healthcosts.net
Annual Physical, Established Patient (age 18-39) at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$455.00
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.
$700.00
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.
$65.59 with Blue Cross vs $630.00 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 |
|---|---|---|---|
| Blue Cross | Health Options | $65.59 | ↓ -86% |
| Blue Cross | BlueSelect | $65.59 | ↓ -86% |
| Blue Cross | Network Blue | $79.09 | ↓ -83% |
| AETNA | MEDICARE ADVANTAGE | $81.33 | ↓ -82% |
| Blue Cross | Traditional (PPS) | $81.66 | ↓ -82% |
| Blue Cross | Perferred Patient Care | $81.66 | ↓ -82% |
| Freedom Health | Managed Medicaid | $89.87 | ↓ -80% |
| Independent Living Systems | Medicare Advantage | $90.04 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $92.57 | ↓ -80% |
| Miami Childrens Health Plan | Managed Medicaid | $94.36 | ↓ -79% |
| Molina | Managed Medicaid | $94.36 | ↓ -79% |
| Molina | Florida Kidcare | $94.36 | ↓ -79% |
| Sunshine Health | Managed Medicaid | $94.36 | ↓ -79% |
| Independent Living Systems | Managed Medicaid | $107.84 | ↓ -76% |
| CIGNA | Individual Family Plan | $110.65 | ↓ -76% |
| AETNA | QHP | $114.56 | ↓ -75% |
| AVMED | Select | $117.30 | ↓ -74% |
| AVMED | EXCHANGE | $117.30 | ↓ -74% |
| Avmed | Exchange | $121.00 | ↓ -73% |
| Avmed | Select | $125.00 | ↓ -73% |
| AETNA | All Products New Business | $127.86 | ↓ -72% |
| Avmed | Broad | $134.00 | ↓ -71% |
| Cigna | Individual Family Plan Mid-Level | $141.42 | ↓ -69% |
| Cigna | Surefit Mid-Level | $144.14 | ↓ -68% |
| United | All Products | $147.62 | ↓ -68% |
| AVMED | BROAD | $148.58 | ↓ -67% |
| Cigna | All Products Mid-Level | $155.36 | ↓ -66% |
| AETNA | ALL PRODUCTS | $158.00 | ↓ -65% |
| CIGNA | SUREFIT | $159.92 | ↓ -65% |
| Cigna | Individual Family Plan Physician | $166.38 | ↓ -63% |
| Cigna | Surefit Physician | $169.55 | ↓ -63% |
| Cigna | All Products Physician | $182.77 | ↓ -60% |
| BMI | ALL PRODUCTS | $195.50 | ↓ -57% |
| CIGNA | ALL PRODUCTS | $206.45 | ↓ -55% |
| The Legacy Companies | ALL PRODUCTS | $254.15 | ↓ -44% |
| Clarity Health | ALL PRODUCTS | $254.15 | ↓ -44% |
| Consociate Health | ALL PRODUCTS | $293.25 | ↓ -36% |
| AETNA | All Products First Health | $351.90 | ↓ -23% |
| Clarity Health | All Products | $455.00 | ↑ +0% |
| The Legacy Companies | All Products | $455.00 | ↑ +0% |
| Aetna | All Products First Health | $630.00 | ↑ +38% |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| Clear Spring Health | All Products | not published by hospital | — |
| Blue Cross | Medicare Advantage HMO | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| Miami Childrens Health Plan | Medicare Advantage | not published by hospital | — |
| Blue Cross | Medicare Advantage PPO | not published by hospital | — |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | Medicare Advantage PCP | not published by hospital | — |
| Multiplan | All Products | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| Careplus | Medicare Advantage | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| AETNA | Managed Medicaid/CHIP | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
| SUNSHINE HEALTH | Managed Medicaid | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| BLUE CROSS | MBN | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| MOLINA | Managed Medicaid | not published by hospital | — |
| Aetna | Medicare Advantage Specialist | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Freedom Health | Medicare Advantage | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIHEALTH | Managed Medicaid | not published by hospital | — |
| Avmed | Medicare Advantage | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| AETNA | Managed Medicaid/CHIP Behavioral Health | not published by hospital | — |
| Simply | Managed Medicaid | not published by hospital | — |
| MOLINA | Florida KidCare | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| MULTIPLAN | ALL PRODUCTS | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Annual Physical, Established Patient (age 18-39) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $455.00 | $41.92 – $490.00 |
| indian river hospital | Vero Beach | $455.00 | $41.92 – $595.00 |