Inj, cipaglucosidase, 5 mg at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$4,584.06
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.
$7,052.40
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.
$88.06 with Miami Childrens Health Plan vs $12,697.64 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 |
|---|---|---|---|
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $88.06 | ↓ -98% |
| UNITED | MEDICARE ADVANTAGE | $88.06 | ↓ -98% |
| BLUE CROSS | Medicare Advantage HMO | $88.06 | ↓ -98% |
| BLUE CROSS | Medicare Advantage PPO | $88.06 | ↓ -98% |
| HUMANA | Medicare Advantage HMO | $88.06 | ↓ -98% |
| Wellcare | MEDICARE ADVANTAGE | $91.20 | ↓ -98% |
| AETNA | MEDICARE ADVANTAGE | $91.20 | ↓ -98% |
| AVMED | MEDICARE ADVANTAGE | $91.58 | ↓ -98% |
| Freedom Health | MEDICARE ADVANTAGE | $92.46 | ↓ -98% |
| Careplus | MEDICARE ADVANTAGE | $92.46 | ↓ -98% |
| DEVOTED HEALTH | Medicare Advantage HMO | $100.32 | ↓ -98% |
| CIGNA | Individual Family Plan | $106.59 | ↓ -98% |
| CIGNA | SUREFIT | $140.77 | ↓ -97% |
| AVMED | EXCHANGE | $154.11 | ↓ -97% |
| BLUE CROSS | NWBI | $173.28 | ↓ -96% |
| BLUE CROSS | BSL | $173.28 | ↓ -96% |
| BLUE CROSS | HMO | $173.28 | ↓ -96% |
| BLUE CROSS | MBN | $173.28 | ↓ -96% |
| BLUE CROSS | NWB | $173.28 | ↓ -96% |
| BLUE CROSS | PHS | $173.28 | ↓ -96% |
| CIGNA | ALL PRODUCTS | $187.70 | ↓ -96% |
| AVMED | Select | $259.78 | ↓ -94% |
| AVMED | BROAD | $347.23 | ↓ -92% |
| AETNA | QHP | $2,066.35 | ↓ -55% |
| AETNA | ALL PRODUCTS | $2,200.35 | ↓ -52% |
| AETNA | All Products New Business | $2,306.13 | ↓ -50% |
| BMI | ALL PRODUCTS | $3,526.20 | ↓ -23% |
| The Legacy Companies | ALL PRODUCTS | $4,584.06 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $4,584.06 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $5,289.30 | ↑ +15% |
| AETNA | All Products First Health | $6,347.16 | ↑ +38% |
| Freedom Health | Managed Medicaid | $10,581.37 | ↑ +131% |
| SUNSHINE HEALTH | Managed Medicaid | $10,581.37 | ↑ +131% |
| Simply | Managed Medicaid | $10,581.37 | ↑ +131% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $10,581.37 | ↑ +131% |
| AMERIHEALTH | Managed Medicaid | $10,898.81 | ↑ +138% |
| MOLINA | Managed Medicaid | $11,110.44 | ↑ +142% |
| Miami Childrens Health Plan | Managed Medicaid | $11,110.44 | ↑ +142% |
| MOLINA | Florida KidCare | $11,110.44 | ↑ +142% |
| Independent Living Systems | Managed Medicaid | $12,697.64 | ↑ +177% |
| AETNA | Managed Medicaid/CHIP | $12,697.64 | ↑ +177% |
| MULTIPLAN | ALL PRODUCTS | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Inj, cipaglucosidase, 5 mg at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $89.63 – $152.46 |
| cleveland clinic florida weston hospital | Weston | $4,584.06 | $88.06 – $10,581.37 |
| indian river hospital | Vero Beach | $4,584.06 | $88.06 – $10,581.37 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $92.40 – $152.46 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $89.63 – $152.46 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $89.63 – $152.46 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness | not published | $89.63 – $198.66 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD | not published | $89.63 – $277.20 |