Makena, 10 mg at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$17.55
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.
$27.00
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.
$14.46 with UNITED vs $78.30 with Independent Living Systems — 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 |
|---|---|---|---|
| UNITED | MEDICARE ADVANTAGE | $14.46 | ↓ -18% |
| HUMANA | Medicare Advantage HMO | $14.46 | ↓ -18% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $14.46 | ↓ -18% |
| BLUE CROSS | Medicare Advantage PPO | $14.46 | ↓ -18% |
| BLUE CROSS | Medicare Advantage HMO | $14.46 | ↓ -18% |
| AVMED | MEDICARE ADVANTAGE | $15.04 | ↓ -14% |
| Freedom Health | MEDICARE ADVANTAGE | $15.18 | ↓ -14% |
| Careplus | MEDICARE ADVANTAGE | $15.18 | ↓ -14% |
| CIGNA | Individual Family Plan | $16.48 | ↓ -6% |
| The Legacy Companies | All Products | $17.55 | ↑ +0% |
| Clarity Health | All Products | $17.55 | ↑ +0% |
| United | All Products | $19.65 | ↑ +12% |
| Consociate Health | ALL PRODUCTS | $20.25 | ↑ +15% |
| CIGNA | SUREFIT | $21.77 | ↑ +24% |
| Aetna | All Products First Health | $24.30 | ↑ +38% |
| AVMED | EXCHANGE | $25.31 | ↑ +44% |
| Cigna | All Products Physician | $27.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $27.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $27.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $27.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $27.00 | ↑ +54% |
| Cigna | Surefit Physician | $27.00 | ↑ +54% |
| CIGNA | ALL PRODUCTS | $29.02 | ↑ +65% |
| AVMED | Select | $42.66 | ↑ +143% |
| AVMED | BROAD | $53.41 | ↑ +204% |
| Freedom Health | Managed Medicaid | $65.25 | ↑ +272% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $65.25 | ↑ +272% |
| Simply | Managed Medicaid | $65.25 | ↑ +272% |
| SUNSHINE HEALTH | Managed Medicaid | $65.25 | ↑ +272% |
| AMERIHEALTH | Managed Medicaid | $67.21 | ↑ +283% |
| Miami Childrens Health Plan | Managed Medicaid | $68.51 | ↑ +290% |
| MOLINA | Managed Medicaid | $68.51 | ↑ +290% |
| MOLINA | Florida KidCare | $68.51 | ↑ +290% |
| AETNA | Managed Medicaid/CHIP | $78.30 | ↑ +346% |
| Independent Living Systems | Managed Medicaid | $78.30 | ↑ +346% |
| Molina | Managed Medicaid | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
| Multiplan | All Products | not published by hospital | — |
| Aetna | Medicare Advantage Specialist | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Blue Cross | Medicare Advantage PPO | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | BlueSelect | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Freedom Health | Medicare Advantage | not published by hospital | — |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Miami Childrens Health Plan | Medicare Advantage | not published by hospital | — |
| Blue Cross | Medicare Advantage HMO | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | Medicare Advantage PCP | not published by hospital | — |
| Independent Living Systems | Medicare Advantage | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Careplus | Medicare Advantage | not published by hospital | — |
| Clear Spring Health | All Products | not published by hospital | — |
| Avmed | Select | not published by hospital | — |
| Avmed | Exchange | not published by hospital | — |
| Avmed | Broad | not published by hospital | — |
| Avmed | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Makena, 10 mg at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $16.80 | $22.80 – $22.80 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $120.48 | $22.80 – $80.30 |
| cleveland clinic florida weston hospital | Weston | not published | $14.46 – $78.30 |
| indian river hospital | Vero Beach | not published | $14.46 – $71.78 |