healthcosts.net
Established Patient Office Visit (level 4) at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$499.20
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.
$768.00
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.
$48.67 with AETNA vs $691.20 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 |
|---|---|---|---|
| AETNA | MEDICARE ADVANTAGE | $48.67 | ↓ -90% |
| Freedom Health | Managed Medicaid | $53.43 | ↓ -89% |
| AmeriHealth | Managed Medicaid | $55.03 | ↓ -89% |
| Miami Childrens Health Plan | Managed Medicaid | $56.10 | ↓ -89% |
| Molina | Managed Medicaid | $56.10 | ↓ -89% |
| Molina | Florida Kidcare | $56.10 | ↓ -89% |
| Sunshine Health | Managed Medicaid | $56.10 | ↓ -89% |
| Blue Cross | Health Options | $58.23 | ↓ -88% |
| Blue Cross | BlueSelect | $58.23 | ↓ -88% |
| Independent Living Systems | Managed Medicaid | $64.12 | ↓ -87% |
| CIGNA | Individual Family Plan | $66.22 | ↓ -87% |
| AETNA | QHP | $68.56 | ↓ -86% |
| AVMED | Select | $70.20 | ↓ -86% |
| AVMED | EXCHANGE | $70.20 | ↓ -86% |
| Blue Cross | Network Blue | $70.22 | ↓ -86% |
| Blue Cross | Traditional (PPS) | $72.50 | ↓ -85% |
| Blue Cross | Perferred Patient Care | $72.50 | ↓ -85% |
| AETNA | ALL PRODUCTS | $73.01 | ↓ -85% |
| AETNA | All Products New Business | $76.52 | ↓ -85% |
| AVMED | BROAD | $88.92 | ↓ -82% |
| United | Medicare Advantage | $88.93 | ↓ -82% |
| Avmed | Medicare Advantage | $88.93 | ↓ -82% |
| Blue Cross | Medicare Advantage PPO | $88.93 | ↓ -82% |
| Miami Childrens Health Plan | Medicare Advantage | $88.93 | ↓ -82% |
| Blue Cross | Medicare Advantage HMO | $88.93 | ↓ -82% |
| Freedom Health | Medicare Advantage | $93.38 | ↓ -81% |
| Careplus | Medicare Advantage | $93.38 | ↓ -81% |
| CIGNA | SUREFIT | $95.71 | ↓ -81% |
| Clear Spring Health | All Products | $96.04 | ↓ -81% |
| Independent Living Systems | Medicare Advantage | $102.36 | ↓ -79% |
| Aetna | Medicare Advantage PCP | $110.27 | ↓ -78% |
| Aetna | Medicare Advantage Specialist | $112.05 | ↓ -78% |
| BMI | ALL PRODUCTS | $117.00 | ↓ -77% |
| MULTIPLAN | ALL PRODUCTS | $121.26 | ↓ -76% |
| CIGNA | ALL PRODUCTS | $123.55 | ↓ -75% |
| Clear Spring Health | ALL PRODUCTS | $124.73 | ↓ -75% |
| Cigna | Individual Family Plan Mid-Level | $127.77 | ↓ -74% |
| Avmed | Exchange | $129.65 | ↓ -74% |
| Cigna | Surefit Mid-Level | $130.24 | ↓ -74% |
| Multiplan | All Products | $133.40 | ↓ -73% |
| Avmed | Select | $134.64 | ↓ -73% |
| Cigna | All Products Mid-Level | $140.37 | ↓ -72% |
| Avmed | Broad | $144.61 | ↓ -71% |
| Cigna | Individual Family Plan Physician | $150.33 | ↓ -70% |
| The Legacy Companies | ALL PRODUCTS | $152.10 | ↓ -70% |
| Clarity Health | ALL PRODUCTS | $152.10 | ↓ -70% |
| Cigna | Surefit Physician | $153.19 | ↓ -69% |
| Cigna | All Products Physician | $165.13 | ↓ -67% |
| United | All Products | $168.60 | ↓ -66% |
| Consociate Health | ALL PRODUCTS | $175.50 | ↓ -65% |
| AETNA | All Products First Health | $210.60 | ↓ -58% |
| Clarity Health | All Products | $499.20 | ↑ +0% |
| The Legacy Companies | All Products | $499.20 | ↑ +0% |
| Aetna | All Products First Health | $691.20 | ↑ +38% |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| AETNA | Managed Medicaid/CHIP | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| SUNSHINE HEALTH | Managed Medicaid | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| BLUE CROSS | MBN | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| BLUE CROSS | BSL | 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 | — |
| BLUE CROSS | HMO | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | 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 | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 4) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $499.20 | $39.31 – $384.00 |
| indian river hospital | Vero Beach | $499.20 | $47.02 – $652.80 |
| Baptist Hospital | MIAMI | $498.55 | $10.90 – $173.17 |
| Bethesda Hospital East | BOYNTON BEACH | $759.85 | $267.70 – $1,052.10 |
| Boca Raton Regional Hospital | BOCA RATON | $668.20 | $175.18 – $476.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $759.85 | $10.96 – $56.70 |
| Fishermens Community Hospital | MARATHON | $759.85 | $195.22 – $1,052.10 |
| Homestead Hospital | HOMESTEAD | $759.85 | $167.89 – $1,052.10 |