Inj velmanase alfa-tycv 1 mg at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$10,578.36
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.
$16,274.40
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.
$442.00 with Miami Childrens Health Plan vs $18,253.82 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 | $442.00 | ↓ -96% |
| UNITED | MEDICARE ADVANTAGE | $442.00 | ↓ -96% |
| BLUE CROSS | Medicare Advantage HMO | $442.00 | ↓ -96% |
| BLUE CROSS | Medicare Advantage PPO | $442.00 | ↓ -96% |
| HUMANA | Medicare Advantage HMO | $442.00 | ↓ -96% |
| AVMED | MEDICARE ADVANTAGE | $459.68 | ↓ -96% |
| Careplus | MEDICARE ADVANTAGE | $464.10 | ↓ -96% |
| Freedom Health | MEDICARE ADVANTAGE | $464.10 | ↓ -96% |
| AETNA | MEDICARE ADVANTAGE | $465.23 | ↓ -96% |
| Wellcare | MEDICARE ADVANTAGE | $465.23 | ↓ -96% |
| DEVOTED HEALTH | Medicare Advantage HMO | $511.75 | ↓ -95% |
| CIGNA | Individual Family Plan | $525.66 | ↓ -95% |
| CIGNA | SUREFIT | $694.28 | ↓ -93% |
| AVMED | EXCHANGE | $773.50 | ↓ -93% |
| BLUE CROSS | NWBI | $883.94 | ↓ -92% |
| BLUE CROSS | BSL | $883.94 | ↓ -92% |
| BLUE CROSS | HMO | $883.94 | ↓ -92% |
| BLUE CROSS | MBN | $883.94 | ↓ -92% |
| BLUE CROSS | NWB | $883.94 | ↓ -92% |
| BLUE CROSS | PHS | $883.94 | ↓ -92% |
| CIGNA | ALL PRODUCTS | $925.70 | ↓ -91% |
| AVMED | Select | $1,303.90 | ↓ -88% |
| AVMED | BROAD | $1,719.65 | ↓ -84% |
| AETNA | QHP | $4,768.40 | ↓ -55% |
| AETNA | ALL PRODUCTS | $5,077.61 | ↓ -52% |
| AETNA | All Products New Business | $5,321.73 | ↓ -50% |
| BMI | ALL PRODUCTS | $8,137.20 | ↓ -23% |
| The Legacy Companies | ALL PRODUCTS | $10,578.36 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $10,578.36 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $12,205.80 | ↑ +15% |
| AETNA | All Products First Health | $14,646.96 | ↑ +38% |
| Freedom Health | Managed Medicaid | $15,211.52 | ↑ +44% |
| SUNSHINE HEALTH | Managed Medicaid | $15,211.52 | ↑ +44% |
| Simply | Managed Medicaid | $15,211.52 | ↑ +44% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $15,211.52 | ↑ +44% |
| AMERIHEALTH | Managed Medicaid | $15,667.87 | ↑ +48% |
| MOLINA | Managed Medicaid | $15,972.10 | ↑ +51% |
| Miami Childrens Health Plan | Managed Medicaid | $15,972.10 | ↑ +51% |
| MOLINA | Florida KidCare | $15,972.10 | ↑ +51% |
| Independent Living Systems | Managed Medicaid | $18,253.82 | ↑ +73% |
| AETNA | Managed Medicaid/CHIP | $18,253.82 | ↑ +73% |
| 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 velmanase alfa-tycv 1 mg at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $451.27 – $767.63 |
| cleveland clinic florida weston hospital | Weston | $10,578.36 | $442.00 – $15,211.52 |
| indian river hospital | Vero Beach | $10,578.36 | $442.00 – $15,211.52 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $465.23 – $767.63 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $451.27 – $767.63 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $451.27 – $767.63 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness | not published | $451.27 – $1,000.24 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD | not published | $451.27 – $1,395.69 |