Bilirubin direct at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$92.30
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.
$142.00
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.
$2.73 with Simply vs $117.90 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 |
|---|---|---|---|
| Simply | Managed Medicaid | $2.73 | ↓ -97% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $2.73 | ↓ -97% |
| Freedom Health | Managed Medicaid | $2.73 | ↓ -97% |
| SUNSHINE HEALTH | Managed Medicaid | $2.73 | ↓ -97% |
| AMERIHEALTH | Managed Medicaid | $2.81 | ↓ -97% |
| Miami Childrens Health Plan | Managed Medicaid | $2.87 | ↓ -97% |
| MOLINA | Florida KidCare | $2.87 | ↓ -97% |
| MOLINA | Managed Medicaid | $2.87 | ↓ -97% |
| AETNA | Managed Medicaid/CHIP | $3.28 | ↓ -96% |
| Independent Living Systems | Managed Medicaid | $3.28 | ↓ -96% |
| HUMANA | Medicare Advantage HMO | $5.02 | ↓ -95% |
| UNITED | NHP | $5.02 | ↓ -95% |
| AETNA | MEDICARE ADVANTAGE | $5.02 | ↓ -95% |
| UNITED | MEDICARE ADVANTAGE | $5.02 | ↓ -95% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $5.02 | ↓ -95% |
| Wellcare | MEDICARE ADVANTAGE | $5.02 | ↓ -95% |
| BLUE CROSS | Medicare Advantage HMO | $5.02 | ↓ -95% |
| BLUE CROSS | Medicare Advantage PPO | $5.02 | ↓ -95% |
| AVMED | MEDICARE ADVANTAGE | $5.22 | ↓ -94% |
| Careplus | MEDICARE ADVANTAGE | $5.27 | ↓ -94% |
| Freedom Health | MEDICARE ADVANTAGE | $5.27 | ↓ -94% |
| DEVOTED HEALTH | Medicare Advantage HMO | $5.52 | ↓ -94% |
| CIGNA | Individual Family Plan | $7.40 | ↓ -92% |
| CIGNA | SUREFIT | $9.79 | ↓ -89% |
| CIGNA | ALL PRODUCTS | $13.02 | ↓ -86% |
| AETNA | QHP | $38.38 | ↓ -58% |
| AVMED | Select | $39.30 | ↓ -57% |
| AVMED | EXCHANGE | $39.30 | ↓ -57% |
| AETNA | ALL PRODUCTS | $40.87 | ↓ -56% |
| AETNA | All Products New Business | $42.84 | ↓ -54% |
| AVMED | BROAD | $49.78 | ↓ -46% |
| BMI | ALL PRODUCTS | $65.50 | ↓ -29% |
| The Legacy Companies | ALL PRODUCTS | $85.15 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $85.15 | ↓ -8% |
| Consociate Health | ALL PRODUCTS | $98.25 | ↑ +6% |
| AETNA | All Products First Health | $117.90 | ↑ +28% |
| BLUE CROSS | MBN | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| MULTIPLAN | ALL PRODUCTS | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Bilirubin direct at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $5.00 – $69.46 |
| Adventhealth Daytona Beach | Daytona Beach | $93.78 | $4.77 – $8.38 |
| Adventhealth Palm Coast Parkway | Palm Coast | $93.78 | $4.77 – $10.72 |
| Adventhealth Tampa | Tampa | $222.73 | $5.02 – $11.14 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $80.38 | $4.77 – $10.97 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $376.00 | $4.02 – $66.67 |
| Adventhealth Port Charlotte | Port Charlotte | $36.93 | $5.02 – $9.17 |
| cleveland clinic florida weston hospital | Weston | $92.30 | $2.11 – $111.35 |