Alys cplx sp/pn npgt w/prgrm at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$514.15
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.
$791.00
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.
$37.22 with Blue Cross 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 |
|---|---|---|---|
| Blue Cross | Medicare Advantage HMO | $37.22 | ↓ -93% |
| Miami Childrens Health Plan | Medicare Advantage | $37.22 | ↓ -93% |
| Avmed | Medicare Advantage | $37.22 | ↓ -93% |
| United | Medicare Advantage | $37.22 | ↓ -93% |
| Blue Cross | Medicare Advantage PPO | $37.22 | ↓ -93% |
| Freedom Health | Medicare Advantage | $39.08 | ↓ -92% |
| Careplus | Medicare Advantage | $39.08 | ↓ -92% |
| Clear Spring Health | All Products | $40.20 | ↓ -92% |
| Independent Living Systems | Medicare Advantage | $41.88 | ↓ -92% |
| Freedom Health | Managed Medicaid | $43.41 | ↓ -92% |
| AmeriHealth | Managed Medicaid | $44.71 | ↓ -91% |
| Molina | Managed Medicaid | $45.58 | ↓ -91% |
| Sunshine Health | Managed Medicaid | $45.58 | ↓ -91% |
| Molina | Florida Kidcare | $45.58 | ↓ -91% |
| Miami Childrens Health Plan | Managed Medicaid | $45.58 | ↓ -91% |
| Aetna | Medicare Advantage PCP | $46.15 | ↓ -91% |
| Aetna | Medicare Advantage Specialist | $46.90 | ↓ -91% |
| MULTIPLAN | ALL PRODUCTS | $50.16 | ↓ -90% |
| Clear Spring Health | ALL PRODUCTS | $51.59 | ↓ -90% |
| Independent Living Systems | Managed Medicaid | $52.09 | ↓ -90% |
| Avmed | Exchange | $54.13 | ↓ -89% |
| Multiplan | All Products | $55.83 | ↓ -89% |
| Avmed | Select | $56.21 | ↓ -89% |
| Blue Cross | BlueSelect | $59.76 | ↓ -88% |
| Blue Cross | Health Options | $59.76 | ↓ -88% |
| Avmed | Broad | $60.38 | ↓ -88% |
| Cigna | Individual Family Plan Mid-Level | $68.90 | ↓ -87% |
| Cigna | Surefit Mid-Level | $70.22 | ↓ -86% |
| Blue Cross | Network Blue | $72.06 | ↓ -86% |
| United | All Products | $72.39 | ↓ -86% |
| Blue Cross | Traditional (PPS) | $74.41 | ↓ -86% |
| Blue Cross | Perferred Patient Care | $74.41 | ↓ -86% |
| Cigna | All Products Mid-Level | $75.83 | ↓ -85% |
| Cigna | Individual Family Plan Physician | $81.05 | ↓ -84% |
| Cigna | Surefit Physician | $82.61 | ↓ -84% |
| SUNSHINE HEALTH | Managed Medicaid | $86.90 | ↓ -83% |
| Simply | Managed Medicaid | $86.90 | ↓ -83% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $86.90 | ↓ -83% |
| Cigna | All Products Physician | $89.21 | ↓ -83% |
| AMERIHEALTH | Managed Medicaid | $89.51 | ↓ -83% |
| MOLINA | Florida KidCare | $91.25 | ↓ -82% |
| MOLINA | Managed Medicaid | $91.25 | ↓ -82% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $92.14 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $92.14 | ↓ -82% |
| BLUE CROSS | Medicare Advantage PPO | $92.14 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $92.14 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $92.14 | ↓ -82% |
| AVMED | MEDICARE ADVANTAGE | $95.82 | ↓ -81% |
| Careplus | MEDICARE ADVANTAGE | $96.74 | ↓ -81% |
| Freedom Health | MEDICARE ADVANTAGE | $96.74 | ↓ -81% |
| Wellcare | MEDICARE ADVANTAGE | $99.28 | ↓ -81% |
| AETNA | MEDICARE ADVANTAGE | $99.28 | ↓ -81% |
| AETNA | Managed Medicaid/CHIP | $104.28 | ↓ -80% |
| DEVOTED HEALTH | Medicare Advantage HMO | $109.21 | ↓ -79% |
| AVMED | EXCHANGE | $161.24 | ↓ -69% |
| CIGNA | Individual Family Plan | $223.85 | ↓ -56% |
| Clarity Health | All Products | $228.80 | ↓ -55% |
| The Legacy Companies | All Products | $228.80 | ↓ -55% |
| AETNA | QHP | $231.76 | ↓ -55% |
| AETNA | ALL PRODUCTS | $246.79 | ↓ -52% |
| AETNA | All Products New Business | $258.66 | ↓ -50% |
| Consociate Health | ALL PRODUCTS | $264.00 | ↓ -49% |
| AVMED | Select | $271.80 | ↓ -47% |
| Aetna | All Products First Health | $316.80 | ↓ -38% |
| CIGNA | SUREFIT | $323.52 | ↓ -37% |
| AVMED | BROAD | $354.73 | ↓ -31% |
| BMI | ALL PRODUCTS | $395.50 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $417.65 | ↓ -19% |
| The Legacy Companies | ALL PRODUCTS | $514.15 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $514.15 | ↑ +0% |
| AETNA | All Products First Health | $711.90 | ↑ +38% |
| UNITED | NHP | $1,719.00 | ↑ +234% |
| UNITED | ALL PRODUCTS | $2,050.00 | ↑ +299% |
| UNITED | International | $2,262.00 | ↑ +340% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | MBN | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Alys cplx sp/pn npgt w/prgrm at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $74.10 – $75.66 |
| Adventhealth Tampa | Tampa | $1,236.88 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $747.00 | $74.10 – $75.66 |
| Adventhealth Port Charlotte | Port Charlotte | $452.63 | not published |
| cleveland clinic florida weston hospital | Weston | $514.15 | $26.93 – $672.35 |
| indian river hospital | Vero Beach | $514.15 | $26.93 – $632.80 |
| Baptist Hospital | MIAMI | $548.60 | $87.33 – $759.60 |
| Boca Raton Regional Hospital | BOCA RATON | $343.85 | $97.50 – $529.00 |