All tstg perq&iq drugs/biol at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$107.25
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.
$165.00
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.
$6.33 with Avmed vs $582.00 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 |
|---|---|---|---|
| Avmed | Medicare Advantage | $6.33 | ↓ -94% |
| United | Medicare Advantage | $6.33 | ↓ -94% |
| Blue Cross | Medicare Advantage PPO | $6.33 | ↓ -94% |
| Blue Cross | Medicare Advantage HMO | $6.33 | ↓ -94% |
| Miami Childrens Health Plan | Medicare Advantage | $6.33 | ↓ -94% |
| Careplus | Medicare Advantage | $6.65 | ↓ -94% |
| Freedom Health | Medicare Advantage | $6.65 | ↓ -94% |
| Clear Spring Health | All Products | $6.84 | ↓ -94% |
| Independent Living Systems | Medicare Advantage | $7.39 | ↓ -93% |
| Aetna | Medicare Advantage PCP | $7.85 | ↓ -93% |
| Aetna | Medicare Advantage Specialist | $7.98 | ↓ -93% |
| MULTIPLAN | ALL PRODUCTS | $8.68 | ↓ -92% |
| Clear Spring Health | ALL PRODUCTS | $8.93 | ↓ -92% |
| Avmed | Exchange | $9.41 | ↓ -91% |
| Multiplan | All Products | $9.50 | ↓ -91% |
| Avmed | Select | $9.77 | ↓ -91% |
| Avmed | Broad | $10.50 | ↓ -90% |
| United | All Products | $12.59 | ↓ -88% |
| Freedom Health | Managed Medicaid | $15.06 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $15.51 | ↓ -86% |
| Sunshine Health | Managed Medicaid | $15.81 | ↓ -85% |
| Molina | Managed Medicaid | $15.81 | ↓ -85% |
| Molina | Florida Kidcare | $15.81 | ↓ -85% |
| Miami Childrens Health Plan | Managed Medicaid | $15.81 | ↓ -85% |
| Independent Living Systems | Managed Medicaid | $18.07 | ↓ -83% |
| Cigna | Individual Family Plan Mid-Level | $20.39 | ↓ -81% |
| Simply | Managed Medicaid | $20.41 | ↓ -81% |
| SUNSHINE HEALTH | Managed Medicaid | $20.41 | ↓ -81% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $20.41 | ↓ -81% |
| Cigna | Surefit Mid-Level | $20.78 | ↓ -81% |
| AMERIHEALTH | Managed Medicaid | $21.02 | ↓ -80% |
| MOLINA | Managed Medicaid | $21.43 | ↓ -80% |
| MOLINA | Florida KidCare | $21.43 | ↓ -80% |
| Cigna | All Products Mid-Level | $22.45 | ↓ -79% |
| Cigna | Individual Family Plan Physician | $23.99 | ↓ -78% |
| Cigna | Surefit Physician | $24.45 | ↓ -77% |
| AETNA | Managed Medicaid/CHIP | $24.49 | ↓ -77% |
| Cigna | All Products Physician | $26.41 | ↓ -75% |
| Wellcare | MEDICARE ADVANTAGE | $39.00 | ↓ -64% |
| AETNA | MEDICARE ADVANTAGE | $39.00 | ↓ -64% |
| UNITED | MEDICARE ADVANTAGE | $39.40 | ↓ -63% |
| HUMANA | Medicare Advantage HMO | $39.40 | ↓ -63% |
| BLUE CROSS | Medicare Advantage PPO | $39.40 | ↓ -63% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $39.40 | ↓ -63% |
| BLUE CROSS | Medicare Advantage HMO | $39.40 | ↓ -63% |
| AVMED | MEDICARE ADVANTAGE | $40.97 | ↓ -62% |
| Freedom Health | MEDICARE ADVANTAGE | $41.37 | ↓ -61% |
| Careplus | MEDICARE ADVANTAGE | $41.37 | ↓ -61% |
| DEVOTED HEALTH | Medicare Advantage HMO | $42.91 | ↓ -60% |
| CIGNA | Individual Family Plan | $46.70 | ↓ -56% |
| AETNA | QHP | $48.35 | ↓ -55% |
| AETNA | ALL PRODUCTS | $51.48 | ↓ -52% |
| AETNA | All Products New Business | $53.96 | ↓ -50% |
| CIGNA | SUREFIT | $67.49 | ↓ -37% |
| AVMED | EXCHANGE | $68.95 | ↓ -36% |
| BMI | ALL PRODUCTS | $82.50 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $87.12 | ↓ -19% |
| Clarity Health | ALL PRODUCTS | $107.25 | ↑ +0% |
| Clarity Health | All Products | $107.25 | ↑ +0% |
| The Legacy Companies | All Products | $107.25 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $107.25 | ↑ +0% |
| AVMED | Select | $116.23 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $123.75 | ↑ +15% |
| AETNA | All Products First Health | $148.50 | ↑ +38% |
| Aetna | All Products First Health | $148.50 | ↑ +38% |
| AVMED | BROAD | $151.68 | ↑ +41% |
| UNITED | NHP | $442.00 | ↑ +312% |
| UNITED | ALL PRODUCTS | $527.00 | ↑ +391% |
| UNITED | International | $582.00 | ↑ +443% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Blue Cross | BlueSelect | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| BLUE CROSS | MBN | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
Visitor-reported prices
Comments
All tstg perq&iq drugs/biol at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $7.60 – $7.76 |
| cleveland clinic florida weston hospital | Weston | $107.25 | $5.38 – $140.25 |
| indian river hospital | Vero Beach | $107.25 | $5.38 – $140.25 |
| Adventhealth Lake Wales | Lake Wales | not published | $39.00 – $86.59 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $37.05 – $83.31 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $7.60 – $7.76 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $39.00 – $71.22 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $7.60 – $7.76 |