Sup of prep of antigen # of vials 95144 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$15.60
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.
$24.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2.41 with Blue Cross vs $178.31 with AVMED — 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 |
|---|---|---|---|
| Blue Cross | Health Options | $2.41 | ↓ -85% |
| Blue Cross | BlueSelect | $2.41 | ↓ -85% |
| Blue Cross | Network Blue | $2.91 | ↓ -81% |
| Miami Childrens Health Plan | Medicare Advantage | $2.96 | ↓ -81% |
| United | Medicare Advantage | $2.96 | ↓ -81% |
| Avmed | Medicare Advantage | $2.96 | ↓ -81% |
| Blue Cross | Medicare Advantage HMO | $2.96 | ↓ -81% |
| Blue Cross | Medicare Advantage PPO | $2.96 | ↓ -81% |
| Blue Cross | Traditional (PPS) | $3.01 | ↓ -81% |
| Blue Cross | Perferred Patient Care | $3.01 | ↓ -81% |
| Freedom Health | Medicare Advantage | $3.11 | ↓ -80% |
| Careplus | Medicare Advantage | $3.11 | ↓ -80% |
| Clear Spring Health | All Products | $3.20 | ↓ -79% |
| Independent Living Systems | Medicare Advantage | $3.65 | ↓ -77% |
| Aetna | Medicare Advantage PCP | $3.67 | ↓ -76% |
| Aetna | Medicare Advantage Specialist | $3.73 | ↓ -76% |
| Multiplan | All Products | $4.44 | ↓ -72% |
| Avmed | Exchange | $4.65 | ↓ -70% |
| Avmed | Select | $4.83 | ↓ -69% |
| Avmed | Broad | $5.19 | ↓ -67% |
| United | All Products | $6.22 | ↓ -60% |
| Freedom Health | Managed Medicaid | $10.02 | ↓ -36% |
| AmeriHealth | Managed Medicaid | $10.32 | ↓ -34% |
| Molina | Managed Medicaid | $10.52 | ↓ -33% |
| Miami Childrens Health Plan | Managed Medicaid | $10.52 | ↓ -33% |
| Molina | Florida Kidcare | $10.52 | ↓ -33% |
| Sunshine Health | Managed Medicaid | $10.52 | ↓ -33% |
| Independent Living Systems | Managed Medicaid | $12.02 | ↓ -23% |
| Cigna | Individual Family Plan Mid-Level | $13.59 | ↓ -13% |
| Cigna | Surefit Mid-Level | $13.85 | ↓ -11% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $14.79 | ↓ -5% |
| Simply | Managed Medicaid | $14.79 | ↓ -5% |
| SUNSHINE HEALTH | Managed Medicaid | $14.79 | ↓ -5% |
| Cigna | All Products Mid-Level | $14.96 | ↓ -4% |
| AMERIHEALTH | Managed Medicaid | $15.23 | ↓ -2% |
| MOLINA | Managed Medicaid | $15.53 | ↓ -0% |
| MOLINA | Florida KidCare | $15.53 | ↓ -0% |
| The Legacy Companies | All Products | $15.60 | ↑ +0% |
| Clarity Health | All Products | $15.60 | ↑ +0% |
| Cigna | Individual Family Plan Physician | $15.99 | ↑ +3% |
| Cigna | Surefit Physician | $16.30 | ↑ +4% |
| Cigna | All Products Physician | $17.60 | ↑ +13% |
| AETNA | Managed Medicaid/CHIP | $17.75 | ↑ +14% |
| Consociate Health | ALL PRODUCTS | $18.00 | ↑ +15% |
| Aetna | All Products First Health | $21.60 | ↑ +38% |
| HUMANA | Medicare Advantage HMO | $46.31 | ↑ +197% |
| BLUE CROSS | Medicare Advantage PPO | $46.31 | ↑ +197% |
| UNITED | MEDICARE ADVANTAGE | $46.31 | ↑ +197% |
| BLUE CROSS | Medicare Advantage HMO | $46.31 | ↑ +197% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $46.31 | ↑ +197% |
| AVMED | MEDICARE ADVANTAGE | $48.17 | ↑ +209% |
| Careplus | MEDICARE ADVANTAGE | $48.63 | ↑ +212% |
| Freedom Health | MEDICARE ADVANTAGE | $48.63 | ↑ +212% |
| AETNA | MEDICARE ADVANTAGE | $48.90 | ↑ +213% |
| Wellcare | MEDICARE ADVANTAGE | $48.90 | ↑ +213% |
| DEVOTED HEALTH | Medicare Advantage HMO | $53.79 | ↑ +245% |
| AVMED | EXCHANGE | $81.05 | ↑ +420% |
| AVMED | Select | $136.63 | ↑ +776% |
| AVMED | BROAD | $178.31 | ↑ +1043% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Sup of prep of antigen # of vials 95144 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $8.55 – $8.73 |
| cleveland clinic florida weston hospital | Weston | $15.60 | $2.35 – $53.79 |
| indian river hospital | Vero Beach | $15.60 | $2.35 – $53.79 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $46.45 – $81.61 |
| Adventhealth Lake Wales | Lake Wales | not published | $48.90 – $108.56 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $46.45 – $104.44 |
| Adventhealth Tampa | Tampa | not published | $48.90 – $108.56 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $46.45 – $106.82 |