Cptr ophth dx img post segmt at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$221.65
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.
$341.00
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.
$18.15 with Avmed vs $2,262.00 with UNITED — 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 |
|---|---|---|---|
| Avmed | Medicare Advantage | $18.15 | ↓ -92% |
| Blue Cross | Medicare Advantage PPO | $18.15 | ↓ -92% |
| Blue Cross | Medicare Advantage HMO | $18.15 | ↓ -92% |
| Miami Childrens Health Plan | Medicare Advantage | $18.15 | ↓ -92% |
| United | Medicare Advantage | $18.15 | ↓ -92% |
| Independent Living Systems | Medicare Advantage | $18.25 | ↓ -92% |
| Careplus | Medicare Advantage | $19.06 | ↓ -91% |
| Freedom Health | Medicare Advantage | $19.06 | ↓ -91% |
| Clear Spring Health | All Products | $19.60 | ↓ -91% |
| Blue Cross | BlueSelect | $21.77 | ↓ -90% |
| Blue Cross | Health Options | $21.77 | ↓ -90% |
| Aetna | Medicare Advantage PCP | $22.51 | ↓ -90% |
| Aetna | Medicare Advantage Specialist | $22.87 | ↓ -90% |
| Blue Cross | Network Blue | $26.25 | ↓ -88% |
| Blue Cross | Perferred Patient Care | $27.10 | ↓ -88% |
| Blue Cross | Traditional (PPS) | $27.10 | ↓ -88% |
| Multiplan | All Products | $27.23 | ↓ -88% |
| Avmed | Exchange | $31.90 | ↓ -86% |
| United | All Products | $32.82 | ↓ -85% |
| Avmed | Select | $33.13 | ↓ -85% |
| Freedom Health | Managed Medicaid | $33.43 | ↓ -85% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $33.43 | ↓ -85% |
| SUNSHINE HEALTH | Managed Medicaid | $33.43 | ↓ -85% |
| Simply | Managed Medicaid | $33.43 | ↓ -85% |
| AMERIHEALTH | Managed Medicaid | $34.43 | ↓ -84% |
| MOLINA | Managed Medicaid | $35.10 | ↓ -84% |
| Miami Childrens Health Plan | Managed Medicaid | $35.10 | ↓ -84% |
| MOLINA | Florida KidCare | $35.10 | ↓ -84% |
| Avmed | Broad | $35.58 | ↓ -84% |
| AETNA | Managed Medicaid/CHIP | $40.12 | ↓ -82% |
| Independent Living Systems | Managed Medicaid | $40.12 | ↓ -82% |
| MULTIPLAN | ALL PRODUCTS | $45.32 | ↓ -80% |
| Clear Spring Health | ALL PRODUCTS | $46.61 | ↓ -79% |
| BLUE CROSS | Medicare Advantage HMO | $59.62 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $59.62 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $59.62 | ↓ -73% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $59.62 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $59.62 | ↓ -73% |
| AETNA | MEDICARE ADVANTAGE | $61.60 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $61.60 | ↓ -72% |
| AVMED | MEDICARE ADVANTAGE | $62.01 | ↓ -72% |
| Freedom Health | MEDICARE ADVANTAGE | $62.61 | ↓ -72% |
| Careplus | MEDICARE ADVANTAGE | $62.61 | ↓ -72% |
| DEVOTED HEALTH | Medicare Advantage HMO | $67.76 | ↓ -69% |
| The Legacy Companies | All Products | $91.65 | ↓ -59% |
| Clarity Health | All Products | $91.65 | ↓ -59% |
| CIGNA | Individual Family Plan | $96.50 | ↓ -56% |
| AETNA | QHP | $99.91 | ↓ -55% |
| AVMED | EXCHANGE | $104.34 | ↓ -53% |
| Consociate Health | ALL PRODUCTS | $105.75 | ↓ -52% |
| AETNA | ALL PRODUCTS | $106.39 | ↓ -52% |
| AETNA | All Products New Business | $111.51 | ↓ -50% |
| Aetna | All Products First Health | $126.90 | ↓ -43% |
| CIGNA | SUREFIT | $139.47 | ↓ -37% |
| Cigna | Surefit Mid-Level | $141.00 | ↓ -36% |
| Cigna | All Products Mid-Level | $141.00 | ↓ -36% |
| Cigna | All Products Physician | $141.00 | ↓ -36% |
| Cigna | Individual Family Plan Mid-Level | $141.00 | ↓ -36% |
| Cigna | Individual Family Plan Physician | $141.00 | ↓ -36% |
| Cigna | Surefit Physician | $141.00 | ↓ -36% |
| BMI | ALL PRODUCTS | $170.50 | ↓ -23% |
| AVMED | Select | $175.89 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $180.05 | ↓ -19% |
| Clarity Health | ALL PRODUCTS | $221.65 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $221.65 | ↑ +0% |
| AVMED | BROAD | $229.55 | ↑ +4% |
| AETNA | All Products First Health | $306.90 | ↑ +38% |
| UNITED | NHP | $1,719.00 | ↑ +676% |
| UNITED | ALL PRODUCTS | $2,050.00 | ↑ +825% |
| UNITED | International | $2,262.00 | ↑ +921% |
| Aetna | All Products Specialist | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| HUMANA | Managed Medicaid | 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 | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Cptr ophth dx img post segmt at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $17.10 – $17.46 |
| cleveland clinic florida weston hospital | Weston | $91.65 | $17.43 – $141.00 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $58.52 – $102.82 |
| Adventhealth Lake Wales | Lake Wales | not published | $61.60 – $136.76 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $58.52 – $131.58 |
| Adventhealth Tampa | Tampa | not published | $61.60 – $136.76 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $58.52 – $134.57 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $15.20 – $15.52 |