App high cost ss f/n/g/h/f >100sq cm addl 100sq cm at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$4,459.00
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.
$6,860.00
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.
$42.61 with Blue Cross vs $9,364.00 with BLUE CROSS — 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 | $42.61 | ↓ -99% |
| Blue Cross | BlueSelect | $42.61 | ↓ -99% |
| Blue Cross | Network Blue | $51.38 | ↓ -99% |
| Blue Cross | Traditional (PPS) | $53.06 | ↓ -99% |
| Blue Cross | Perferred Patient Care | $53.06 | ↓ -99% |
| Blue Cross | Medicare Advantage PPO | $54.56 | ↓ -99% |
| Avmed | Medicare Advantage | $54.56 | ↓ -99% |
| Blue Cross | Medicare Advantage HMO | $54.56 | ↓ -99% |
| Miami Childrens Health Plan | Medicare Advantage | $54.56 | ↓ -99% |
| United | Medicare Advantage | $54.56 | ↓ -99% |
| Careplus | Medicare Advantage | $57.29 | ↓ -99% |
| Freedom Health | Medicare Advantage | $57.29 | ↓ -99% |
| Clear Spring Health | All Products | $58.92 | ↓ -99% |
| Independent Living Systems | Medicare Advantage | $62.18 | ↓ -99% |
| MULTIPLAN | ALL PRODUCTS | $65.88 | ↓ -99% |
| Aetna | Medicare Advantage PCP | $67.65 | ↓ -98% |
| Clear Spring Health | ALL PRODUCTS | $67.76 | ↓ -98% |
| Aetna | Medicare Advantage Specialist | $68.75 | ↓ -98% |
| Freedom Health | Managed Medicaid | $72.00 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $74.16 | ↓ -98% |
| Molina | Managed Medicaid | $75.60 | ↓ -98% |
| Miami Childrens Health Plan | Managed Medicaid | $75.60 | ↓ -98% |
| Sunshine Health | Managed Medicaid | $75.60 | ↓ -98% |
| Molina | Florida Kidcare | $75.60 | ↓ -98% |
| Avmed | Exchange | $78.03 | ↓ -98% |
| Avmed | Select | $81.03 | ↓ -98% |
| Multiplan | All Products | $81.84 | ↓ -98% |
| Independent Living Systems | Managed Medicaid | $86.40 | ↓ -98% |
| Avmed | Broad | $87.03 | ↓ -98% |
| Cigna | Individual Family Plan Mid-Level | $96.53 | ↓ -98% |
| Cigna | Surefit Mid-Level | $98.38 | ↓ -98% |
| Cigna | All Products Mid-Level | $106.26 | ↓ -98% |
| United | All Products | $113.56 | ↓ -97% |
| Cigna | Individual Family Plan Physician | $113.57 | ↓ -97% |
| Cigna | Surefit Physician | $115.75 | ↓ -97% |
| Cigna | All Products Physician | $125.00 | ↓ -97% |
| The Legacy Companies | All Products | $260.00 | ↓ -94% |
| Clarity Health | All Products | $260.00 | ↓ -94% |
| Consociate Health | ALL PRODUCTS | $300.00 | ↓ -93% |
| Aetna | All Products First Health | $360.00 | ↓ -92% |
| Simply | Managed Medicaid | $1,243.75 | ↓ -72% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,243.75 | ↓ -72% |
| SUNSHINE HEALTH | Managed Medicaid | $1,243.75 | ↓ -72% |
| AMERIHEALTH | Managed Medicaid | $1,281.06 | ↓ -71% |
| MOLINA | Florida KidCare | $1,305.94 | ↓ -71% |
| MOLINA | Managed Medicaid | $1,305.94 | ↓ -71% |
| AETNA | MEDICARE ADVANTAGE | $1,426.88 | ↓ -68% |
| AETNA | Managed Medicaid/CHIP | $1,492.50 | ↓ -67% |
| BLUE CROSS | MBN | $1,719.00 | ↓ -61% |
| CIGNA | Individual Family Plan | $1,941.38 | ↓ -56% |
| AETNA | QHP | $2,009.98 | ↓ -55% |
| AVMED | Select | $2,058.00 | ↓ -54% |
| AVMED | EXCHANGE | $2,058.00 | ↓ -54% |
| AETNA | ALL PRODUCTS | $2,140.32 | ↓ -52% |
| AETNA | All Products New Business | $2,243.22 | ↓ -50% |
| BLUE CROSS | HMO | $2,276.00 | ↓ -49% |
| AVMED | BROAD | $2,606.80 | ↓ -42% |
| CIGNA | SUREFIT | $2,805.74 | ↓ -37% |
| BLUE CROSS | PPO | $3,381.00 | ↓ -24% |
| BMI | ALL PRODUCTS | $3,430.00 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $3,622.08 | ↓ -19% |
| BLUE CROSS | NWB | $4,249.00 | ↓ -5% |
| BLUE CROSS | NWBI | $4,249.00 | ↓ -5% |
| The Legacy Companies | ALL PRODUCTS | $4,459.00 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $4,459.00 | ↑ +0% |
| AETNA | All Products First Health | $6,174.00 | ↑ +38% |
| BLUE CROSS | PHS | $9,364.00 | ↑ +110% |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
Visitor-reported prices
Comments
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $1,326.59 – $1,354.52 |
| Adventhealth Tampa | Tampa | $2,000.57 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $6,154.89 | not published |
| cleveland clinic florida weston hospital | Weston | $260.00 | $27.46 – $1,492.50 |
| indian river hospital | Vero Beach | $4,459.00 | $27.46 – $5,488.00 |
| Baptist Hospital | MIAMI | $908.05 | $173.17 – $1,301.89 |
| Bethesda Hospital East | BOYNTON BEACH | $908.05 | $280.80 – $1,289.61 |
| Boca Raton Regional Hospital | BOCA RATON | $585.00 | $324.00 – $900.00 |