Aco cmplx chron care without pt visit, 60 min 99487aco at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$900.90
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.
$1,386.00
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.
$36.13 with AETNA vs $1,247.40 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 |
|---|---|---|---|
| AETNA | Managed Medicaid/CHIP Behavioral Health | $36.13 | ↓ -96% |
| Freedom Health | Managed Medicaid | $36.13 | ↓ -96% |
| SUNSHINE HEALTH | Managed Medicaid | $36.13 | ↓ -96% |
| Simply | Managed Medicaid | $36.13 | ↓ -96% |
| AMERIHEALTH | Managed Medicaid | $37.21 | ↓ -96% |
| MOLINA | Managed Medicaid | $37.94 | ↓ -96% |
| Miami Childrens Health Plan | Managed Medicaid | $37.94 | ↓ -96% |
| MOLINA | Florida KidCare | $37.94 | ↓ -96% |
| Independent Living Systems | Managed Medicaid | $43.36 | ↓ -95% |
| AETNA | Managed Medicaid/CHIP | $43.36 | ↓ -95% |
| Miami Childrens Health Plan | Medicare Advantage | $83.27 | ↓ -91% |
| United | Medicare Advantage | $83.27 | ↓ -91% |
| Blue Cross | Medicare Advantage PPO | $83.27 | ↓ -91% |
| Avmed | Medicare Advantage | $83.27 | ↓ -91% |
| Blue Cross | Medicare Advantage HMO | $83.27 | ↓ -91% |
| Careplus | Medicare Advantage | $87.43 | ↓ -90% |
| Freedom Health | Medicare Advantage | $87.43 | ↓ -90% |
| Clear Spring Health | All Products | $89.93 | ↓ -90% |
| Independent Living Systems | Medicare Advantage | $94.71 | ↓ -89% |
| Aetna | Medicare Advantage PCP | $103.25 | ↓ -89% |
| Aetna | Medicare Advantage Specialist | $104.92 | ↓ -88% |
| MULTIPLAN | ALL PRODUCTS | $113.79 | ↓ -87% |
| Clear Spring Health | ALL PRODUCTS | $117.04 | ↓ -87% |
| Avmed | Exchange | $119.91 | ↓ -87% |
| Avmed | Select | $124.52 | ↓ -86% |
| Multiplan | All Products | $124.91 | ↓ -86% |
| Avmed | Broad | $133.75 | ↓ -85% |
| United | All Products | $155.94 | ↓ -83% |
| AETNA | QHP | $158.00 | ↓ -82% |
| AETNA | ALL PRODUCTS | $158.00 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $161.28 | ↓ -82% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $161.28 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $161.28 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $161.28 | ↓ -82% |
| BLUE CROSS | Medicare Advantage PPO | $161.28 | ↓ -82% |
| AVMED | MEDICARE ADVANTAGE | $167.73 | ↓ -81% |
| Freedom Health | MEDICARE ADVANTAGE | $169.34 | ↓ -81% |
| Careplus | MEDICARE ADVANTAGE | $169.34 | ↓ -81% |
| AETNA | MEDICARE ADVANTAGE | $185.35 | ↓ -79% |
| Wellcare | MEDICARE ADVANTAGE | $185.35 | ↓ -79% |
| DEVOTED HEALTH | Medicare Advantage HMO | $203.89 | ↓ -77% |
| AVMED | EXCHANGE | $282.24 | ↓ -69% |
| CIGNA | Individual Family Plan | $392.24 | ↓ -56% |
| AETNA | All Products New Business | $453.22 | ↓ -50% |
| Clarity Health | All Products | $470.60 | ↓ -48% |
| The Legacy Companies | All Products | $470.60 | ↓ -48% |
| AVMED | Select | $475.77 | ↓ -47% |
| Consociate Health | ALL PRODUCTS | $543.00 | ↓ -40% |
| CIGNA | SUREFIT | $566.87 | ↓ -37% |
| AVMED | BROAD | $620.92 | ↓ -31% |
| Aetna | All Products First Health | $651.60 | ↓ -28% |
| BMI | ALL PRODUCTS | $693.00 | ↓ -23% |
| Cigna | Surefit Mid-Level | $724.00 | ↓ -20% |
| Cigna | All Products Mid-Level | $724.00 | ↓ -20% |
| Cigna | All Products Physician | $724.00 | ↓ -20% |
| Cigna | Individual Family Plan Mid-Level | $724.00 | ↓ -20% |
| Cigna | Individual Family Plan Physician | $724.00 | ↓ -20% |
| Cigna | Surefit Physician | $724.00 | ↓ -20% |
| CIGNA | ALL PRODUCTS | $731.81 | ↓ -19% |
| The Legacy Companies | ALL PRODUCTS | $900.90 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $900.90 | ↑ +0% |
| AETNA | All Products First Health | $1,247.40 | ↑ +38% |
| Aetna | All Products PCP | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| BLUE CROSS | MBN | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Blue Cross | BlueSelect | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
Visitor-reported prices
Comments
Aco cmplx chron care without pt visit, 60 min 99487aco at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $57.95 – $59.17 |
| cleveland clinic florida weston hospital | Weston | $900.90 | $34.32 – $1,178.10 |
| indian river hospital | Vero Beach | $900.90 | $34.32 – $1,108.80 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $56.05 – $57.23 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $56.05 – $57.23 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $57.95 – $59.17 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $154.83 – $330.62 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | not published | $161.28 – $298.37 |