Luspatercept-aamt 25 mg subcutaneous solution at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$38,498.82
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.
$59,228.96
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.
$40.62 with Miami Childrens Health Plan vs $17,768.77 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 | $40.62 | ↓ -100% |
| BLUE CROSS | Medicare Advantage HMO | $40.62 | ↓ -100% |
| HUMANA | Medicare Advantage HMO | $40.62 | ↓ -100% |
| UNITED | MEDICARE ADVANTAGE | $40.62 | ↓ -100% |
| BLUE CROSS | Medicare Advantage PPO | $40.62 | ↓ -100% |
| AVMED | MEDICARE ADVANTAGE | $42.24 | ↓ -100% |
| Freedom Health | MEDICARE ADVANTAGE | $42.65 | ↓ -100% |
| Careplus | MEDICARE ADVANTAGE | $42.65 | ↓ -100% |
| AETNA | MEDICARE ADVANTAGE | $42.77 | ↓ -100% |
| Wellcare | MEDICARE ADVANTAGE | $42.77 | ↓ -100% |
| DEVOTED HEALTH | Medicare Advantage HMO | $47.05 | ↓ -100% |
| CIGNA | Individual Family Plan | $49.23 | ↓ -100% |
| CIGNA | SUREFIT | $65.02 | ↓ -100% |
| AVMED | EXCHANGE | $71.09 | ↓ -100% |
| BLUE CROSS | PHS | $81.26 | ↓ -100% |
| BLUE CROSS | MBN | $81.26 | ↓ -100% |
| BLUE CROSS | BSL | $81.26 | ↓ -100% |
| BLUE CROSS | NWB | $81.26 | ↓ -100% |
| BLUE CROSS | HMO | $81.26 | ↓ -100% |
| BLUE CROSS | NWBI | $81.26 | ↓ -100% |
| CIGNA | ALL PRODUCTS | $86.69 | ↓ -100% |
| AVMED | Select | $117.95 | ↓ -100% |
| AVMED | BROAD | $153.93 | ↓ -100% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $4,705.00 | ↓ -88% |
| Simply | Managed Medicaid | $4,705.00 | ↓ -88% |
| SUNSHINE HEALTH | Managed Medicaid | $4,705.00 | ↓ -88% |
| Freedom Health | Managed Medicaid | $4,705.00 | ↓ -88% |
| AMERIHEALTH | Managed Medicaid | $4,846.15 | ↓ -87% |
| MOLINA | Florida KidCare | $4,940.25 | ↓ -87% |
| MOLINA | Managed Medicaid | $4,940.25 | ↓ -87% |
| Miami Childrens Health Plan | Managed Medicaid | $4,940.25 | ↓ -87% |
| Independent Living Systems | Managed Medicaid | $5,646.00 | ↓ -85% |
| AETNA | Managed Medicaid/CHIP | $5,646.00 | ↓ -85% |
| AETNA | QHP | $5,784.72 | ↓ -85% |
| AETNA | ALL PRODUCTS | $6,159.84 | ↓ -84% |
| AETNA | All Products New Business | $6,455.99 | ↓ -83% |
| BMI | ALL PRODUCTS | $9,871.54 | ↓ -74% |
| The Legacy Companies | ALL PRODUCTS | $12,833.00 | ↓ -67% |
| Clarity Health | ALL PRODUCTS | $12,833.00 | ↓ -67% |
| Consociate Health | ALL PRODUCTS | $14,807.31 | ↓ -62% |
| AETNA | All Products First Health | $17,768.77 | ↓ -54% |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| MULTIPLAN | ALL PRODUCTS | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Luspatercept-aamt 25 mg subcutaneous solution at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $40.00 – $70.57 |
| cleveland clinic florida weston hospital | Weston | $38,498.82 | $35.98 – $16,781.62 |
| indian river hospital | Vero Beach | $38,498.82 | $40.62 – $15,794.46 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | $15,503.60 | $40.00 – $70.57 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $41.24 – $70.57 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $40.00 – $91.96 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | not published | $40.00 – $113.34 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness | not published | $40.00 – $91.96 |