Pertussis ag if 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.
$5.50 with Optimum vs $107.26 with Prime Health — 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 | $5.50 | — |
| Freedom Health | MGMCR | $5.50 | — |
| AvMed | HIX | $8.32 | — |
| Simply Healthcare Plans | MGMCR | $8.32 | — |
| Freedom Health | MGMCD | $10.24 | — |
| Humana | TRICR | $11.93 | — |
| Devoted Health | MCR | $11.98 | — |
| United Behavioral Health | VACCN | $11.98 | — |
| United | AllPayerAppendix | $11.98 | — |
| United | GVT | $11.98 | — |
| HUMANA | MGMCRHMO | $11.98 | — |
| HUMANA | MGMCRPPO | $11.98 | — |
| NDMS Definitive Care | MGMCR | $11.98 | — |
| Veterans Evaluation Services | MCR | $11.98 | — |
| Wellmed | MGMCR | $11.98 | — |
| CarePlus | MGMCR | $11.98 | — |
| Hospice Treasure Coast | MGMCD | $11.98 | — |
| Hospice Treasure Coast | MGMCR | $11.98 | — |
| Hospice of Treasure Coast | COMM | $11.98 | — |
| Molina | MCR | $12.16 | — |
| BCBS | MCRPPO | $12.22 | — |
| Ultimate Health Plan | MCR | $12.22 | — |
| United | MCR | $12.22 | — |
| BCBS | MCRHMO | $12.22 | — |
| Aetna | MCR | $12.34 | — |
| Prominence HealthFirst | MCRHMO | $12.58 | — |
| Sunshine State | MCR | $12.58 | — |
| American Health Plan | MCR | $12.70 | — |
| Cigna Healthspring | MCR | $12.82 | — |
| Florida Complete Care | MCR | $12.82 | — |
| Centurion | GVT | $13.18 | — |
| Sunshine State | MCD | $13.18 | — |
| Health Sun Health Plan | MGMCR | $13.63 | — |
| AmeriHealth Caritas | MGMCR | $14.38 | — |
| Longevity Health Plan | MCR | $14.38 | — |
| AvMed | FullyInsured | $15.36 | — |
| Sunshine State Health Plan | QHP | $16.32 | — |
| AvMed | Empower | $16.64 | — |
| AvMed | Select | $16.64 | — |
| AvMed | Engage | $16.64 | — |
| AvMed | Flex | $16.64 | — |
| AvMed | Focus | $16.64 | — |
| Molina | HIX | $17.28 | — |
| Solis Health Plan | MCR | $17.37 | — |
| AvMed | ASOEO | $17.92 | — |
| Aetna | ASA | $19.20 | — |
| Oscar | HIX | $23.12 | — |
| Humana | HMO | $23.68 | — |
| Humana | PPO | $25.60 | — |
| Simply Healthcare | HIX | $27.07 | — |
| United PPO | OptionsPPO | $28.16 | — |
| United | GlobalBenefitPlanAppendix | $28.80 | — |
| Prime Health Sherriff | COMM | $32.00 | — |
| Plotkin Health | COMM | $32.00 | — |
| AvMed | JacksonFirstNetworkOON | $32.00 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $48.00 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $54.40 | — |
| CorVel Corporation | WORKERSCOMP | $105.05 | — |
| CareWorks (Rockport) | WORKERSCOMP | $107.26 | — |
| Prime Health | WORKERSCOMP | $107.26 | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Pertussis ag if at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| martin north hospital | Stuart | $11.05 | $4.23 – $17.00 |
| cleveland clinic florida weston hospital | Weston | $11.05 | $4.02 – $17.00 |
| Boca Raton Regional Hospital | BOCA RATON | $65.00 | $11.98 – $65.30 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $18.53 | $10.85 – $104.50 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | $334.00 | $11.86 – $112.24 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD | $19.75 | $10.85 – $106.29 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH | $79.00 | $11.86 – $112.24 |
| HCA FLORIDA LEHIGH HOSPITAL | LEHIGH ACRES | $16.30 | $10.85 – $18.45 |