Aep thrshld est mlt freq i&r at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,012.70
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.
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What you pay up front if you don't use insurance.
$1,558.00
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.
$50.07 with AETNA vs $1,402.20 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 | $50.07 | ↓ -95% |
| Simply | Managed Medicaid | $50.07 | ↓ -95% |
| Freedom Health | Managed Medicaid | $50.07 | ↓ -95% |
| SUNSHINE HEALTH | Managed Medicaid | $50.07 | ↓ -95% |
| AMERIHEALTH | Managed Medicaid | $51.57 | ↓ -95% |
| MOLINA | Managed Medicaid | $52.57 | ↓ -95% |
| Miami Childrens Health Plan | Managed Medicaid | $52.57 | ↓ -95% |
| MOLINA | Florida KidCare | $52.57 | ↓ -95% |
| AETNA | Managed Medicaid/CHIP | $60.08 | ↓ -94% |
| Independent Living Systems | Managed Medicaid | $60.08 | ↓ -94% |
| AmeriHealth | Managed Medicaid | $85.47 | ↓ -92% |
| Sunshine Health | Managed Medicaid | $87.13 | ↓ -91% |
| Molina | Florida Kidcare | $87.13 | ↓ -91% |
| Molina | Managed Medicaid | $87.13 | ↓ -91% |
| United | Medicare Advantage | $111.06 | ↓ -89% |
| Blue Cross | Medicare Advantage HMO | $111.06 | ↓ -89% |
| Avmed | Medicare Advantage | $111.06 | ↓ -89% |
| Miami Childrens Health Plan | Medicare Advantage | $111.06 | ↓ -89% |
| Blue Cross | Medicare Advantage PPO | $111.06 | ↓ -89% |
| Independent Living Systems | Medicare Advantage | $112.10 | ↓ -89% |
| Freedom Health | Medicare Advantage | $116.61 | ↓ -88% |
| Careplus | Medicare Advantage | $116.61 | ↓ -88% |
| Clear Spring Health | All Products | $119.94 | ↓ -88% |
| Aetna | Medicare Advantage PCP | $137.71 | ↓ -86% |
| Aetna | Medicare Advantage Specialist | $139.94 | ↓ -86% |
| MULTIPLAN | ALL PRODUCTS | $144.12 | ↓ -86% |
| Avmed | Exchange | $147.91 | ↓ -85% |
| Clear Spring Health | ALL PRODUCTS | $148.24 | ↓ -85% |
| Avmed | Select | $153.60 | ↓ -85% |
| Avmed | Broad | $164.98 | ↓ -84% |
| Multiplan | All Products | $166.59 | ↓ -84% |
| United | All Products | $197.79 | ↓ -80% |
| UNITED | NHP | $219.00 | ↓ -78% |
| AETNA | MEDICARE ADVANTAGE | $225.48 | ↓ -78% |
| Wellcare | MEDICARE ADVANTAGE | $225.48 | ↓ -78% |
| DEVOTED HEALTH | Medicare Advantage HMO | $248.03 | ↓ -76% |
| UNITED | ALL PRODUCTS | $262.00 | ↓ -74% |
| UNITED | International | $287.00 | ↓ -72% |
| UNITED | MEDICARE ADVANTAGE | $312.58 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $312.58 | ↓ -69% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $312.58 | ↓ -69% |
| BLUE CROSS | Medicare Advantage PPO | $312.58 | ↓ -69% |
| BLUE CROSS | Medicare Advantage HMO | $312.58 | ↓ -69% |
| AVMED | MEDICARE ADVANTAGE | $325.08 | ↓ -68% |
| Careplus | MEDICARE ADVANTAGE | $328.21 | ↓ -68% |
| Freedom Health | MEDICARE ADVANTAGE | $328.21 | ↓ -68% |
| The Legacy Companies | All Products | $390.00 | ↓ -61% |
| Clarity Health | All Products | $390.00 | ↓ -61% |
| CIGNA | Individual Family Plan | $440.91 | ↓ -56% |
| Consociate Health | ALL PRODUCTS | $450.00 | ↓ -56% |
| AETNA | QHP | $456.49 | ↓ -55% |
| AETNA | ALL PRODUCTS | $486.10 | ↓ -52% |
| AETNA | All Products New Business | $509.47 | ↓ -50% |
| Aetna | All Products First Health | $540.00 | ↓ -47% |
| AVMED | EXCHANGE | $547.01 | ↓ -46% |
| Cigna | All Products Physician | $600.00 | ↓ -41% |
| Cigna | Individual Family Plan Mid-Level | $600.00 | ↓ -41% |
| Cigna | Individual Family Plan Physician | $600.00 | ↓ -41% |
| Cigna | Surefit Mid-Level | $600.00 | ↓ -41% |
| Cigna | Surefit Physician | $600.00 | ↓ -41% |
| Cigna | All Products Mid-Level | $600.00 | ↓ -41% |
| CIGNA | SUREFIT | $637.22 | ↓ -37% |
| BMI | ALL PRODUCTS | $779.00 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $822.62 | ↓ -19% |
| AVMED | Select | $922.10 | ↓ -9% |
| The Legacy Companies | ALL PRODUCTS | $1,012.70 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $1,012.70 | ↑ +0% |
| AVMED | BROAD | $1,203.42 | ↑ +19% |
| AETNA | All Products First Health | $1,402.20 | ↑ +38% |
| Blue Cross | Traditional (PPS) | 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 | — |
| Blue Cross | BlueSelect | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| BLUE CROSS | MBN | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
Visitor-reported prices
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Aep thrshld est mlt freq i&r at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $230.10 – $234.94 |
| Adventhealth Tampa | Tampa | $3,212.94 | $225.48 – $500.57 |
| Adventhealth Port Charlotte | Port Charlotte | $1,916.59 | $225.48 – $411.73 |
| cleveland clinic florida weston hospital | Weston | $1,012.70 | $47.57 – $1,324.30 |
| Baptist Hospital | MIAMI | $863.85 | $50.58 – $1,196.10 |
| Bethesda Hospital East | BOYNTON BEACH | $863.85 | $50.58 – $1,196.10 |
| Doctors Hospital | CORAL GABLES | $863.85 | $49.03 – $1,196.10 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $863.85 | $49.03 – $1,196.10 |