Cochlear implt f/up exam 7/> at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$643.50
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.
$990.00
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.
$22.26 with AETNA vs $891.00 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 |
|---|---|---|---|
| AETNA | Managed Medicaid/CHIP Behavioral Health | $22.26 | ↓ -97% |
| SUNSHINE HEALTH | Managed Medicaid | $22.26 | ↓ -97% |
| Simply | Managed Medicaid | $22.26 | ↓ -97% |
| Freedom Health | Managed Medicaid | $22.26 | ↓ -97% |
| AMERIHEALTH | Managed Medicaid | $22.93 | ↓ -96% |
| MOLINA | Managed Medicaid | $23.37 | ↓ -96% |
| MOLINA | Florida KidCare | $23.37 | ↓ -96% |
| Miami Childrens Health Plan | Managed Medicaid | $23.37 | ↓ -96% |
| AETNA | Managed Medicaid/CHIP | $26.71 | ↓ -96% |
| Independent Living Systems | Managed Medicaid | $26.71 | ↓ -96% |
| Blue Cross | Health Options | $93.27 | ↓ -86% |
| Blue Cross | BlueSelect | $93.27 | ↓ -86% |
| United | Medicare Advantage | $96.88 | ↓ -85% |
| Avmed | Medicare Advantage | $96.88 | ↓ -85% |
| Blue Cross | Medicare Advantage PPO | $96.88 | ↓ -85% |
| Miami Childrens Health Plan | Medicare Advantage | $96.88 | ↓ -85% |
| Blue Cross | Medicare Advantage HMO | $96.88 | ↓ -85% |
| Freedom Health | Medicare Advantage | $101.72 | ↓ -84% |
| Careplus | Medicare Advantage | $101.72 | ↓ -84% |
| Clear Spring Health | All Products | $104.63 | ↓ -84% |
| Blue Cross | Network Blue | $112.47 | ↓ -83% |
| Blue Cross | Perferred Patient Care | $116.13 | ↓ -82% |
| Blue Cross | Traditional (PPS) | $116.13 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $116.50 | ↓ -82% |
| Molina | Managed Medicaid | $118.77 | ↓ -82% |
| Molina | Florida Kidcare | $118.77 | ↓ -82% |
| Sunshine Health | Managed Medicaid | $118.77 | ↓ -82% |
| Aetna | Medicare Advantage PCP | $120.13 | ↓ -81% |
| Independent Living Systems | Medicare Advantage | $121.45 | ↓ -81% |
| Aetna | Medicare Advantage Specialist | $122.07 | ↓ -81% |
| AETNA | MEDICARE ADVANTAGE | $134.37 | ↓ -79% |
| Wellcare | MEDICARE ADVANTAGE | $134.37 | ↓ -79% |
| Multiplan | All Products | $145.32 | ↓ -77% |
| DEVOTED HEALTH | Medicare Advantage HMO | $147.81 | ↓ -77% |
| Avmed | Exchange | $154.22 | ↓ -76% |
| UNITED | MEDICARE ADVANTAGE | $157.05 | ↓ -76% |
| HUMANA | Medicare Advantage HMO | $157.05 | ↓ -76% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $157.05 | ↓ -76% |
| BLUE CROSS | Medicare Advantage PPO | $157.05 | ↓ -76% |
| BLUE CROSS | Medicare Advantage HMO | $157.05 | ↓ -76% |
| Avmed | Select | $160.15 | ↓ -75% |
| AVMED | MEDICARE ADVANTAGE | $163.33 | ↓ -75% |
| Freedom Health | MEDICARE ADVANTAGE | $164.90 | ↓ -74% |
| Careplus | MEDICARE ADVANTAGE | $164.90 | ↓ -74% |
| Avmed | Broad | $172.01 | ↓ -73% |
| Cigna | Individual Family Plan Mid-Level | $187.18 | ↓ -71% |
| Cigna | Surefit Mid-Level | $190.76 | ↓ -70% |
| Cigna | All Products Mid-Level | $206.01 | ↓ -68% |
| United | All Products | $206.22 | ↓ -68% |
| Cigna | Individual Family Plan Physician | $220.20 | ↓ -66% |
| Cigna | Surefit Physician | $224.42 | ↓ -65% |
| Cigna | All Products Physician | $242.38 | ↓ -62% |
| AVMED | EXCHANGE | $274.84 | ↓ -57% |
| AVMED | Select | $463.30 | ↓ -28% |
| AVMED | BROAD | $604.65 | ↓ -6% |
| The Legacy Companies | All Products | $643.50 | ↑ +0% |
| Clarity Health | All Products | $643.50 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $742.50 | ↑ +15% |
| Aetna | All Products First Health | $891.00 | ↑ +38% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Cochlear implt f/up exam 7/> at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $133.95 – $136.77 |
| indian river hospital | Vero Beach | $643.50 | $21.15 – $841.50 |
| AdventHealth Orlando | Orlando | $975.00 | $134.37 – $356.08 |
| Adventhealth Carrollwood | Tampa | $1,707.79 | not published |
| Adventhealth Daytona Beach | Daytona Beach | not published | $127.65 – $224.26 |
| Adventhealth Tampa | Tampa | not published | $134.37 – $298.30 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $127.65 – $293.53 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $130.15 – $132.89 |