2019-ncov diagnostic p at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$91.65
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.
$141.00
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.
$4.23 with SUNSHINE HEALTH vs $138.29 with AVMED — 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 |
|---|---|---|---|
| SUNSHINE HEALTH | Managed Medicaid | $4.23 | ↓ -95% |
| Simply | Managed Medicaid | $4.23 | ↓ -95% |
| Freedom Health | Managed Medicaid | $4.23 | ↓ -95% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $4.23 | ↓ -95% |
| AMERIHEALTH | Managed Medicaid | $4.36 | ↓ -95% |
| MOLINA | Florida KidCare | $4.44 | ↓ -95% |
| Miami Childrens Health Plan | Managed Medicaid | $4.44 | ↓ -95% |
| MOLINA | Managed Medicaid | $4.44 | ↓ -95% |
| Independent Living Systems | Managed Medicaid | $5.08 | ↓ -94% |
| AETNA | Managed Medicaid/CHIP | $5.08 | ↓ -94% |
| HUMANA | Medicare Advantage HMO | $35.92 | ↓ -61% |
| Wellcare | MEDICARE ADVANTAGE | $35.92 | ↓ -61% |
| AETNA | MEDICARE ADVANTAGE | $35.92 | ↓ -61% |
| UNITED | NHP | $35.92 | ↓ -61% |
| UNITED | MEDICARE ADVANTAGE | $35.92 | ↓ -61% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $35.92 | ↓ -61% |
| BLUE CROSS | Medicare Advantage HMO | $35.92 | ↓ -61% |
| BLUE CROSS | Medicare Advantage PPO | $35.92 | ↓ -61% |
| AVMED | MEDICARE ADVANTAGE | $37.36 | ↓ -59% |
| Careplus | MEDICARE ADVANTAGE | $37.72 | ↓ -59% |
| Freedom Health | MEDICARE ADVANTAGE | $37.72 | ↓ -59% |
| DEVOTED HEALTH | Medicare Advantage HMO | $39.51 | ↓ -57% |
| AETNA | QHP | $40.43 | ↓ -56% |
| AETNA | ALL PRODUCTS | $43.06 | ↓ -53% |
| AETNA | All Products New Business | $45.13 | ↓ -51% |
| CIGNA | Individual Family Plan | $52.92 | ↓ -42% |
| AVMED | EXCHANGE | $62.86 | ↓ -31% |
| BMI | ALL PRODUCTS | $69.00 | ↓ -25% |
| CIGNA | SUREFIT | $70.04 | ↓ -24% |
| The Legacy Companies | ALL PRODUCTS | $89.70 | ↓ -2% |
| Clarity Health | ALL PRODUCTS | $89.70 | ↓ -2% |
| CIGNA | ALL PRODUCTS | $93.18 | ↑ +2% |
| Consociate Health | ALL PRODUCTS | $103.50 | ↑ +13% |
| AVMED | Select | $105.96 | ↑ +16% |
| AETNA | All Products First Health | $124.20 | ↑ +36% |
| AVMED | BROAD | $138.29 | ↑ +51% |
| BLUE CROSS | NWBI | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| BLUE CROSS | MBN | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| MULTIPLAN | ALL PRODUCTS | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
2019-ncov diagnostic p at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $35.76 – $396.92 |
| cleveland clinic florida weston hospital | Weston | $97.50 | $4.02 – $150.00 |
| indian river hospital | Vero Beach | $89.70 | $4.02 – $110.40 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $34.12 – $59.95 |
| Adventhealth Lake Wales | Lake Wales | not published | $35.92 – $79.74 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $34.12 – $76.72 |
| Adventhealth Tampa | Tampa | not published | $35.92 – $79.74 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $34.12 – $78.47 |