Established Patient Office Visit (level 1) at HCA FLORIDA ST. LUCIE HOSPITAL
2551 S Kanner Hwy, STUART, FL · HCA Florida Healthcare · · NPI 1538115696
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.
$18.05 with CorVel Corporation vs $576.30 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 |
|---|---|---|---|
| CorVel Corporation | WORKERSCOMP | $18.05 | — |
| CareWorks (Rockport) | WORKERSCOMP | $18.43 | — |
| Prime Health | WORKERSCOMP | $18.43 | — |
| Aetna | MCR | $46.78 | — |
| BCBS | MCRHMO | $46.78 | — |
| Optimum | MGMCR | $58.31 | — |
| Freedom Health | MGMCR | $75.51 | — |
| BCBS | MBN | $109.84 | — |
| Simply Healthcare Plans | MGMCR | $114.14 | — |
| Aetna | QHP | $117.97 | — |
| BCBS | SBN | $128.14 | — |
| BCBS | HMO | $128.14 | — |
| Oscar | HIX | $128.82 | — |
| Aetna | HMO | $132.21 | — |
| BCBS | NWB | $136.28 | — |
| BCBS | PPO | $136.28 | — |
| Freedom Health | MGMCD | $140.48 | — |
| Health Sun Health Plan | MGMCR | $144.41 | — |
| Simply Healthcare | HIX | $159.33 | — |
| BCBS | BSLNON-PAR | $163.40 | — |
| BCBS | PHS | $163.40 | — |
| Aetna | PPO | $165.43 | — |
| Molina | MCR | $166.82 | — |
| Sunshine State Health Plan | QHP | $172.89 | — |
| Molina | HIX | $183.06 | — |
| Aetna | ASA | $203.40 | — |
| Cigna | NewBusinessNBN | $230.91 | — |
| United PPO | OptionsPPO | $298.32 | — |
| United | GlobalBenefitPlanAppendix | $305.10 | — |
| Cigna | PPO | $308.18 | — |
| Cigna | HMO | $308.18 | — |
| Humana | HMO | $324.86 | — |
| AvMed | JacksonFirstNetworkOON | $339.00 | — |
| Prime Health Sherriff | COMM | $339.00 | — |
| Plotkin Health | COMM | $339.00 | — |
| Humana | PPO | $351.20 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $508.50 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $576.30 | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| martin north hospital | Stuart | $122.20 | $6.99 – $94.00 |
| Adventhealth Daytona Beach | Daytona Beach | $265.94 | not published |
| Adventhealth Lake Wales | Lake Wales | $543.34 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $360.17 | not published |
| Adventhealth Tampa | Tampa | $313.58 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $197.87 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $584.72 | not published |
| cleveland clinic florida weston hospital | Weston | $122.20 | $5.59 – $159.80 |