Esophgl motil w/stim/perfus at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$51.35
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.
$79.00
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.
$18.43 with Blue Cross vs $228.95 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 | $18.43 | ↓ -64% |
| Blue Cross | BlueSelect | $18.43 | ↓ -64% |
| Freedom Health | Managed Medicaid | $19.15 | ↓ -63% |
| AmeriHealth | Managed Medicaid | $19.72 | ↓ -62% |
| Molina | Florida Kidcare | $20.11 | ↓ -61% |
| Sunshine Health | Managed Medicaid | $20.11 | ↓ -61% |
| Molina | Managed Medicaid | $20.11 | ↓ -61% |
| Miami Childrens Health Plan | Managed Medicaid | $20.11 | ↓ -61% |
| Blue Cross | Network Blue | $22.22 | ↓ -57% |
| Blue Cross | Traditional (PPS) | $22.94 | ↓ -55% |
| Blue Cross | Perferred Patient Care | $22.94 | ↓ -55% |
| Independent Living Systems | Managed Medicaid | $22.98 | ↓ -55% |
| Independent Living Systems | Medicare Advantage | $25.69 | ↓ -50% |
| Avmed | Medicare Advantage | $29.09 | ↓ -43% |
| Miami Childrens Health Plan | Medicare Advantage | $29.09 | ↓ -43% |
| Blue Cross | Medicare Advantage HMO | $29.09 | ↓ -43% |
| Blue Cross | Medicare Advantage PPO | $29.09 | ↓ -43% |
| United | Medicare Advantage | $29.09 | ↓ -43% |
| Careplus | Medicare Advantage | $30.54 | ↓ -41% |
| Freedom Health | Medicare Advantage | $30.54 | ↓ -41% |
| Clear Spring Health | All Products | $31.42 | ↓ -39% |
| Avmed | Exchange | $33.18 | ↓ -35% |
| Avmed | Select | $34.45 | ↓ -33% |
| Aetna | Medicare Advantage PCP | $36.07 | ↓ -30% |
| Aetna | Medicare Advantage Specialist | $36.65 | ↓ -29% |
| Avmed | Broad | $37.00 | ↓ -28% |
| Multiplan | All Products | $43.64 | ↓ -15% |
| United | All Products | $44.36 | ↓ -14% |
| The Legacy Companies | All Products | $51.35 | ↑ +0% |
| Clarity Health | All Products | $51.35 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $59.25 | ↑ +15% |
| Aetna | All Products First Health | $71.10 | ↑ +38% |
| Cigna | All Products Physician | $79.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $79.00 | ↑ +54% |
| Cigna | Surefit Physician | $79.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $79.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $79.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $79.00 | ↑ +54% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $190.79 | ↑ +272% |
| SUNSHINE HEALTH | Managed Medicaid | $190.79 | ↑ +272% |
| Simply | Managed Medicaid | $190.79 | ↑ +272% |
| AMERIHEALTH | Managed Medicaid | $196.51 | ↑ +283% |
| MOLINA | Florida KidCare | $200.33 | ↑ +290% |
| MOLINA | Managed Medicaid | $200.33 | ↑ +290% |
| AETNA | Managed Medicaid/CHIP | $228.95 | ↑ +346% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
Visitor-reported prices
Comments
Esophgl motil w/stim/perfus 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 | $51.35 | $12.83 – $228.95 |
| indian river hospital | Vero Beach | $51.35 | $12.83 – $209.87 |
| Baptist Hospital | MIAMI | $1,392.95 | $173.17 – $1,928.70 |
| Bethesda Hospital East | BOYNTON BEACH | $1,392.95 | $227.47 – $1,928.70 |
| Doctors Hospital | CORAL GABLES | $1,392.95 | $220.51 – $1,928.70 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $1,392.95 | $220.51 – $1,928.70 |
| Fishermens Community Hospital | MARATHON | $1,392.95 | $220.51 – $1,928.70 |