Eval aud funcj ea addl 15 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$85.80
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.
?
What you pay up front if you don't use insurance.
$132.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$13.62 with Blue Cross vs $226.37 with AETNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | BlueSelect | $13.62 | ↓ -84% |
| Blue Cross | Health Options | $13.62 | ↓ -84% |
| United | Medicare Advantage | $14.14 | ↓ -84% |
| Miami Childrens Health Plan | Medicare Advantage | $14.14 | ↓ -84% |
| Blue Cross | Medicare Advantage HMO | $14.14 | ↓ -84% |
| Blue Cross | Medicare Advantage PPO | $14.14 | ↓ -84% |
| Avmed | Medicare Advantage | $14.14 | ↓ -84% |
| Freedom Health | Medicare Advantage | $14.85 | ↓ -83% |
| Careplus | Medicare Advantage | $14.85 | ↓ -83% |
| Clear Spring Health | All Products | $15.27 | ↓ -82% |
| Freedom Health | Managed Medicaid | $15.57 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $16.04 | ↓ -81% |
| Miami Childrens Health Plan | Managed Medicaid | $16.35 | ↓ -81% |
| Sunshine Health | Managed Medicaid | $16.35 | ↓ -81% |
| Molina | Managed Medicaid | $16.35 | ↓ -81% |
| Molina | Florida Kidcare | $16.35 | ↓ -81% |
| Blue Cross | Network Blue | $16.42 | ↓ -81% |
| Blue Cross | Traditional (PPS) | $16.95 | ↓ -80% |
| Blue Cross | Perferred Patient Care | $16.95 | ↓ -80% |
| Aetna | Medicare Advantage PCP | $17.53 | ↓ -80% |
| Aetna | Medicare Advantage Specialist | $17.82 | ↓ -79% |
| Independent Living Systems | Medicare Advantage | $17.91 | ↓ -79% |
| Independent Living Systems | Managed Medicaid | $18.68 | ↓ -78% |
| Multiplan | All Products | $21.21 | ↓ -75% |
| Avmed | Exchange | $22.82 | ↓ -73% |
| Avmed | Select | $23.69 | ↓ -72% |
| Avmed | Broad | $25.45 | ↓ -70% |
| Cigna | Individual Family Plan Mid-Level | $27.47 | ↓ -68% |
| Cigna | Surefit Mid-Level | $28.00 | ↓ -67% |
| Cigna | All Products Mid-Level | $30.23 | ↓ -65% |
| United | All Products | $30.51 | ↓ -64% |
| Cigna | Individual Family Plan Physician | $32.32 | ↓ -62% |
| Cigna | Surefit Physician | $32.94 | ↓ -62% |
| Cigna | All Products Physician | $35.57 | ↓ -59% |
| Clarity Health | All Products | $85.80 | ↑ +0% |
| The Legacy Companies | All Products | $85.80 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $99.00 | ↑ +15% |
| Aetna | All Products First Health | $118.80 | ↑ +38% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $188.64 | ↑ +120% |
| Simply | Managed Medicaid | $188.64 | ↑ +120% |
| SUNSHINE HEALTH | Managed Medicaid | $188.64 | ↑ +120% |
| AMERIHEALTH | Managed Medicaid | $194.30 | ↑ +126% |
| MOLINA | Managed Medicaid | $198.07 | ↑ +131% |
| MOLINA | Florida KidCare | $198.07 | ↑ +131% |
| AETNA | Managed Medicaid/CHIP | $226.37 | ↑ +164% |
| 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
Eval aud funcj ea addl 15 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $19.95 – $20.37 |
| indian river hospital | Vero Beach | $85.80 | $12.08 – $207.50 |
| Baptist Hospital | MIAMI | $106.60 | $28.37 – $186.51 |
| Bethesda Hospital East | BOYNTON BEACH | $106.60 | $32.96 – $186.51 |
| Doctors Hospital | CORAL GABLES | $106.60 | $28.70 – $185.96 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $106.60 | $28.54 – $185.96 |
| Fishermens Community Hospital | MARATHON | $106.60 | $27.39 – $185.96 |
| Homestead Hospital | HOMESTEAD | $106.60 | $27.88 – $180.80 |