2d tee w or without fol w/con,in at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$3,691.35
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.
$5,679.00
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.
$299.12 with Simply vs $5,111.10 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 |
|---|---|---|---|
| Simply | Managed Medicaid | $299.12 | ↓ -92% |
| SUNSHINE HEALTH | Managed Medicaid | $299.12 | ↓ -92% |
| Freedom Health | Managed Medicaid | $299.12 | ↓ -92% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $299.12 | ↓ -92% |
| AMERIHEALTH | Managed Medicaid | $308.09 | ↓ -92% |
| MOLINA | Florida KidCare | $314.08 | ↓ -91% |
| Miami Childrens Health Plan | Managed Medicaid | $314.08 | ↓ -91% |
| MOLINA | Managed Medicaid | $314.08 | ↓ -91% |
| AETNA | Managed Medicaid/CHIP | $358.94 | ↓ -90% |
| Independent Living Systems | Managed Medicaid | $358.94 | ↓ -90% |
| BLUE CROSS | MBN | $624.00 | ↓ -83% |
| BLUE CROSS | BSL | $642.00 | ↓ -83% |
| BLUE CROSS | PPO | $785.00 | ↓ -79% |
| BLUE CROSS | Medicare Advantage PPO | $793.05 | ↓ -79% |
| BLUE CROSS | Medicare Advantage HMO | $793.05 | ↓ -79% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $793.05 | ↓ -79% |
| HUMANA | Medicare Advantage HMO | $793.05 | ↓ -79% |
| UNITED | MEDICARE ADVANTAGE | $793.05 | ↓ -79% |
| BLUE CROSS | HMO | $794.00 | ↓ -78% |
| AETNA | MEDICARE ADVANTAGE | $818.63 | ↓ -78% |
| Wellcare | MEDICARE ADVANTAGE | $818.63 | ↓ -78% |
| AVMED | MEDICARE ADVANTAGE | $824.77 | ↓ -78% |
| Freedom Health | MEDICARE ADVANTAGE | $832.70 | ↓ -77% |
| Careplus | MEDICARE ADVANTAGE | $832.70 | ↓ -77% |
| BLUE CROSS | NWBI | $898.00 | ↓ -76% |
| BLUE CROSS | NWB | $898.00 | ↓ -76% |
| DEVOTED HEALTH | Medicare Advantage HMO | $900.50 | ↓ -76% |
| BLUE CROSS | PHS | $1,007.00 | ↓ -73% |
| UNITED | NHP | $1,056.00 | ↓ -71% |
| UNITED | ALL PRODUCTS | $1,258.00 | ↓ -66% |
| UNITED | International | $1,387.00 | ↓ -62% |
| AVMED | EXCHANGE | $1,387.83 | ↓ -62% |
| CIGNA | Individual Family Plan | $1,607.16 | ↓ -56% |
| AETNA | QHP | $1,663.95 | ↓ -55% |
| AETNA | ALL PRODUCTS | $1,771.85 | ↓ -52% |
| AETNA | All Products New Business | $1,857.03 | ↓ -50% |
| CIGNA | SUREFIT | $2,322.71 | ↓ -37% |
| AVMED | Select | $2,339.49 | ↓ -37% |
| BMI | ALL PRODUCTS | $2,839.50 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $2,998.51 | ↓ -19% |
| AVMED | BROAD | $3,053.23 | ↓ -17% |
| Clarity Health | ALL PRODUCTS | $3,691.35 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $3,691.35 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $4,259.25 | ↑ +15% |
| AETNA | All Products First Health | $5,111.10 | ↑ +38% |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| MULTIPLAN | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
2d tee w or without fol w/con,in at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $3,691.35 | $284.16 – $4,827.15 |
| indian river hospital | Vero Beach | $3,691.35 | $119.00 – $4,543.20 |
| Baptist Hospital | MIAMI | $3,031.60 | $173.17 – $4,197.60 |
| Bethesda Hospital East | BOYNTON BEACH | $3,031.60 | $297.58 – $4,197.60 |
| Boca Raton Regional Hospital | BOCA RATON | $2,717.65 | $433.00 – $2,730.19 |
| Doctors Hospital | CORAL GABLES | $3,031.60 | $288.47 – $4,197.60 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $3,031.60 | $288.47 – $4,197.60 |
| Fishermens Community Hospital | MARATHON | $3,031.60 | $288.47 – $4,197.60 |