Cptrz oph img pst sg rta oct at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,163.50
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.
$1,790.00
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.
$33.43 with SUNSHINE HEALTH 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 |
|---|---|---|---|
| SUNSHINE HEALTH | Managed Medicaid | $33.43 | ↓ -97% |
| Freedom Health | Managed Medicaid | $33.43 | ↓ -97% |
| Simply | Managed Medicaid | $33.43 | ↓ -97% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $33.43 | ↓ -97% |
| AMERIHEALTH | Managed Medicaid | $34.43 | ↓ -97% |
| Blue Cross | Health Options | $34.54 | ↓ -97% |
| Blue Cross | BlueSelect | $34.54 | ↓ -97% |
| MOLINA | Managed Medicaid | $35.10 | ↓ -97% |
| Miami Childrens Health Plan | Managed Medicaid | $35.10 | ↓ -97% |
| MOLINA | Florida KidCare | $35.10 | ↓ -97% |
| United | Medicare Advantage | $35.36 | ↓ -97% |
| Miami Childrens Health Plan | Medicare Advantage | $35.36 | ↓ -97% |
| Blue Cross | Medicare Advantage PPO | $35.36 | ↓ -97% |
| Avmed | Medicare Advantage | $35.36 | ↓ -97% |
| Blue Cross | Medicare Advantage HMO | $35.36 | ↓ -97% |
| Independent Living Systems | Medicare Advantage | $35.55 | ↓ -97% |
| Careplus | Medicare Advantage | $37.13 | ↓ -97% |
| Freedom Health | Medicare Advantage | $37.13 | ↓ -97% |
| Clear Spring Health | All Products | $38.19 | ↓ -97% |
| Independent Living Systems | Managed Medicaid | $40.12 | ↓ -97% |
| AETNA | Managed Medicaid/CHIP | $40.12 | ↓ -97% |
| Blue Cross | Network Blue | $41.65 | ↓ -96% |
| Blue Cross | Perferred Patient Care | $43.01 | ↓ -96% |
| Blue Cross | Traditional (PPS) | $43.01 | ↓ -96% |
| Aetna | Medicare Advantage PCP | $43.85 | ↓ -96% |
| Aetna | Medicare Advantage Specialist | $44.55 | ↓ -96% |
| United | All Products | $46.61 | ↓ -96% |
| Multiplan | All Products | $53.04 | ↓ -95% |
| MULTIPLAN | ALL PRODUCTS | $82.67 | ↓ -93% |
| Clear Spring Health | ALL PRODUCTS | $85.03 | ↓ -93% |
| Clarity Health | All Products | $183.30 | ↓ -84% |
| The Legacy Companies | All Products | $183.30 | ↓ -84% |
| Consociate Health | ALL PRODUCTS | $211.50 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $225.48 | ↓ -81% |
| Wellcare | MEDICARE ADVANTAGE | $225.48 | ↓ -81% |
| DEVOTED HEALTH | Medicare Advantage HMO | $248.03 | ↓ -79% |
| Aetna | All Products First Health | $253.80 | ↓ -78% |
| Cigna | All Products Physician | $282.00 | ↓ -76% |
| Cigna | All Products Mid-Level | $282.00 | ↓ -76% |
| Cigna | Individual Family Plan Mid-Level | $282.00 | ↓ -76% |
| Cigna | Individual Family Plan Physician | $282.00 | ↓ -76% |
| Cigna | Surefit Mid-Level | $282.00 | ↓ -76% |
| Cigna | Surefit Physician | $282.00 | ↓ -76% |
| BLUE CROSS | Medicare Advantage PPO | $312.58 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $312.58 | ↓ -73% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $312.58 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $312.58 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $312.58 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $325.08 | ↓ -72% |
| Careplus | MEDICARE ADVANTAGE | $328.21 | ↓ -72% |
| Freedom Health | MEDICARE ADVANTAGE | $328.21 | ↓ -72% |
| CIGNA | Individual Family Plan | $506.57 | ↓ -56% |
| AETNA | QHP | $524.47 | ↓ -55% |
| AVMED | EXCHANGE | $547.01 | ↓ -53% |
| AETNA | ALL PRODUCTS | $558.48 | ↓ -52% |
| AETNA | All Products New Business | $585.33 | ↓ -50% |
| CIGNA | SUREFIT | $732.11 | ↓ -37% |
| BMI | ALL PRODUCTS | $895.00 | ↓ -23% |
| AVMED | Select | $922.10 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $945.12 | ↓ -19% |
| Clarity Health | ALL PRODUCTS | $1,163.50 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $1,163.50 | ↑ +0% |
| AVMED | BROAD | $1,203.42 | ↑ +3% |
| AETNA | All Products First Health | $1,611.00 | ↑ +38% |
| UNITED | NHP | $1,719.00 | ↑ +48% |
| UNITED | ALL PRODUCTS | $2,050.00 | ↑ +76% |
| UNITED | International | $2,262.00 | ↑ +94% |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Avmed | Select | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Avmed | Exchange | not published by hospital | — |
| Avmed | Broad | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| BLUE CROSS | MBN | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Cptrz oph img pst sg rta oct at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $700.65 – $700.65 |
| cleveland clinic florida weston hospital | Weston | $183.30 | $31.76 – $325.08 |
| indian river hospital | Vero Beach | $1,163.50 | $31.76 – $1,432.00 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $214.21 – $376.33 |
| Adventhealth Lake Wales | Lake Wales | not published | $225.48 – $653.94 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $214.21 – $778.50 |
| Adventhealth Tampa | Tampa | not published | $225.48 – $529.38 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $214.21 – $492.57 |