Mayo factor v 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.
$7.22 with Freedom Health vs $71.40 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 |
|---|---|---|---|
| Freedom Health | MGMCR | $7.22 | — |
| Optimum | MGMCR | $7.22 | — |
| CorVel Corporation | WORKERSCOMP | $9.01 | — |
| Prime Health | WORKERSCOMP | $9.20 | — |
| CareWorks (Rockport) | WORKERSCOMP | $9.20 | — |
| Simply Healthcare Plans | MGMCR | $10.92 | — |
| AvMed | HIX | $10.92 | — |
| Freedom Health | MGMCD | $13.44 | — |
| Molina | MCR | $15.96 | — |
| Humana | TRICR | $17.58 | — |
| Devoted Health | MCR | $17.65 | — |
| United Behavioral Health | VACCN | $17.65 | — |
| United | AllPayerAppendix | $17.65 | — |
| United | GVT | $17.65 | — |
| HUMANA | MGMCRHMO | $17.65 | — |
| HUMANA | MGMCRPPO | $17.65 | — |
| NDMS Definitive Care | MGMCR | $17.65 | — |
| Veterans Evaluation Services | MCR | $17.65 | — |
| Wellmed | MGMCR | $17.65 | — |
| CarePlus | MGMCR | $17.65 | — |
| Hospice Treasure Coast | MGMCD | $17.65 | — |
| Hospice Treasure Coast | MGMCR | $17.65 | — |
| Hospice of Treasure Coast | COMM | $17.65 | — |
| Health Sun Health Plan | MGMCR | $17.89 | — |
| BCBS | MCRHMO | $18.00 | — |
| BCBS | MCRPPO | $18.00 | — |
| Ultimate Health Plan | MCR | $18.00 | — |
| United | MCR | $18.00 | — |
| Aetna | MCR | $18.18 | — |
| Prominence HealthFirst | MCRHMO | $18.53 | — |
| Sunshine State | MCR | $18.53 | — |
| American Health Plan | MCR | $18.71 | — |
| Florida Complete Care | MCR | $18.89 | — |
| Cigna Healthspring | MCR | $18.89 | — |
| Sunshine State | MCD | $19.41 | — |
| Centurion | GVT | $19.41 | — |
| AvMed | FullyInsured | $20.16 | — |
| Longevity Health Plan | MCR | $21.18 | — |
| AmeriHealth Caritas | MGMCR | $21.18 | — |
| Sunshine State Health Plan | QHP | $21.42 | — |
| AvMed | Focus | $21.84 | — |
| AvMed | Select | $21.84 | — |
| AvMed | Empower | $21.84 | — |
| AvMed | Engage | $21.84 | — |
| AvMed | Flex | $21.84 | — |
| Molina | HIX | $22.68 | — |
| AvMed | ASOEO | $23.52 | — |
| Aetna | ASA | $25.20 | — |
| Solis Health Plan | MCR | $25.59 | — |
| Humana | HMO | $31.08 | — |
| Humana | PPO | $33.60 | — |
| Oscar | HIX | $34.06 | — |
| United PPO | OptionsPPO | $36.96 | — |
| United | GlobalBenefitPlanAppendix | $37.80 | — |
| Simply Healthcare | HIX | $39.89 | — |
| Plotkin Health | COMM | $42.00 | — |
| Prime Health Sherriff | COMM | $42.00 | — |
| AvMed | JacksonFirstNetworkOON | $42.00 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $63.00 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $71.40 | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Mayo factor v at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| martin north hospital | Stuart | $52.65 | $2.23 – $60.00 |
| Adventhealth Daytona Beach | Daytona Beach | $68.40 | $16.77 – $29.46 |
| Adventhealth Palm Coast Parkway | Palm Coast | $69.85 | $16.77 – $37.70 |
| Adventhealth Tampa | Tampa | $125.48 | $17.65 – $39.18 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $86.43 | $16.77 – $38.56 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $360.00 | $8.64 – $25.59 |
| Adventhealth Port Charlotte | Port Charlotte | $130.49 | $17.65 – $32.23 |
| cleveland clinic florida weston hospital | Weston | $52.65 | $2.12 – $68.00 |