Cell marker study at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$415.35
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.
$639.00
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.
$12.13 with Simply vs $221.05 with Clear Spring Health — 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 | $12.13 | ↓ -97% |
| Freedom Health | Managed Medicaid | $12.13 | ↓ -97% |
| SUNSHINE HEALTH | Managed Medicaid | $12.13 | ↓ -97% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $12.13 | ↓ -97% |
| AMERIHEALTH | Managed Medicaid | $12.49 | ↓ -97% |
| MOLINA | Managed Medicaid | $12.74 | ↓ -97% |
| Miami Childrens Health Plan | Managed Medicaid | $12.74 | ↓ -97% |
| MOLINA | Florida KidCare | $12.74 | ↓ -97% |
| Independent Living Systems | Managed Medicaid | $14.56 | ↓ -96% |
| AETNA | Managed Medicaid/CHIP | $14.56 | ↓ -96% |
| CIGNA | Individual Family Plan | $32.55 | ↓ -92% |
| AETNA | QHP | $33.70 | ↓ -92% |
| AETNA | ALL PRODUCTS | $35.88 | ↓ -91% |
| AETNA | All Products New Business | $37.61 | ↓ -91% |
| CIGNA | SUREFIT | $47.04 | ↓ -89% |
| UNITED | NHP | $49.47 | ↓ -88% |
| BLUE CROSS | Medicare Advantage HMO | $53.63 | ↓ -87% |
| BLUE CROSS | Medicare Advantage PPO | $53.63 | ↓ -87% |
| HUMANA | Medicare Advantage HMO | $53.63 | ↓ -87% |
| UNITED | MEDICARE ADVANTAGE | $53.63 | ↓ -87% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $53.63 | ↓ -87% |
| Wellcare | MEDICARE ADVANTAGE | $54.42 | ↓ -87% |
| AETNA | MEDICARE ADVANTAGE | $54.42 | ↓ -87% |
| AVMED | MEDICARE ADVANTAGE | $55.78 | ↓ -87% |
| Freedom Health | MEDICARE ADVANTAGE | $56.31 | ↓ -86% |
| Careplus | MEDICARE ADVANTAGE | $56.31 | ↓ -86% |
| BMI | ALL PRODUCTS | $57.50 | ↓ -86% |
| DEVOTED HEALTH | Medicare Advantage HMO | $59.86 | ↓ -86% |
| CIGNA | ALL PRODUCTS | $60.72 | ↓ -85% |
| The Legacy Companies | ALL PRODUCTS | $74.75 | ↓ -82% |
| Clarity Health | ALL PRODUCTS | $74.75 | ↓ -82% |
| Consociate Health | ALL PRODUCTS | $86.25 | ↓ -79% |
| AVMED | EXCHANGE | $93.86 | ↓ -77% |
| AETNA | All Products First Health | $103.50 | ↓ -75% |
| AVMED | Select | $158.21 | ↓ -62% |
| AVMED | BROAD | $206.48 | ↓ -50% |
| MULTIPLAN | ALL PRODUCTS | $214.91 | ↓ -48% |
| Clear Spring Health | ALL PRODUCTS | $221.05 | ↓ -47% |
| BLUE CROSS | NWB | not published by hospital | — |
| BLUE CROSS | MBN | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Cell marker study at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $49.76 – $164.46 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $91.00 | $49.76 – $157.84 |
| Adventhealth Port Charlotte | Port Charlotte | $332.79 | $54.42 – $99.37 |
| cleveland clinic florida weston hospital | Weston | $415.35 | $11.52 – $175.00 |
| indian river hospital | Vero Beach | $415.35 | $11.52 – $511.20 |
| Boca Raton Regional Hospital | BOCA RATON | $664.95 | $25.20 – $70.00 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $36.66 | $49.76 – $160.23 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $37.74 | $49.47 – $283.73 |