healthcosts.net
Brain MRI (with and without contrast) at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$2,570.10
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.
$3,954.00
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.
$87.69 with Blue Cross vs $2,772.00 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 | $87.69 | ↓ -97% |
| Blue Cross | BlueSelect | $87.69 | ↓ -97% |
| Blue Cross | Network Blue | $105.75 | ↓ -96% |
| Blue Cross | Traditional (PPS) | $109.19 | ↓ -96% |
| Blue Cross | Perferred Patient Care | $109.19 | ↓ -96% |
| United | Medicare Advantage | $109.61 | ↓ -96% |
| Avmed | Medicare Advantage | $109.61 | ↓ -96% |
| Blue Cross | Medicare Advantage PPO | $109.61 | ↓ -96% |
| Miami Childrens Health Plan | Medicare Advantage | $109.61 | ↓ -96% |
| Blue Cross | Medicare Advantage HMO | $109.61 | ↓ -96% |
| Independent Living Systems | Medicare Advantage | $113.39 | ↓ -96% |
| Freedom Health | Medicare Advantage | $115.09 | ↓ -96% |
| Careplus | Medicare Advantage | $115.09 | ↓ -96% |
| Clear Spring Health | All Products | $118.38 | ↓ -95% |
| Aetna | Medicare Advantage PCP | $135.92 | ↓ -95% |
| Aetna | Medicare Advantage Specialist | $138.11 | ↓ -95% |
| United | All Products | $141.09 | ↓ -95% |
| Avmed | Exchange | $142.84 | ↓ -94% |
| Avmed | Select | $148.34 | ↓ -94% |
| Avmed | Broad | $159.33 | ↓ -94% |
| Multiplan | All Products | $164.42 | ↓ -94% |
| Simply | Managed Medicaid | $254.63 | ↓ -90% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $254.63 | ↓ -90% |
| SUNSHINE HEALTH | Managed Medicaid | $254.63 | ↓ -90% |
| Freedom Health | Managed Medicaid | $254.63 | ↓ -90% |
| AMERIHEALTH | Managed Medicaid | $262.27 | ↓ -90% |
| Miami Childrens Health Plan | Managed Medicaid | $267.36 | ↓ -90% |
| MOLINA | Florida KidCare | $267.36 | ↓ -90% |
| MOLINA | Managed Medicaid | $267.36 | ↓ -90% |
| Aetna | All Products Anesthesia | $268.61 | ↓ -90% |
| Independent Living Systems | Managed Medicaid | $305.56 | ↓ -88% |
| AETNA | Managed Medicaid/CHIP | $305.56 | ↓ -88% |
| Aetna | All Products PCP | $346.94 | ↓ -87% |
| UNITED | MEDICARE ADVANTAGE | $358.48 | ↓ -86% |
| BLUE CROSS | Medicare Advantage HMO | $358.48 | ↓ -86% |
| HUMANA | Medicare Advantage HMO | $358.48 | ↓ -86% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $358.48 | ↓ -86% |
| BLUE CROSS | Medicare Advantage PPO | $358.48 | ↓ -86% |
| Wellcare | MEDICARE ADVANTAGE | $364.32 | ↓ -86% |
| AETNA | MEDICARE ADVANTAGE | $364.32 | ↓ -86% |
| AVMED | MEDICARE ADVANTAGE | $372.82 | ↓ -85% |
| Careplus | MEDICARE ADVANTAGE | $376.40 | ↓ -85% |
| Freedom Health | MEDICARE ADVANTAGE | $376.40 | ↓ -85% |
| BLUE CROSS | MBN | $386.00 | ↓ -85% |
| BLUE CROSS | BSL | $388.00 | ↓ -85% |
| DEVOTED HEALTH | Medicare Advantage HMO | $400.75 | ↓ -84% |
| Aetna | All Products Specialist | $426.74 | ↓ -83% |
| MULTIPLAN | ALL PRODUCTS | $448.89 | ↓ -83% |
| Clear Spring Health | ALL PRODUCTS | $461.71 | ↓ -82% |
| BLUE CROSS | HMO | $486.00 | ↓ -81% |
| BLUE CROSS | NWBI | $521.00 | ↓ -80% |
| BLUE CROSS | NWB | $521.00 | ↓ -80% |
| BLUE CROSS | PHS | $584.00 | ↓ -77% |
| AVMED | EXCHANGE | $627.34 | ↓ -76% |
| Clarity Health | All Products | $655.20 | ↓ -75% |
| The Legacy Companies | All Products | $655.20 | ↓ -75% |
| Consociate Health | ALL PRODUCTS | $756.00 | ↓ -71% |
| UNITED | International | $859.16 | ↓ -67% |
| UNITED | NHP | $859.16 | ↓ -67% |
| UNITED | ALL PRODUCTS | $859.16 | ↓ -67% |
| CIGNA | Individual Family Plan | $871.64 | ↓ -66% |
| Aetna | All Products First Health | $907.20 | ↓ -65% |
| Cigna | Individual Family Plan Mid-Level | $1,008.00 | ↓ -61% |
| Cigna | Surefit Physician | $1,008.00 | ↓ -61% |
| Cigna | All Products Physician | $1,008.00 | ↓ -61% |
| Cigna | All Products Mid-Level | $1,008.00 | ↓ -61% |
| Cigna | Individual Family Plan Physician | $1,008.00 | ↓ -61% |
| Cigna | Surefit Mid-Level | $1,008.00 | ↓ -61% |
| BLUE CROSS | PPO | $1,020.00 | ↓ -60% |
| AVMED | Select | $1,057.52 | ↓ -59% |
| CIGNA | SUREFIT | $1,259.72 | ↓ -51% |
| AVMED | BROAD | $1,380.15 | ↓ -46% |
| BMI | ALL PRODUCTS | $1,540.00 | ↓ -40% |
| CIGNA | ALL PRODUCTS | $1,626.24 | ↓ -37% |
| AETNA | QHP | $1,677.00 | ↓ -35% |
| The Legacy Companies | ALL PRODUCTS | $2,002.00 | ↓ -22% |
| Clarity Health | ALL PRODUCTS | $2,002.00 | ↓ -22% |
| AETNA | All Products New Business | $2,027.00 | ↓ -21% |
| AETNA | ALL PRODUCTS | $2,278.00 | ↓ -11% |
| AETNA | All Products First Health | $2,772.00 | ↑ +8% |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Brain MRI (with and without contrast) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $2,657.20 | $98.01 – $2,618.00 |
| indian river hospital | Vero Beach | $2,570.10 | $104.89 – $2,464.00 |
| Baptist Hospital | MIAMI | $4,919.85 | $173.17 – $6,812.10 |
| Bethesda Hospital East | BOYNTON BEACH | $4,919.85 | $255.55 – $6,812.10 |
| Boca Raton Regional Hospital | BOCA RATON | $4,411.55 | $357.78 – $4,302.62 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $4,919.85 | $247.73 – $6,812.10 |
| Doctors Hospital | CORAL GABLES | $4,919.85 | $247.73 – $6,812.10 |
| Fishermens Community Hospital | MARATHON | $4,919.85 | $247.73 – $6,812.10 |