C1 esterase inhibitor func - sendout at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$421.20
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.
$648.00
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.
$5.50 with AETNA vs $47.70 with AETNA — 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 |
|---|---|---|---|
| AETNA | Managed Medicaid/CHIP Behavioral Health | $5.50 | ↓ -99% |
| SUNSHINE HEALTH | Managed Medicaid | $5.50 | ↓ -99% |
| Freedom Health | Managed Medicaid | $5.50 | ↓ -99% |
| Simply | Managed Medicaid | $5.50 | ↓ -99% |
| AMERIHEALTH | Managed Medicaid | $5.67 | ↓ -99% |
| Miami Childrens Health Plan | Managed Medicaid | $5.78 | ↓ -99% |
| MOLINA | Managed Medicaid | $5.78 | ↓ -99% |
| MOLINA | Florida KidCare | $5.78 | ↓ -99% |
| AETNA | Managed Medicaid/CHIP | $6.60 | ↓ -98% |
| Independent Living Systems | Managed Medicaid | $6.60 | ↓ -98% |
| HUMANA | Medicare Advantage HMO | $12.00 | ↓ -97% |
| Wellcare | MEDICARE ADVANTAGE | $12.00 | ↓ -97% |
| UNITED | NHP | $12.00 | ↓ -97% |
| AETNA | MEDICARE ADVANTAGE | $12.00 | ↓ -97% |
| UNITED | MEDICARE ADVANTAGE | $12.00 | ↓ -97% |
| BLUE CROSS | Medicare Advantage HMO | $12.00 | ↓ -97% |
| BLUE CROSS | Medicare Advantage PPO | $12.00 | ↓ -97% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $12.00 | ↓ -97% |
| AVMED | MEDICARE ADVANTAGE | $12.48 | ↓ -97% |
| Freedom Health | MEDICARE ADVANTAGE | $12.60 | ↓ -97% |
| Careplus | MEDICARE ADVANTAGE | $12.60 | ↓ -97% |
| DEVOTED HEALTH | Medicare Advantage HMO | $13.20 | ↓ -97% |
| AETNA | QHP | $15.53 | ↓ -96% |
| AVMED | Select | $15.90 | ↓ -96% |
| AVMED | EXCHANGE | $15.90 | ↓ -96% |
| AETNA | ALL PRODUCTS | $16.54 | ↓ -96% |
| AETNA | All Products New Business | $17.33 | ↓ -96% |
| CIGNA | Individual Family Plan | $17.68 | ↓ -96% |
| AVMED | BROAD | $20.14 | ↓ -95% |
| CIGNA | SUREFIT | $23.40 | ↓ -94% |
| BMI | ALL PRODUCTS | $26.50 | ↓ -94% |
| CIGNA | ALL PRODUCTS | $31.13 | ↓ -93% |
| Clarity Health | ALL PRODUCTS | $34.45 | ↓ -92% |
| The Legacy Companies | ALL PRODUCTS | $34.45 | ↓ -92% |
| Consociate Health | ALL PRODUCTS | $39.75 | ↓ -91% |
| AETNA | All Products First Health | $47.70 | ↓ -89% |
| BLUE CROSS | PHS | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| BLUE CROSS | MBN | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| MULTIPLAN | ALL PRODUCTS | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
C1 esterase inhibitor func - sendout at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $11.95 – $54.14 |
| Adventhealth Daytona Beach | Daytona Beach | $43.47 | $11.40 – $20.03 |
| Adventhealth Lake Wales | Lake Wales | $41.67 | $12.00 – $26.64 |
| Adventhealth Palm Coast Parkway | Palm Coast | $22.46 | $11.40 – $25.63 |
| Adventhealth Tampa | Tampa | $61.03 | $12.00 – $26.64 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $181.09 | $11.40 – $26.21 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $97.00 | $9.60 – $51.96 |
| Adventhealth Port Charlotte | Port Charlotte | $88.63 | $12.00 – $21.91 |