Inj, hercessi, 10 mg 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$37.15 with Wellcare vs $1,355.53 with AETNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Wellcare | MEDICARE ADVANTAGE | $37.15 | — |
| AETNA | MEDICARE ADVANTAGE | $37.15 | — |
| AETNA | QHP | $40.52 | — |
| DEVOTED HEALTH | Medicare Advantage HMO | $40.87 | — |
| BLUE CROSS | NWBI | $70.59 | — |
| BLUE CROSS | MBN | $70.59 | — |
| BLUE CROSS | PHS | $70.59 | — |
| BLUE CROSS | HMO | $70.59 | — |
| BLUE CROSS | NWB | $70.59 | — |
| BLUE CROSS | BSL | $70.59 | — |
| CIGNA | Individual Family Plan | $132.55 | — |
| CIGNA | SUREFIT | $175.42 | — |
| CIGNA | ALL PRODUCTS | $233.36 | — |
| Freedom Health | Managed Medicaid | $1,129.61 | — |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,129.61 | — |
| Simply | Managed Medicaid | $1,129.61 | — |
| SUNSHINE HEALTH | Managed Medicaid | $1,129.61 | — |
| AMERIHEALTH | Managed Medicaid | $1,163.50 | — |
| MOLINA | Managed Medicaid | $1,186.09 | — |
| MOLINA | Florida KidCare | $1,186.09 | — |
| Miami Childrens Health Plan | Managed Medicaid | $1,186.09 | — |
| Independent Living Systems | Managed Medicaid | $1,355.53 | — |
| AETNA | Managed Medicaid/CHIP | $1,355.53 | — |
Visitor-reported prices
Comments
Inj, hercessi, 10 mg at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $61.30 – $61.30 |
| Baptist Hospital | MIAMI | $537.55 | $40.03 – $744.30 |
| Bethesda Hospital East | BOYNTON BEACH | $537.55 | $40.03 – $744.30 |
| Doctors Hospital | CORAL GABLES | $537.55 | $40.03 – $744.30 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $537.55 | $40.03 – $744.30 |
| Fishermens Community Hospital | MARATHON | $611.00 | $156.98 – $846.00 |
| Homestead Hospital | HOMESTEAD | $537.55 | $40.03 – $744.30 |
| Mariners Hospital | TAVERNIER | $611.00 | $162.62 – $846.00 |