Brach/thor cath addl at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$804.70
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.
$1,238.00
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.
$42.21 with Blue Cross vs $8,696.00 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 | $42.21 | ↓ -95% |
| Blue Cross | BlueSelect | $42.21 | ↓ -95% |
| Blue Cross | Network Blue | $50.90 | ↓ -94% |
| Avmed | Medicare Advantage | $52.44 | ↓ -93% |
| United | Medicare Advantage | $52.44 | ↓ -93% |
| Blue Cross | Medicare Advantage PPO | $52.44 | ↓ -93% |
| Blue Cross | Medicare Advantage HMO | $52.44 | ↓ -93% |
| Miami Childrens Health Plan | Medicare Advantage | $52.44 | ↓ -93% |
| Blue Cross | Traditional (PPS) | $52.56 | ↓ -93% |
| Blue Cross | Perferred Patient Care | $52.56 | ↓ -93% |
| Freedom Health | Medicare Advantage | $55.06 | ↓ -93% |
| Careplus | Medicare Advantage | $55.06 | ↓ -93% |
| Clear Spring Health | All Products | $56.64 | ↓ -93% |
| Independent Living Systems | Medicare Advantage | $58.12 | ↓ -93% |
| MULTIPLAN | ALL PRODUCTS | $63.08 | ↓ -92% |
| Clear Spring Health | ALL PRODUCTS | $64.89 | ↓ -92% |
| Aetna | Medicare Advantage PCP | $65.03 | ↓ -92% |
| Aetna | Medicare Advantage Specialist | $66.07 | ↓ -92% |
| Avmed | Exchange | $73.61 | ↓ -91% |
| Avmed | Select | $76.44 | ↓ -91% |
| Multiplan | All Products | $78.66 | ↓ -90% |
| Avmed | Broad | $82.10 | ↓ -90% |
| United | All Products | $107.13 | ↓ -87% |
| Freedom Health | Managed Medicaid | $156.51 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $161.21 | ↓ -80% |
| Molina | Managed Medicaid | $164.34 | ↓ -80% |
| Molina | Florida Kidcare | $164.34 | ↓ -80% |
| Sunshine Health | Managed Medicaid | $164.34 | ↓ -80% |
| Miami Childrens Health Plan | Managed Medicaid | $164.34 | ↓ -80% |
| Independent Living Systems | Managed Medicaid | $187.81 | ↓ -77% |
| AETNA | MEDICARE ADVANTAGE | $257.50 | ↓ -68% |
| Cigna | Individual Family Plan Mid-Level | $261.01 | ↓ -68% |
| The Legacy Companies | All Products | $262.60 | ↓ -67% |
| Clarity Health | All Products | $262.60 | ↓ -67% |
| Cigna | Surefit Mid-Level | $266.01 | ↓ -67% |
| Cigna | All Products Mid-Level | $287.26 | ↓ -64% |
| Consociate Health | ALL PRODUCTS | $303.00 | ↓ -62% |
| Cigna | Individual Family Plan Physician | $307.09 | ↓ -62% |
| Cigna | Surefit Physician | $312.95 | ↓ -61% |
| Cigna | All Products Physician | $337.98 | ↓ -58% |
| CIGNA | Individual Family Plan | $350.35 | ↓ -56% |
| Aetna | All Products First Health | $363.60 | ↓ -55% |
| AVMED | EXCHANGE | $371.40 | ↓ -54% |
| AVMED | Select | $371.40 | ↓ -54% |
| Simply | Managed Medicaid | $456.56 | ↓ -43% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $456.56 | ↓ -43% |
| SUNSHINE HEALTH | Managed Medicaid | $456.56 | ↓ -43% |
| AMERIHEALTH | Managed Medicaid | $470.26 | ↓ -42% |
| AVMED | BROAD | $470.44 | ↓ -42% |
| UNITED | NHP | $474.00 | ↓ -41% |
| MOLINA | Florida KidCare | $479.39 | ↓ -40% |
| MOLINA | Managed Medicaid | $479.39 | ↓ -40% |
| CIGNA | SUREFIT | $506.34 | ↓ -37% |
| AETNA | Managed Medicaid/CHIP | $547.87 | ↓ -32% |
| UNITED | ALL PRODUCTS | $568.00 | ↓ -29% |
| BMI | ALL PRODUCTS | $619.00 | ↓ -23% |
| UNITED | International | $625.00 | ↓ -22% |
| CIGNA | ALL PRODUCTS | $653.66 | ↓ -19% |
| Clarity Health | ALL PRODUCTS | $804.70 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $804.70 | ↑ +0% |
| AETNA | All Products First Health | $1,114.20 | ↑ +38% |
| BLUE CROSS | MBN | $1,339.00 | ↑ +66% |
| BLUE CROSS | HMO | $1,789.00 | ↑ +122% |
| BLUE CROSS | PPO | $3,029.00 | ↑ +276% |
| BLUE CROSS | NWBI | $3,680.00 | ↑ +357% |
| BLUE CROSS | NWB | $3,680.00 | ↑ +357% |
| AETNA | QHP | $3,806.00 | ↑ +373% |
| AETNA | All Products New Business | $4,025.00 | ↑ +400% |
| AETNA | ALL PRODUCTS | $4,523.00 | ↑ +462% |
| BLUE CROSS | PHS | $8,696.00 | ↑ +981% |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Brach/thor cath addl at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $2,640.17 – $2,695.76 |
| Adventhealth Daytona Beach | Daytona Beach | $1,059.40 | not published |
| Adventhealth Tampa | Tampa | $3,377.27 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $868.74 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $3,377.27 | not published |
| cleveland clinic florida weston hospital | Weston | $804.70 | $36.76 – $1,595.00 |
| indian river hospital | Vero Beach | $804.70 | $36.76 – $2,467.00 |
| Baptist Hospital | MIAMI | $1,541.80 | $173.17 – $2,134.80 |