260.26 | ↓ -74% |
| AvMed | Focus | $260.26 | ↓ -74% |
| AvMed | Engage | $260.26 | ↓ -74% |
| AvMed | Flex | $260.26 | ↓ -74% |
| AvMed | Empower | $260.26 | ↓ -74% |
| United | AllPayerAppendix | $263.00 | ↓ -74% |
| Molina | HIX | $270.27 | ↓ -73% |
| AvMed | ASOEO | $280.28 | ↓ -72% |
| Aetna | ASA | $300.30 | ↓ -70% |
| Humana | HMO | $370.37 | ↓ -63% |
| Humana | PPO | $400.40 | ↓ -60% |
| United PPO | OptionsPPO | $440.44 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $450.45 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $500.50 | ↓ -50% |
| Prime Health Sherriff | COMM | $500.50 | ↓ -50% |
| Plotkin Health | COMM | $500.50 | ↓ -50% |
| Multiplan | COMMPPOPRIMARYNETWORK | $750.75 | ↓ -25% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $850.85 | ↓ -15% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Diagnostic Mammogram (both breasts) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| martin north hospital | Stuart | $833.95 | $29.35 – $441.50 |
| Adventhealth Daytona Beach | Daytona Beach | $627.61 | $106.90 – $203.35 |
| Adventhealth Lake Wales | Lake Wales | $1,704.92 | $112.53 – $257.80 |
| Adventhealth Palm Coast Parkway | Palm Coast | $507.36 | $106.90 – $306.90 |
| Adventhealth Tampa | Tampa | $687.12 | $112.53 – $249.82 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $647.27 | $106.90 – $245.82 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $1,366.00 | $84.85 – $127.27 |
| Adventhealth Port Charlotte | Port Charlotte | $1,027.30 | $112.53 – $205.48 |