Anl sp inf pmp w/mdreprg&fil at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$257.40
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.
$396.00
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.
$35.86 with Blue Cross vs $1,159.02 with AVMED — 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 | BlueSelect | $35.86 | ↓ -86% |
| Blue Cross | Health Options | $35.86 | ↓ -86% |
| Blue Cross | Medicare Advantage PPO | $41.88 | ↓ -84% |
| Blue Cross | Medicare Advantage HMO | $41.88 | ↓ -84% |
| Avmed | Medicare Advantage | $41.88 | ↓ -84% |
| United | Medicare Advantage | $41.88 | ↓ -84% |
| Miami Childrens Health Plan | Medicare Advantage | $41.88 | ↓ -84% |
| Blue Cross | Network Blue | $43.25 | ↓ -83% |
| Careplus | Medicare Advantage | $43.97 | ↓ -83% |
| Freedom Health | Medicare Advantage | $43.97 | ↓ -83% |
| Blue Cross | Perferred Patient Care | $44.65 | ↓ -83% |
| Blue Cross | Traditional (PPS) | $44.65 | ↓ -83% |
| Clear Spring Health | All Products | $45.23 | ↓ -82% |
| Independent Living Systems | Medicare Advantage | $49.12 | ↓ -81% |
| Aetna | Medicare Advantage PCP | $51.93 | ↓ -80% |
| Aetna | Medicare Advantage Specialist | $52.77 | ↓ -79% |
| Avmed | Exchange | $62.15 | ↓ -76% |
| Multiplan | All Products | $62.82 | ↓ -76% |
| Avmed | Select | $64.54 | ↓ -75% |
| Avmed | Broad | $69.32 | ↓ -73% |
| Freedom Health | Managed Medicaid | $70.21 | ↓ -73% |
| AmeriHealth | Managed Medicaid | $72.32 | ↓ -72% |
| Molina | Managed Medicaid | $73.72 | ↓ -71% |
| Sunshine Health | Managed Medicaid | $73.72 | ↓ -71% |
| Molina | Florida Kidcare | $73.72 | ↓ -71% |
| Miami Childrens Health Plan | Managed Medicaid | $73.72 | ↓ -71% |
| Independent Living Systems | Managed Medicaid | $84.25 | ↓ -67% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $86.90 | ↓ -66% |
| Simply | Managed Medicaid | $86.90 | ↓ -66% |
| SUNSHINE HEALTH | Managed Medicaid | $86.90 | ↓ -66% |
| AMERIHEALTH | Managed Medicaid | $89.51 | ↓ -65% |
| United | All Products | $90.46 | ↓ -65% |
| MOLINA | Managed Medicaid | $91.25 | ↓ -65% |
| MOLINA | Florida KidCare | $91.25 | ↓ -65% |
| AETNA | Managed Medicaid/CHIP | $104.28 | ↓ -59% |
| Cigna | Individual Family Plan Mid-Level | $163.87 | ↓ -36% |
| Cigna | Surefit Mid-Level | $167.01 | ↓ -35% |
| Cigna | All Products Mid-Level | $180.37 | ↓ -30% |
| Cigna | Individual Family Plan Physician | $192.80 | ↓ -25% |
| Cigna | Surefit Physician | $196.49 | ↓ -24% |
| Cigna | All Products Physician | $212.20 | ↓ -18% |
| Clarity Health | All Products | $257.40 | ↑ +0% |
| The Legacy Companies | All Products | $257.40 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $297.00 | ↑ +15% |
| BLUE CROSS | Medicare Advantage PPO | $301.04 | ↑ +17% |
| UNITED | MEDICARE ADVANTAGE | $301.04 | ↑ +17% |
| BLUE CROSS | Medicare Advantage HMO | $301.04 | ↑ +17% |
| HUMANA | Medicare Advantage HMO | $301.04 | ↑ +17% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $301.04 | ↑ +17% |
| AVMED | MEDICARE ADVANTAGE | $313.09 | ↑ +22% |
| Careplus | MEDICARE ADVANTAGE | $316.10 | ↑ +23% |
| Freedom Health | MEDICARE ADVANTAGE | $316.10 | ↑ +23% |
| Wellcare | MEDICARE ADVANTAGE | $320.74 | ↑ +25% |
| AETNA | MEDICARE ADVANTAGE | $320.74 | ↑ +25% |
| DEVOTED HEALTH | Medicare Advantage HMO | $352.81 | ↑ +37% |
| Aetna | All Products First Health | $356.40 | ↑ +38% |
| AVMED | EXCHANGE | $526.83 | ↑ +105% |
| AVMED | Select | $888.08 | ↑ +245% |
| AVMED | BROAD | $1,159.02 | ↑ +350% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Anl sp inf pmp w/mdreprg&fil at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $2,265.01 – $2,312.69 |
| cleveland clinic florida weston hospital | Weston | $1,680.90 | $22.19 – $2,198.10 |
| indian river hospital | Vero Beach | $257.40 | $22.19 – $352.81 |
| Baptist Hospital | MIAMI | $733.85 | $87.33 – $1,016.10 |
| Bethesda Hospital East | BOYNTON BEACH | $733.85 | $87.33 – $1,016.10 |
| Doctors Hospital | CORAL GABLES | $733.85 | $84.66 – $1,016.10 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $733.85 | $84.66 – $1,016.10 |
| Homestead Hospital | HOMESTEAD | $733.85 | $84.66 – $1,016.10 |