Emg 3 ext w-w/o paraspinal area 95863 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$877.50
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.
$1,350.00
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.
$86.94 with AETNA vs $1,215.00 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 | $86.94 | ↓ -90% |
| Freedom Health | Managed Medicaid | $86.94 | ↓ -90% |
| SUNSHINE HEALTH | Managed Medicaid | $86.94 | ↓ -90% |
| Simply | Managed Medicaid | $86.94 | ↓ -90% |
| AMERIHEALTH | Managed Medicaid | $89.55 | ↓ -90% |
| MOLINA | Managed Medicaid | $91.29 | ↓ -90% |
| MOLINA | Florida KidCare | $91.29 | ↓ -90% |
| Miami Childrens Health Plan | Managed Medicaid | $91.29 | ↓ -90% |
| AETNA | Managed Medicaid/CHIP | $104.33 | ↓ -88% |
| Independent Living Systems | Managed Medicaid | $104.33 | ↓ -88% |
| Blue Cross | BlueSelect | $127.73 | ↓ -85% |
| Blue Cross | Health Options | $127.73 | ↓ -85% |
| Wellcare | MEDICARE ADVANTAGE | $134.37 | ↓ -85% |
| AETNA | MEDICARE ADVANTAGE | $134.37 | ↓ -85% |
| DEVOTED HEALTH | Medicare Advantage HMO | $147.81 | ↓ -83% |
| Blue Cross | Network Blue | $154.03 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $157.05 | ↓ -82% |
| BLUE CROSS | Medicare Advantage PPO | $157.05 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $157.05 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $157.05 | ↓ -82% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $157.05 | ↓ -82% |
| Blue Cross | Perferred Patient Care | $159.04 | ↓ -82% |
| Blue Cross | Traditional (PPS) | $159.04 | ↓ -82% |
| AVMED | MEDICARE ADVANTAGE | $163.33 | ↓ -81% |
| Careplus | MEDICARE ADVANTAGE | $164.90 | ↓ -81% |
| Freedom Health | MEDICARE ADVANTAGE | $164.90 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $165.15 | ↓ -81% |
| Molina | Florida Kidcare | $168.36 | ↓ -81% |
| Molina | Managed Medicaid | $168.36 | ↓ -81% |
| Sunshine Health | Managed Medicaid | $168.36 | ↓ -81% |
| Independent Living Systems | Medicare Advantage | $215.09 | ↓ -75% |
| United | Medicare Advantage | $226.03 | ↓ -74% |
| Blue Cross | Medicare Advantage PPO | $226.03 | ↓ -74% |
| Miami Childrens Health Plan | Medicare Advantage | $226.03 | ↓ -74% |
| Avmed | Medicare Advantage | $226.03 | ↓ -74% |
| Blue Cross | Medicare Advantage HMO | $226.03 | ↓ -74% |
| Careplus | Medicare Advantage | $237.33 | ↓ -73% |
| Freedom Health | Medicare Advantage | $237.33 | ↓ -73% |
| Clear Spring Health | All Products | $244.11 | ↓ -72% |
| Avmed | Exchange | $271.36 | ↓ -69% |
| AVMED | EXCHANGE | $274.84 | ↓ -69% |
| Aetna | Medicare Advantage PCP | $280.28 | ↓ -68% |
| Avmed | Select | $281.80 | ↓ -68% |
| Aetna | Medicare Advantage Specialist | $284.80 | ↓ -68% |
| Avmed | Broad | $302.67 | ↓ -66% |
| MULTIPLAN | ALL PRODUCTS | $309.73 | ↓ -65% |
| Clear Spring Health | ALL PRODUCTS | $318.58 | ↓ -64% |
| Multiplan | All Products | $339.05 | ↓ -61% |
| United | All Products | $362.86 | ↓ -59% |
| CIGNA | Individual Family Plan | $382.05 | ↓ -56% |
| AETNA | QHP | $395.55 | ↓ -55% |
| AETNA | ALL PRODUCTS | $421.20 | ↓ -52% |
| AETNA | All Products New Business | $441.45 | ↓ -50% |
| AVMED | Select | $463.30 | ↓ -47% |
| UNITED | NHP | $468.00 | ↓ -47% |
| Clarity Health | All Products | $486.20 | ↓ -45% |
| The Legacy Companies | All Products | $486.20 | ↓ -45% |
| CIGNA | SUREFIT | $552.15 | ↓ -37% |
| UNITED | ALL PRODUCTS | $558.00 | ↓ -36% |
| Consociate Health | ALL PRODUCTS | $561.00 | ↓ -36% |
| AVMED | BROAD | $604.65 | ↓ -31% |
| UNITED | International | $616.00 | ↓ -30% |
| Aetna | All Products First Health | $673.20 | ↓ -23% |
| BMI | ALL PRODUCTS | $675.00 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $712.80 | ↓ -19% |
| Cigna | All Products Mid-Level | $748.00 | ↓ -15% |
| Cigna | All Products Physician | $748.00 | ↓ -15% |
| Cigna | Surefit Mid-Level | $748.00 | ↓ -15% |
| Cigna | Individual Family Plan Physician | $748.00 | ↓ -15% |
| Cigna | Individual Family Plan Mid-Level | $748.00 | ↓ -15% |
| Cigna | Surefit Physician | $748.00 | ↓ -15% |
| Clarity Health | ALL PRODUCTS | $877.50 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $877.50 | ↑ +0% |
| AETNA | All Products First Health | $1,215.00 | ↑ +38% |
| BLUE CROSS | HMO | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| Aetna | All Products Specialist | 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 | — |
Visitor-reported prices
Comments
Emg 3 ext w-w/o paraspinal area 95863 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $120.65 – $123.19 |
| Adventhealth Tampa | Tampa | $2,680.19 | $134.37 – $298.30 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $3,796.00 | $113.05 – $115.43 |
| cleveland clinic florida weston hospital | Weston | $1,363.70 | $62.46 – $1,147.50 |
| indian river hospital | Vero Beach | $877.50 | $82.59 – $1,080.00 |
| Baptist Hospital | MIAMI | $408.85 | $85.02 – $566.10 |
| Bethesda Hospital East | BOYNTON BEACH | $408.85 | $85.02 – $566.10 |
| Doctors Hospital | CORAL GABLES | $408.85 | $82.42 – $566.10 |