Inj, hemgenix, per tx dose at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
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.
$15,211.52 with Freedom Health vs $14,241,908.37 with AVMED — 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 | Managed Medicaid | $15,211.52 | — |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $15,211.52 | — |
| Simply | Managed Medicaid | $15,211.52 | — |
| SUNSHINE HEALTH | Managed Medicaid | $15,211.52 | — |
| AMERIHEALTH | Managed Medicaid | $15,667.87 | — |
| Miami Childrens Health Plan | Managed Medicaid | $15,972.10 | — |
| MOLINA | Managed Medicaid | $15,972.10 | — |
| MOLINA | Florida KidCare | $15,972.10 | — |
| Independent Living Systems | Managed Medicaid | $18,253.82 | — |
| AETNA | Managed Medicaid/CHIP | $18,253.82 | — |
| HUMANA | Medicare Advantage HMO | $3,672,900.00 | — |
| BLUE CROSS | Medicare Advantage HMO | $3,672,900.00 | — |
| BLUE CROSS | Medicare Advantage PPO | $3,672,900.00 | — |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $3,672,900.00 | — |
| UNITED | MEDICARE ADVANTAGE | $3,672,900.00 | — |
| AETNA | MEDICARE ADVANTAGE | $3,685,266.66 | — |
| Wellcare | MEDICARE ADVANTAGE | $3,685,266.66 | — |
| AVMED | MEDICARE ADVANTAGE | $3,819,816.00 | — |
| Freedom Health | MEDICARE ADVANTAGE | $3,856,545.00 | — |
| Careplus | MEDICARE ADVANTAGE | $3,856,545.00 | — |
| DEVOTED HEALTH | Medicare Advantage HMO | $4,053,793.33 | — |
| CIGNA | Individual Family Plan | $4,424,158.31 | — |
| CIGNA | SUREFIT | $5,843,250.00 | — |
| AVMED | EXCHANGE | $6,427,575.00 | — |
| CIGNA | ALL PRODUCTS | $7,791,000.00 | — |
| AVMED | Select | $10,835,055.00 | — |
| AVMED | BROAD | $14,241,908.37 | — |
Visitor-reported prices
Comments
Inj, hemgenix, per tx dose at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $6,080,690.01 – $6,080,690.01 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $6,080,690.01 – $6,080,690.01 |
| cleveland clinic florida weston hospital | Weston | not published | $14,450.94 – $5,034,470.00 |
| indian river hospital | Vero Beach | not published | $14,450.94 – $6,598,892.84 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $7,923,323.34 – $7,923,323.34 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $6,080,690.01 – $6,080,690.01 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $6,080,690.01 – $6,080,690.01 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | not published | $9,765,956.68 – $9,765,956.68 |