Electrophysiology evaluation at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$3,199.95
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.
$4,923.00
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.
$390.25 with Freedom Health vs $13,562.00 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 |
|---|---|---|---|
| Freedom Health | Managed Medicaid | $390.25 | ↓ -88% |
| AmeriHealth | Managed Medicaid | $401.96 | ↓ -87% |
| Sunshine Health | Managed Medicaid | $409.76 | ↓ -87% |
| Miami Childrens Health Plan | Managed Medicaid | $409.76 | ↓ -87% |
| Molina | Florida Kidcare | $409.76 | ↓ -87% |
| Molina | Managed Medicaid | $409.76 | ↓ -87% |
| Independent Living Systems | Managed Medicaid | $468.30 | ↓ -85% |
| BLUE CROSS | MBN | $624.00 | ↓ -80% |
| BLUE CROSS | BSL | $642.00 | ↓ -80% |
| BLUE CROSS | PPO | $785.00 | ↓ -75% |
| BLUE CROSS | HMO | $794.00 | ↓ -75% |
| UNITED | NHP | $811.00 | ↓ -75% |
| BLUE CROSS | NWB | $898.00 | ↓ -72% |
| BLUE CROSS | NWBI | $898.00 | ↓ -72% |
| UNITED | ALL PRODUCTS | $970.00 | ↓ -70% |
| BLUE CROSS | PHS | $1,007.00 | ↓ -69% |
| AETNA | MEDICARE ADVANTAGE | $1,023.98 | ↓ -68% |
| UNITED | International | $1,061.00 | ↓ -67% |
| CIGNA | Individual Family Plan | $1,393.21 | ↓ -56% |
| AVMED | Select | $1,476.90 | ↓ -54% |
| AVMED | EXCHANGE | $1,476.90 | ↓ -54% |
| The Legacy Companies | All Products | $1,621.75 | ↓ -49% |
| Clarity Health | All Products | $1,621.75 | ↓ -49% |
| AVMED | BROAD | $1,870.74 | ↓ -42% |
| Consociate Health | ALL PRODUCTS | $1,871.25 | ↓ -42% |
| United | All Products | $1,941.85 | ↓ -39% |
| CIGNA | SUREFIT | $2,013.51 | ↓ -37% |
| Aetna | All Products First Health | $2,245.50 | ↓ -30% |
| BMI | ALL PRODUCTS | $2,461.50 | ↓ -23% |
| Cigna | Surefit Physician | $2,495.00 | ↓ -22% |
| Cigna | Surefit Mid-Level | $2,495.00 | ↓ -22% |
| Cigna | Individual Family Plan Physician | $2,495.00 | ↓ -22% |
| Cigna | Individual Family Plan Mid-Level | $2,495.00 | ↓ -22% |
| Cigna | All Products Physician | $2,495.00 | ↓ -22% |
| Cigna | All Products Mid-Level | $2,495.00 | ↓ -22% |
| CIGNA | ALL PRODUCTS | $2,599.34 | ↓ -19% |
| Clarity Health | ALL PRODUCTS | $3,199.95 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $3,199.95 | ↑ +0% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $4,251.32 | ↑ +33% |
| SUNSHINE HEALTH | Managed Medicaid | $4,251.32 | ↑ +33% |
| Simply | Managed Medicaid | $4,251.32 | ↑ +33% |
| AMERIHEALTH | Managed Medicaid | $4,378.86 | ↑ +37% |
| AETNA | All Products First Health | $4,430.70 | ↑ +38% |
| MOLINA | Managed Medicaid | $4,463.89 | ↑ +39% |
| MOLINA | Florida KidCare | $4,463.89 | ↑ +39% |
| AETNA | Managed Medicaid/CHIP | $5,101.58 | ↑ +59% |
| AETNA | QHP | $7,031.00 | ↑ +120% |
| AETNA | All Products New Business | $12,070.00 | ↑ +277% |
| AETNA | ALL PRODUCTS | $13,562.00 | ↑ +324% |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | Medicare Advantage PCP | not published by hospital | — |
| Aetna | Medicare Advantage Specialist | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Avmed | Broad | not published by hospital | — |
| Avmed | Exchange | not published by hospital | — |
| Avmed | Medicare Advantage | not published by hospital | — |
| Avmed | Select | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| Blue Cross | BlueSelect | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Blue Cross | Medicare Advantage HMO | not published by hospital | — |
| Blue Cross | Medicare Advantage PPO | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| Careplus | Medicare Advantage | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| Clear Spring Health | All Products | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| Freedom Health | Medicare Advantage | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Independent Living Systems | Medicare Advantage | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Miami Childrens Health Plan | Medicare Advantage | not published by hospital | — |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Multiplan | All Products | not published by hospital | — |
| MULTIPLAN | ALL PRODUCTS | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | $16,729.00 | $255.55 – $260.93 |
| Adventhealth Daytona Beach | Daytona Beach | $1,634.18 | not published |
| Adventhealth Tampa | Tampa | $8,060.12 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $3,872.27 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $11,943.00 | $255.55 – $260.93 |
| Adventhealth Port Charlotte | Port Charlotte | $9,269.14 | not published |
| cleveland clinic florida weston hospital | Weston | $4,821.70 | $285.55 – $4,251.32 |
| indian river hospital | Vero Beach | $3,199.95 | $390.25 – $5,101.58 |