healthcosts.net
ER Visit (level 5, high severity) at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$3,437.20
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.
$5,288.00
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.
$129.22 with Blue Cross vs $4,759.20 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 |
|---|---|---|---|
| Blue Cross | Health Options | $129.22 | ↓ -96% |
| Blue Cross | BlueSelect | $129.22 | ↓ -96% |
| Freedom Health | Managed Medicaid | $133.28 | ↓ -96% |
| AmeriHealth | Managed Medicaid | $137.28 | ↓ -96% |
| Miami Childrens Health Plan | Managed Medicaid | $139.94 | ↓ -96% |
| Molina | Managed Medicaid | $139.94 | ↓ -96% |
| Molina | Florida Kidcare | $139.94 | ↓ -96% |
| Sunshine Health | Managed Medicaid | $139.94 | ↓ -96% |
| Blue Cross | Network Blue | $155.83 | ↓ -95% |
| Independent Living Systems | Managed Medicaid | $159.94 | ↓ -95% |
| Blue Cross | Traditional (PPS) | $160.90 | ↓ -95% |
| Blue Cross | Perferred Patient Care | $160.90 | ↓ -95% |
| United | Medicare Advantage | $185.50 | ↓ -95% |
| Avmed | Medicare Advantage | $185.50 | ↓ -95% |
| Blue Cross | Medicare Advantage PPO | $185.50 | ↓ -95% |
| Miami Childrens Health Plan | Medicare Advantage | $185.50 | ↓ -95% |
| Blue Cross | Medicare Advantage HMO | $185.50 | ↓ -95% |
| Independent Living Systems | Medicare Advantage | $188.49 | ↓ -95% |
| Freedom Health | Medicare Advantage | $194.78 | ↓ -94% |
| Careplus | Medicare Advantage | $194.78 | ↓ -94% |
| Clear Spring Health | All Products | $200.34 | ↓ -94% |
| Aetna | Medicare Advantage PCP | $230.02 | ↓ -93% |
| Aetna | Medicare Advantage Specialist | $233.73 | ↓ -93% |
| Avmed | Exchange | $238.95 | ↓ -93% |
| MULTIPLAN | ALL PRODUCTS | $243.98 | ↓ -93% |
| Avmed | Select | $248.14 | ↓ -93% |
| Clear Spring Health | ALL PRODUCTS | $250.95 | ↓ -93% |
| Avmed | Broad | $266.52 | ↓ -92% |
| Multiplan | All Products | $278.25 | ↓ -92% |
| United | All Products | $310.75 | ↓ -91% |
| UNITED | MEDICARE ADVANTAGE | $615.42 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $615.42 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $615.42 | ↓ -82% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $615.42 | ↓ -82% |
| BLUE CROSS | Medicare Advantage PPO | $615.42 | ↓ -82% |
| Wellcare | MEDICARE ADVANTAGE | $621.90 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $621.90 | ↓ -82% |
| AVMED | MEDICARE ADVANTAGE | $640.03 | ↓ -81% |
| Careplus | MEDICARE ADVANTAGE | $646.19 | ↓ -81% |
| Freedom Health | MEDICARE ADVANTAGE | $646.19 | ↓ -81% |
| DEVOTED HEALTH | Medicare Advantage HMO | $684.09 | ↓ -80% |
| AVMED | EXCHANGE | $1,076.98 | ↓ -69% |
| Clarity Health | All Products | $1,144.00 | ↓ -67% |
| The Legacy Companies | All Products | $1,144.00 | ↓ -67% |
| Consociate Health | ALL PRODUCTS | $1,320.00 | ↓ -62% |
| CIGNA | Individual Family Plan | $1,496.50 | ↓ -56% |
| Aetna | All Products First Health | $1,584.00 | ↓ -54% |
| Cigna | Individual Family Plan Mid-Level | $1,760.00 | ↓ -49% |
| Cigna | Surefit Physician | $1,760.00 | ↓ -49% |
| Cigna | All Products Physician | $1,760.00 | ↓ -49% |
| Cigna | All Products Mid-Level | $1,760.00 | ↓ -49% |
| Cigna | Individual Family Plan Physician | $1,760.00 | ↓ -49% |
| Cigna | Surefit Mid-Level | $1,760.00 | ↓ -49% |
| BLUE CROSS | MBN | $1,784.00 | ↓ -48% |
| BLUE CROSS | BSL | $1,790.00 | ↓ -48% |
| AVMED | Select | $1,815.48 | ↓ -47% |
| AETNA | QHP | $2,001.00 | ↓ -42% |
| CIGNA | SUREFIT | $2,162.79 | ↓ -37% |
| AETNA | All Products New Business | $2,200.00 | ↓ -36% |
| UNITED | NHP | $2,235.00 | ↓ -35% |
| BLUE CROSS | HMO | $2,265.00 | ↓ -34% |
| BLUE CROSS | PPO | $2,283.00 | ↓ -34% |
| AVMED | BROAD | $2,369.36 | ↓ -31% |
| BLUE CROSS | NWBI | $2,467.00 | ↓ -28% |
| BLUE CROSS | NWB | $2,467.00 | ↓ -28% |
| AETNA | ALL PRODUCTS | $2,472.00 | ↓ -28% |
| BMI | ALL PRODUCTS | $2,644.00 | ↓ -23% |
| UNITED | ALL PRODUCTS | $2,667.00 | ↓ -22% |
| CIGNA | ALL PRODUCTS | $2,792.06 | ↓ -19% |
| UNITED | International | $2,942.00 | ↓ -14% |
| The Legacy Companies | ALL PRODUCTS | $3,437.20 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $3,437.20 | ↑ +0% |
| BLUE CROSS | PHS | $4,353.00 | ↑ +27% |
| AETNA | All Products First Health | $4,759.20 | ↑ +38% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| AETNA | Managed Medicaid/CHIP | not published by hospital | — |
| SUNSHINE HEALTH | Managed Medicaid | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| MOLINA | Managed Medicaid | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| AMERIHEALTH | Managed Medicaid | not published by hospital | — |
| AETNA | Managed Medicaid/CHIP Behavioral Health | not published by hospital | — |
| Simply | Managed Medicaid | not published by hospital | — |
| MOLINA | Florida KidCare | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $3,437.20 | $89.52 – $4,494.80 |
| indian river hospital | Vero Beach | $3,437.20 | $89.52 – $4,230.40 |
| Baptist Hospital | MIAMI | $1,892.80 | $173.17 – $2,620.80 |
| Bethesda Hospital East | BOYNTON BEACH | $1,892.80 | $621.90 – $2,620.80 |
| Boca Raton Regional Hospital | BOCA RATON | $1,619.15 | $610.73 – $1,896.00 |
| Doctors Hospital | CORAL GABLES | $1,892.80 | $509.60 – $2,620.80 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $1,892.80 | $506.69 – $2,620.80 |
| Fishermens Community Hospital | MARATHON | $1,892.80 | $486.30 – $2,620.80 |