Compatibility test each unit immediate spin technique at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$302.25
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.
$465.00
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.
$55.75 with CIGNA vs $662.23 with AVMED — 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 |
|---|---|---|---|
| CIGNA | Individual Family Plan | $55.75 | ↓ -82% |
| AETNA | QHP | $57.72 | ↓ -81% |
| AETNA | ALL PRODUCTS | $61.46 | ↓ -80% |
| AETNA | All Products New Business | $64.42 | ↓ -79% |
| CIGNA | SUREFIT | $80.57 | ↓ -73% |
| Freedom Health | Managed Medicaid | $85.63 | ↓ -72% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $85.63 | ↓ -72% |
| SUNSHINE HEALTH | Managed Medicaid | $85.63 | ↓ -72% |
| Simply | Managed Medicaid | $85.63 | ↓ -72% |
| AMERIHEALTH | Managed Medicaid | $88.20 | ↓ -71% |
| Miami Childrens Health Plan | Managed Medicaid | $89.91 | ↓ -70% |
| MOLINA | Managed Medicaid | $89.91 | ↓ -70% |
| MOLINA | Florida KidCare | $89.91 | ↓ -70% |
| BMI | ALL PRODUCTS | $98.50 | ↓ -67% |
| Independent Living Systems | Managed Medicaid | $102.76 | ↓ -66% |
| AETNA | Managed Medicaid/CHIP | $102.76 | ↓ -66% |
| CIGNA | ALL PRODUCTS | $104.02 | ↓ -66% |
| The Legacy Companies | ALL PRODUCTS | $128.05 | ↓ -58% |
| Clarity Health | ALL PRODUCTS | $128.05 | ↓ -58% |
| UNITED | NHP | $143.50 | ↓ -53% |
| Consociate Health | ALL PRODUCTS | $147.75 | ↓ -51% |
| BLUE CROSS | Medicare Advantage HMO | $172.01 | ↓ -43% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $172.01 | ↓ -43% |
| BLUE CROSS | Medicare Advantage PPO | $172.01 | ↓ -43% |
| HUMANA | Medicare Advantage HMO | $172.01 | ↓ -43% |
| UNITED | MEDICARE ADVANTAGE | $172.01 | ↓ -43% |
| AETNA | All Products First Health | $177.30 | ↓ -41% |
| Wellcare | MEDICARE ADVANTAGE | $177.91 | ↓ -41% |
| AETNA | MEDICARE ADVANTAGE | $177.91 | ↓ -41% |
| AVMED | MEDICARE ADVANTAGE | $178.89 | ↓ -41% |
| Freedom Health | MEDICARE ADVANTAGE | $180.61 | ↓ -40% |
| Careplus | MEDICARE ADVANTAGE | $180.61 | ↓ -40% |
| DEVOTED HEALTH | Medicare Advantage HMO | $195.71 | ↓ -35% |
| AVMED | EXCHANGE | $301.01 | ↓ -0% |
| AVMED | Select | $507.42 | ↑ +68% |
| AVMED | BROAD | $662.23 | ↑ +119% |
| BLUE CROSS | PPO | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| BLUE CROSS | MBN | not published by hospital | — |
| MULTIPLAN | ALL PRODUCTS | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Compatibility test each unit immediate spin technique at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | $1,052.00 | $139.06 – $149.16 |
| Adventhealth Daytona Beach | Daytona Beach | $372.42 | $169.02 – $296.94 |
| Adventhealth Lake Wales | Lake Wales | $497.27 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $363.32 | $169.02 – $380.01 |
| Adventhealth Tampa | Tampa | $531.02 | $177.91 – $394.97 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $319.22 | $169.02 – $388.65 |
| Adventhealth Port Charlotte | Port Charlotte | $1,101.73 | $177.91 – $324.87 |
| cleveland clinic florida weston hospital | Weston | $128.05 | $14.09 – $195.71 |