X-ray arthrogram shoulder supervision & interpretation (both sides) 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.
$470.25 with Optimum vs $4,647.80 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 | $470.25 | — |
| Freedom Health | MGMCR | $470.25 | — |
| CorVel Corporation | WORKERSCOMP | $476.22 | — |
| Prime Health | WORKERSCOMP | $486.24 | — |
| CareWorks (Rockport) | WORKERSCOMP | $486.24 | — |
| Simply Healthcare Plans | MGMCR | $710.84 | — |
| AvMed | HIX | $710.84 | — |
| United | AllPayerAppendix | $828.27 | — |
| Freedom Health | MGMCD | $874.88 | — |
| Molina | MCR | $1,038.92 | — |
| Health Sun Health Plan | MGMCR | $1,164.68 | — |
| AvMed | FullyInsured | $1,312.32 | — |
| Sunshine State Health Plan | QHP | $1,394.34 | — |
| AvMed | Empower | $1,421.68 | — |
| AvMed | Focus | $1,421.68 | — |
| AvMed | Flex | $1,421.68 | — |
| AvMed | Engage | $1,421.68 | — |
| AvMed | Select | $1,421.68 | — |
| Molina | HIX | $1,476.36 | — |
| AvMed | ASOEO | $1,531.04 | — |
| Aetna | ASA | $1,640.40 | — |
| Humana | HMO | $2,023.16 | — |
| Humana | PPO | $2,187.20 | — |
| United PPO | OptionsPPO | $2,405.92 | — |
| United | GlobalBenefitPlanAppendix | $2,460.60 | — |
| Plotkin Health | COMM | $2,734.00 | — |
| AvMed | JacksonFirstNetworkOON | $2,734.00 | — |
| Prime Health Sherriff | COMM | $2,734.00 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $4,101.00 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $4,647.80 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
X-ray arthrogram shoulder supervision & interpretation (both sides) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| martin north hospital | Stuart | $2,002.00 | $20.85 – $1,540.00 |
| Adventhealth Daytona Beach | Daytona Beach | $3,579.19 | $346.11 – $608.05 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,187.22 | $346.11 – $1,140.93 |
| Adventhealth Tampa | Tampa | $1,337.76 | $364.32 – $808.79 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,720.50 | $346.11 – $795.86 |
| Adventhealth Port Charlotte | Port Charlotte | $2,035.68 | $364.32 – $665.25 |
| cleveland clinic florida weston hospital | Weston | $2,156.70 | $23.30 – $2,618.00 |
| indian river hospital | Vero Beach | $2,002.00 | $20.72 – $2,464.00 |