Ablt trurl prst8 tis trnsdcr at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$3,289.00
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.
$5,060.00
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.
$574.53 with United vs $50,209.90 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 |
|---|---|---|---|
| United | Medicare Advantage | $574.53 | ↓ -83% |
| Blue Cross | Medicare Advantage PPO | $574.53 | ↓ -83% |
| Miami Childrens Health Plan | Medicare Advantage | $574.53 | ↓ -83% |
| Blue Cross | Medicare Advantage HMO | $574.53 | ↓ -83% |
| Avmed | Medicare Advantage | $574.53 | ↓ -83% |
| Freedom Health | Medicare Advantage | $603.26 | ↓ -82% |
| Careplus | Medicare Advantage | $603.26 | ↓ -82% |
| Clear Spring Health | All Products | $620.49 | ↓ -81% |
| Independent Living Systems | Medicare Advantage | $647.98 | ↓ -80% |
| Aetna | Medicare Advantage PCP | $712.42 | ↓ -78% |
| Aetna | Medicare Advantage Specialist | $723.91 | ↓ -78% |
| Multiplan | All Products | $861.80 | ↓ -74% |
| United | All Products | $1,201.62 | ↓ -63% |
| Freedom Health | Managed Medicaid | $3,041.11 | ↓ -8% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $3,041.11 | ↓ -8% |
| SUNSHINE HEALTH | Managed Medicaid | $3,041.11 | ↓ -8% |
| Simply | Managed Medicaid | $3,041.11 | ↓ -8% |
| AMERIHEALTH | Managed Medicaid | $3,132.34 | ↓ -5% |
| Miami Childrens Health Plan | Managed Medicaid | $3,193.17 | ↓ -3% |
| MOLINA | Florida KidCare | $3,193.17 | ↓ -3% |
| MOLINA | Managed Medicaid | $3,193.17 | ↓ -3% |
| Clarity Health | All Products | $3,289.00 | ↑ +0% |
| The Legacy Companies | All Products | $3,289.00 | ↑ +0% |
| AETNA | Managed Medicaid/CHIP | $3,649.33 | ↑ +11% |
| Independent Living Systems | Managed Medicaid | $3,649.33 | ↑ +11% |
| Consociate Health | ALL PRODUCTS | $3,795.00 | ↑ +15% |
| Aetna | All Products First Health | $4,554.00 | ↑ +38% |
| Cigna | Individual Family Plan Mid-Level | $11,875.98 | ↑ +261% |
| Cigna | Surefit Mid-Level | $12,103.10 | ↑ +268% |
| UNITED | MEDICARE ADVANTAGE | $13,041.53 | ↑ +297% |
| BLUE CROSS | Medicare Advantage PPO | $13,041.53 | ↑ +297% |
| BLUE CROSS | Medicare Advantage HMO | $13,041.53 | ↑ +297% |
| HUMANA | Medicare Advantage HMO | $13,041.53 | ↑ +297% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $13,041.53 | ↑ +297% |
| Cigna | All Products Mid-Level | $13,069.91 | ↑ +297% |
| AVMED | MEDICARE ADVANTAGE | $13,563.19 | ↑ +312% |
| Careplus | MEDICARE ADVANTAGE | $13,693.61 | ↑ +316% |
| Freedom Health | MEDICARE ADVANTAGE | $13,693.61 | ↑ +316% |
| AETNA | MEDICARE ADVANTAGE | $13,777.65 | ↑ +319% |
| Wellcare | MEDICARE ADVANTAGE | $13,777.65 | ↑ +319% |
| Cigna | Individual Family Plan Physician | $13,970.38 | ↑ +325% |
| Cigna | Surefit Physician | $14,238.71 | ↑ +333% |
| DEVOTED HEALTH | Medicare Advantage HMO | $15,155.41 | ↑ +361% |
| Cigna | All Products Physician | $15,376.36 | ↑ +368% |
| AVMED | EXCHANGE | $22,822.68 | ↑ +594% |
| AVMED | Select | $38,472.52 | ↑ +1070% |
| AVMED | BROAD | $50,209.90 | ↑ +1427% |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Blue Cross | BlueSelect | not published by hospital | — |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
| Avmed | Select | not published by hospital | — |
| Avmed | Exchange | not published by hospital | — |
| Avmed | Broad | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
Visitor-reported prices
Comments
Ablt trurl prst8 tis trnsdcr at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $3,289.00 | $426.05 – $15,155.41 |
| indian river hospital | Vero Beach | $3,289.00 | $426.05 – $15,155.41 |
| Adventhealth Tampa | Tampa | not published | $13,777.65 – $30,586.38 |
| AdventHealth Orlando | Orlando | not published | $13,777.65 – $36,510.77 |