Eval aud rehab status/first hr 92626 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$364.00
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.
$560.00
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.
$58.15 with Blue Cross vs $604.65 with AVMED — 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 | BlueSelect | $58.15 | ↓ -84% |
| Blue Cross | Health Options | $58.15 | ↓ -84% |
| United | Medicare Advantage | $60.52 | ↓ -83% |
| Avmed | Medicare Advantage | $60.52 | ↓ -83% |
| Miami Childrens Health Plan | Medicare Advantage | $60.52 | ↓ -83% |
| Blue Cross | Medicare Advantage HMO | $60.52 | ↓ -83% |
| Blue Cross | Medicare Advantage PPO | $60.52 | ↓ -83% |
| Careplus | Medicare Advantage | $63.55 | ↓ -83% |
| Freedom Health | Medicare Advantage | $63.55 | ↓ -83% |
| Clear Spring Health | All Products | $65.36 | ↓ -82% |
| Freedom Health | Managed Medicaid | $65.87 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $67.85 | ↓ -81% |
| Molina | Florida Kidcare | $69.16 | ↓ -81% |
| Molina | Managed Medicaid | $69.16 | ↓ -81% |
| Sunshine Health | Managed Medicaid | $69.16 | ↓ -81% |
| Miami Childrens Health Plan | Managed Medicaid | $69.16 | ↓ -81% |
| Blue Cross | Network Blue | $70.12 | ↓ -81% |
| Blue Cross | Perferred Patient Care | $72.40 | ↓ -80% |
| Blue Cross | Traditional (PPS) | $72.40 | ↓ -80% |
| Aetna | Medicare Advantage PCP | $75.04 | ↓ -79% |
| Aetna | Medicare Advantage Specialist | $76.26 | ↓ -79% |
| Independent Living Systems | Medicare Advantage | $76.40 | ↓ -79% |
| Independent Living Systems | Managed Medicaid | $79.04 | ↓ -78% |
| Multiplan | All Products | $90.78 | ↓ -75% |
| Avmed | Exchange | $96.47 | ↓ -73% |
| Avmed | Select | $100.18 | ↓ -72% |
| Avmed | Broad | $107.60 | ↓ -70% |
| Cigna | Individual Family Plan Mid-Level | $112.30 | ↓ -69% |
| Cigna | Surefit Mid-Level | $114.45 | ↓ -69% |
| Cigna | All Products Mid-Level | $123.60 | ↓ -66% |
| United | All Products | $129.00 | ↓ -65% |
| Cigna | Individual Family Plan Physician | $132.12 | ↓ -64% |
| AETNA | MEDICARE ADVANTAGE | $134.37 | ↓ -63% |
| Wellcare | MEDICARE ADVANTAGE | $134.37 | ↓ -63% |
| Cigna | Surefit Physician | $134.64 | ↓ -63% |
| Cigna | All Products Physician | $145.42 | ↓ -60% |
| DEVOTED HEALTH | Medicare Advantage HMO | $147.81 | ↓ -59% |
| HUMANA | Medicare Advantage HMO | $157.05 | ↓ -57% |
| UNITED | MEDICARE ADVANTAGE | $157.05 | ↓ -57% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $157.05 | ↓ -57% |
| BLUE CROSS | Medicare Advantage HMO | $157.05 | ↓ -57% |
| BLUE CROSS | Medicare Advantage PPO | $157.05 | ↓ -57% |
| AVMED | MEDICARE ADVANTAGE | $163.33 | ↓ -55% |
| Freedom Health | MEDICARE ADVANTAGE | $164.90 | ↓ -55% |
| Careplus | MEDICARE ADVANTAGE | $164.90 | ↓ -55% |
| SUNSHINE HEALTH | Managed Medicaid | $188.64 | ↓ -48% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $188.64 | ↓ -48% |
| Simply | Managed Medicaid | $188.64 | ↓ -48% |
| AMERIHEALTH | Managed Medicaid | $194.30 | ↓ -47% |
| MOLINA | Managed Medicaid | $198.07 | ↓ -46% |
| MOLINA | Florida KidCare | $198.07 | ↓ -46% |
| AETNA | Managed Medicaid/CHIP | $226.37 | ↓ -38% |
| AVMED | EXCHANGE | $274.84 | ↓ -24% |
| Clarity Health | All Products | $364.00 | ↑ +0% |
| The Legacy Companies | All Products | $364.00 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $420.00 | ↑ +15% |
| AVMED | Select | $463.30 | ↑ +27% |
| Aetna | All Products First Health | $504.00 | ↑ +38% |
| AVMED | BROAD | $604.65 | ↑ +66% |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Eval aud rehab status/first hr 92626 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $83.60 – $85.36 |
| cleveland clinic florida weston hospital | Weston | $508.95 | $86.36 – $665.55 |
| indian river hospital | Vero Beach | $364.00 | $28.39 – $476.00 |
| Baptist Hospital | MIAMI | $443.30 | $117.99 – $613.80 |
| Bethesda Hospital East | BOYNTON BEACH | $443.30 | $134.37 – $613.80 |
| Doctors Hospital | CORAL GABLES | $443.30 | $119.35 – $613.80 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $443.30 | $118.67 – $613.80 |
| Fishermens Community Hospital | MARATHON | $443.30 | $113.89 – $613.80 |