Aco cont gluc mnt phys/qhp eqp 95250aco at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$418.60
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.
$644.00
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.
$35.63 with AETNA vs $2,262.00 with UNITED — 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 | $35.63 | ↓ -91% |
| Freedom Health | Managed Medicaid | $35.63 | ↓ -91% |
| SUNSHINE HEALTH | Managed Medicaid | $35.63 | ↓ -91% |
| Simply | Managed Medicaid | $35.63 | ↓ -91% |
| AMERIHEALTH | Managed Medicaid | $36.70 | ↓ -91% |
| MOLINA | Florida KidCare | $37.41 | ↓ -91% |
| MOLINA | Managed Medicaid | $37.41 | ↓ -91% |
| Miami Childrens Health Plan | Managed Medicaid | $37.41 | ↓ -91% |
| Independent Living Systems | Managed Medicaid | $42.76 | ↓ -90% |
| AETNA | Managed Medicaid/CHIP | $42.76 | ↓ -90% |
| Blue Cross | BlueSelect | $119.36 | ↓ -71% |
| Blue Cross | Health Options | $119.36 | ↓ -71% |
| HUMANA | Medicare Advantage HMO | $129.36 | ↓ -69% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $129.36 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $129.36 | ↓ -69% |
| BLUE CROSS | Medicare Advantage PPO | $129.36 | ↓ -69% |
| BLUE CROSS | Medicare Advantage HMO | $129.36 | ↓ -69% |
| AVMED | MEDICARE ADVANTAGE | $134.53 | ↓ -68% |
| Careplus | MEDICARE ADVANTAGE | $135.82 | ↓ -68% |
| Freedom Health | MEDICARE ADVANTAGE | $135.82 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $139.03 | ↓ -67% |
| Wellcare | MEDICARE ADVANTAGE | $139.03 | ↓ -67% |
| Blue Cross | Network Blue | $143.93 | ↓ -66% |
| Independent Living Systems | Medicare Advantage | $147.14 | ↓ -65% |
| Blue Cross | Traditional (PPS) | $148.62 | ↓ -64% |
| Blue Cross | Perferred Patient Care | $148.62 | ↓ -64% |
| DEVOTED HEALTH | Medicare Advantage HMO | $152.93 | ↓ -63% |
| Blue Cross | Medicare Advantage HMO | $156.73 | ↓ -63% |
| United | Medicare Advantage | $156.73 | ↓ -63% |
| Miami Childrens Health Plan | Medicare Advantage | $156.73 | ↓ -63% |
| Blue Cross | Medicare Advantage PPO | $156.73 | ↓ -63% |
| Avmed | Medicare Advantage | $156.73 | ↓ -63% |
| Freedom Health | Medicare Advantage | $164.57 | ↓ -61% |
| Careplus | Medicare Advantage | $164.57 | ↓ -61% |
| Clear Spring Health | All Products | $169.27 | ↓ -60% |
| CIGNA | Individual Family Plan | $182.25 | ↓ -56% |
| AETNA | QHP | $188.69 | ↓ -55% |
| Avmed | Exchange | $192.66 | ↓ -54% |
| Aetna | Medicare Advantage PCP | $194.35 | ↓ -54% |
| Aetna | Medicare Advantage Specialist | $197.48 | ↓ -53% |
| Avmed | Select | $200.07 | ↓ -52% |
| AETNA | ALL PRODUCTS | $200.93 | ↓ -52% |
| AETNA | All Products New Business | $210.59 | ↓ -50% |
| Avmed | Broad | $214.89 | ↓ -49% |
| AVMED | EXCHANGE | $226.37 | ↓ -46% |
| MULTIPLAN | ALL PRODUCTS | $229.53 | ↓ -45% |
| Multiplan | All Products | $235.10 | ↓ -44% |
| Clear Spring Health | ALL PRODUCTS | $236.09 | ↓ -44% |
| Clarity Health | All Products | $255.45 | ↓ -39% |
| The Legacy Companies | All Products | $255.45 | ↓ -39% |
| United | All Products | $257.62 | ↓ -38% |
| CIGNA | SUREFIT | $263.40 | ↓ -37% |
| Consociate Health | ALL PRODUCTS | $294.75 | ↓ -30% |
| BMI | ALL PRODUCTS | $322.00 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $340.03 | ↓ -19% |
| Aetna | All Products First Health | $353.70 | ↓ -16% |
| AVMED | Select | $381.60 | ↓ -9% |
| Cigna | Surefit Mid-Level | $393.00 | ↓ -6% |
| Cigna | All Products Mid-Level | $393.00 | ↓ -6% |
| Cigna | All Products Physician | $393.00 | ↓ -6% |
| Cigna | Individual Family Plan Mid-Level | $393.00 | ↓ -6% |
| Cigna | Individual Family Plan Physician | $393.00 | ↓ -6% |
| Cigna | Surefit Physician | $393.00 | ↓ -6% |
| The Legacy Companies | ALL PRODUCTS | $418.60 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $418.60 | ↑ +0% |
| AVMED | BROAD | $498.02 | ↑ +19% |
| AETNA | All Products First Health | $579.60 | ↑ +38% |
| UNITED | NHP | $1,719.00 | ↑ +311% |
| UNITED | ALL PRODUCTS | $2,050.00 | ↑ +390% |
| UNITED | International | $2,262.00 | ↑ +440% |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
| Aetna | All Products PCP | 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 | — |
| BLUE CROSS | HMO | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
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Aco cont gluc mnt phys/qhp eqp 95250aco at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $162.45 – $165.87 |
| Adventhealth Tampa | Tampa | $1,398.05 | $139.03 – $308.65 |
| cleveland clinic florida weston hospital | Weston | $255.45 | $33.85 – $393.00 |
| indian river hospital | Vero Beach | $418.60 | $33.85 – $515.20 |
| Baptist Hospital | MIAMI | $385.45 | $37.21 – $533.70 |
| Boca Raton Regional Hospital | BOCA RATON | $345.15 | $136.53 – $531.00 |
| Doctors Hospital | CORAL GABLES | $385.45 | $36.07 – $533.70 |
| Fishermens Community Hospital | MARATHON | $385.45 | $36.07 – $533.70 |