healthcosts.net
Abdominal CT scan (without contrast) at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$596.70
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.
$918.00
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.
$44.36 with Blue Cross vs $2,135.00 with AETNA — 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 | $44.36 | ↓ -93% |
| Blue Cross | BlueSelect | $44.36 | ↓ -93% |
| Blue Cross | Network Blue | $53.49 | ↓ -91% |
| Blue Cross | Traditional (PPS) | $55.23 | ↓ -91% |
| Blue Cross | Perferred Patient Care | $55.23 | ↓ -91% |
| United | Medicare Advantage | $57.13 | ↓ -90% |
| Avmed | Medicare Advantage | $57.13 | ↓ -90% |
| Blue Cross | Medicare Advantage PPO | $57.13 | ↓ -90% |
| Miami Childrens Health Plan | Medicare Advantage | $57.13 | ↓ -90% |
| Blue Cross | Medicare Advantage HMO | $57.13 | ↓ -90% |
| Independent Living Systems | Medicare Advantage | $58.00 | ↓ -90% |
| Freedom Health | Medicare Advantage | $59.99 | ↓ -90% |
| Careplus | Medicare Advantage | $59.99 | ↓ -90% |
| Clear Spring Health | All Products | $61.70 | ↓ -90% |
| Simply | Managed Medicaid | $67.45 | ↓ -89% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $67.45 | ↓ -89% |
| SUNSHINE HEALTH | Managed Medicaid | $67.45 | ↓ -89% |
| Freedom Health | Managed Medicaid | $67.45 | ↓ -89% |
| AMERIHEALTH | Managed Medicaid | $69.47 | ↓ -88% |
| Miami Childrens Health Plan | Managed Medicaid | $70.82 | ↓ -88% |
| MOLINA | Florida KidCare | $70.82 | ↓ -88% |
| MOLINA | Managed Medicaid | $70.82 | ↓ -88% |
| Aetna | Medicare Advantage PCP | $70.84 | ↓ -88% |
| Aetna | Medicare Advantage Specialist | $71.98 | ↓ -88% |
| United | All Products | $73.32 | ↓ -88% |
| Avmed | Exchange | $74.23 | ↓ -88% |
| Avmed | Select | $77.09 | ↓ -87% |
| Independent Living Systems | Managed Medicaid | $80.94 | ↓ -86% |
| AETNA | Managed Medicaid/CHIP | $80.94 | ↓ -86% |
| Avmed | Broad | $82.80 | ↓ -86% |
| Multiplan | All Products | $85.70 | ↓ -86% |
| Aetna | All Products Anesthesia | $99.94 | ↓ -83% |
| UNITED | MEDICARE ADVANTAGE | $106.74 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $106.74 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $106.74 | ↓ -82% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $106.74 | ↓ -82% |
| BLUE CROSS | Medicare Advantage PPO | $106.74 | ↓ -82% |
| Wellcare | MEDICARE ADVANTAGE | $109.17 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $109.17 | ↓ -82% |
| AVMED | MEDICARE ADVANTAGE | $111.01 | ↓ -81% |
| Careplus | MEDICARE ADVANTAGE | $112.08 | ↓ -81% |
| Freedom Health | MEDICARE ADVANTAGE | $112.08 | ↓ -81% |
| DEVOTED HEALTH | Medicare Advantage HMO | $120.09 | ↓ -80% |
| Aetna | All Products PCP | $129.09 | ↓ -78% |
| Aetna | All Products Specialist | $158.78 | ↓ -73% |
| AVMED | EXCHANGE | $186.80 | ↓ -69% |
| MULTIPLAN | ALL PRODUCTS | $190.29 | ↓ -68% |
| Clear Spring Health | ALL PRODUCTS | $195.73 | ↓ -67% |
| UNITED | International | $252.18 | ↓ -58% |
| UNITED | NHP | $252.18 | ↓ -58% |
| UNITED | ALL PRODUCTS | $252.18 | ↓ -58% |
| CIGNA | Individual Family Plan | $259.79 | ↓ -56% |
| BLUE CROSS | MBN | $273.00 | ↓ -54% |
| BLUE CROSS | BSL | $274.00 | ↓ -54% |
| AVMED | Select | $314.89 | ↓ -47% |
| Clarity Health | All Products | $340.60 | ↓ -43% |
| The Legacy Companies | All Products | $340.60 | ↓ -43% |
| BLUE CROSS | HMO | $343.00 | ↓ -43% |
| BLUE CROSS | NWBI | $365.00 | ↓ -39% |
| BLUE CROSS | NWB | $365.00 | ↓ -39% |
| CIGNA | SUREFIT | $375.46 | ↓ -37% |
| Consociate Health | ALL PRODUCTS | $393.00 | ↓ -34% |
| AVMED | BROAD | $410.96 | ↓ -31% |
| BLUE CROSS | PHS | $411.00 | ↓ -31% |
| BMI | ALL PRODUCTS | $459.00 | ↓ -23% |
| Aetna | All Products First Health | $471.60 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $484.70 | ↓ -19% |
| Cigna | Individual Family Plan Mid-Level | $524.00 | ↓ -12% |
| Cigna | Surefit Physician | $524.00 | ↓ -12% |
| Cigna | All Products Physician | $524.00 | ↓ -12% |
| Cigna | All Products Mid-Level | $524.00 | ↓ -12% |
| Cigna | Individual Family Plan Physician | $524.00 | ↓ -12% |
| Cigna | Surefit Mid-Level | $524.00 | ↓ -12% |
| The Legacy Companies | ALL PRODUCTS | $596.70 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $596.70 | ↑ +0% |
| AETNA | All Products First Health | $826.20 | ↑ +38% |
| BLUE CROSS | PPO | $902.00 | ↑ +51% |
| AETNA | QHP | $1,613.00 | ↑ +170% |
| AETNA | All Products New Business | $1,900.00 | ↑ +218% |
| AETNA | ALL PRODUCTS | $2,135.00 | ↑ +258% |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Abdominal CT scan (without contrast) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $937.30 | $49.58 – $780.30 |
| indian river hospital | Vero Beach | $596.70 | $53.05 – $734.40 |
| Bethesda Hospital East | BOYNTON BEACH | $3,194.75 | $67.49 – $4,423.50 |
| Baptist Hospital | MIAMI | $3,406.65 | $67.49 – $4,423.50 |
| Boca Raton Regional Hospital | BOCA RATON | $2,261.35 | $107.21 – $2,271.79 |
| Doctors Hospital | CORAL GABLES | $3,194.75 | $65.42 – $4,423.50 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $3,406.65 | $65.42 – $4,423.50 |
| Fishermens Community Hospital | MARATHON | $3,194.75 | $65.42 – $4,423.50 |