1st inpatient critical care pr day age 28 days/less than 99468 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$5,279.30
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.
$8,122.00
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.
$650.55 with Freedom Health vs $8,122.00 with Cigna — 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 |
|---|---|---|---|
| Freedom Health | Managed Medicaid | $650.55 | ↓ -88% |
| AmeriHealth | Managed Medicaid | $670.07 | ↓ -87% |
| Sunshine Health | Managed Medicaid | $683.08 | ↓ -87% |
| Miami Childrens Health Plan | Managed Medicaid | $683.08 | ↓ -87% |
| Molina | Florida Kidcare | $683.08 | ↓ -87% |
| Molina | Managed Medicaid | $683.08 | ↓ -87% |
| Blue Cross | Health Options | $691.30 | ↓ -87% |
| Blue Cross | BlueSelect | $691.30 | ↓ -87% |
| Independent Living Systems | Managed Medicaid | $780.66 | ↓ -85% |
| Blue Cross | Medicare Advantage PPO | $815.00 | ↓ -85% |
| Avmed | Medicare Advantage | $815.00 | ↓ -85% |
| Miami Childrens Health Plan | Medicare Advantage | $815.00 | ↓ -85% |
| United | Medicare Advantage | $815.00 | ↓ -85% |
| Blue Cross | Medicare Advantage HMO | $815.00 | ↓ -85% |
| Blue Cross | Network Blue | $833.62 | ↓ -84% |
| Careplus | Medicare Advantage | $855.75 | ↓ -84% |
| Freedom Health | Medicare Advantage | $855.75 | ↓ -84% |
| Blue Cross | Traditional (PPS) | $860.73 | ↓ -84% |
| Blue Cross | Perferred Patient Care | $860.73 | ↓ -84% |
| Clear Spring Health | All Products | $880.20 | ↓ -83% |
| Independent Living Systems | Medicare Advantage | $928.13 | ↓ -82% |
| Aetna | Medicare Advantage PCP | $1,010.60 | ↓ -81% |
| Aetna | Medicare Advantage Specialist | $1,026.90 | ↓ -81% |
| Avmed | Exchange | $1,187.29 | ↓ -78% |
| Multiplan | All Products | $1,222.50 | ↓ -77% |
| Avmed | Select | $1,232.96 | ↓ -77% |
| Avmed | Broad | $1,324.29 | ↓ -75% |
| United | All Products | $1,456.07 | ↓ -72% |
| Clarity Health | All Products | $5,279.30 | ↑ +0% |
| The Legacy Companies | All Products | $5,279.30 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $6,091.50 | ↑ +15% |
| Aetna | All Products First Health | $7,309.80 | ↑ +38% |
| Cigna | All Products Physician | $8,122.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $8,122.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $8,122.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $8,122.00 | ↑ +54% |
| Cigna | Surefit Physician | $8,122.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $8,122.00 | ↑ +54% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
Visitor-reported prices
Comments
1st inpatient critical care pr day age 28 days/less than 99468 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| indian river hospital | Vero Beach | $5,279.30 | $650.55 – $8,122.00 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $2,147.75 – $2,147.75 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns | not published | $2,147.75 – $2,147.75 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville | not published | $2,147.75 – $2,147.75 |
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg | not published | $2,147.75 – $2,147.75 |