Exam plvc w/anes othr thn lcl at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$455.00
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.
$700.00
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.
$81.45 with Freedom Health vs $12,287.46 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 |
|---|---|---|---|
| Freedom Health | Managed Medicaid | $81.45 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $83.89 | ↓ -82% |
| Blue Cross | BlueSelect | $84.92 | ↓ -81% |
| Blue Cross | Health Options | $84.92 | ↓ -81% |
| Miami Childrens Health Plan | Managed Medicaid | $85.52 | ↓ -81% |
| Molina | Florida Kidcare | $85.52 | ↓ -81% |
| Sunshine Health | Managed Medicaid | $85.52 | ↓ -81% |
| Molina | Managed Medicaid | $85.52 | ↓ -81% |
| Independent Living Systems | Managed Medicaid | $97.74 | ↓ -79% |
| Blue Cross | Network Blue | $102.41 | ↓ -77% |
| Blue Cross | Medicare Advantage PPO | $105.53 | ↓ -77% |
| United | Medicare Advantage | $105.53 | ↓ -77% |
| Miami Childrens Health Plan | Medicare Advantage | $105.53 | ↓ -77% |
| Avmed | Medicare Advantage | $105.53 | ↓ -77% |
| Blue Cross | Medicare Advantage HMO | $105.53 | ↓ -77% |
| Blue Cross | Perferred Patient Care | $105.74 | ↓ -77% |
| Blue Cross | Traditional (PPS) | $105.74 | ↓ -77% |
| Careplus | Medicare Advantage | $110.81 | ↓ -76% |
| Freedom Health | Medicare Advantage | $110.81 | ↓ -76% |
| Clear Spring Health | All Products | $113.97 | ↓ -75% |
| Independent Living Systems | Medicare Advantage | $115.58 | ↓ -75% |
| Aetna | Medicare Advantage PCP | $130.86 | ↓ -71% |
| Aetna | Medicare Advantage Specialist | $132.97 | ↓ -71% |
| Simply | Managed Medicaid | $139.44 | ↓ -69% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $139.44 | ↓ -69% |
| SUNSHINE HEALTH | Managed Medicaid | $139.44 | ↓ -69% |
| AMERIHEALTH | Managed Medicaid | $143.62 | ↓ -68% |
| MOLINA | Managed Medicaid | $146.41 | ↓ -68% |
| MOLINA | Florida KidCare | $146.41 | ↓ -68% |
| Avmed | Exchange | $147.60 | ↓ -68% |
| Avmed | Select | $153.28 | ↓ -66% |
| Multiplan | All Products | $158.30 | ↓ -65% |
| Avmed | Broad | $164.63 | ↓ -64% |
| AETNA | Managed Medicaid/CHIP | $167.33 | ↓ -63% |
| United | All Products | $214.83 | ↓ -53% |
| The Legacy Companies | All Products | $455.00 | ↑ +0% |
| Clarity Health | All Products | $455.00 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $525.00 | ↑ +15% |
| Aetna | All Products First Health | $630.00 | ↑ +38% |
| Cigna | Surefit Physician | $700.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $700.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $700.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $700.00 | ↑ +54% |
| Cigna | All Products Physician | $700.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $700.00 | ↑ +54% |
| BLUE CROSS | Medicare Advantage HMO | $3,191.55 | ↑ +601% |
| BLUE CROSS | Medicare Advantage PPO | $3,191.55 | ↑ +601% |
| HUMANA | Medicare Advantage HMO | $3,191.55 | ↑ +601% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $3,191.55 | ↑ +601% |
| UNITED | MEDICARE ADVANTAGE | $3,191.55 | ↑ +601% |
| AVMED | MEDICARE ADVANTAGE | $3,319.21 | ↑ +629% |
| Freedom Health | MEDICARE ADVANTAGE | $3,351.13 | ↑ +637% |
| Careplus | MEDICARE ADVANTAGE | $3,351.13 | ↑ +637% |
| AETNA | MEDICARE ADVANTAGE | $3,380.46 | ↑ +643% |
| Wellcare | MEDICARE ADVANTAGE | $3,380.46 | ↑ +643% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,718.51 | ↑ +717% |
| AVMED | EXCHANGE | $5,585.21 | ↑ +1128% |
| AVMED | Select | $9,415.07 | ↑ +1969% |
| BLUE CROSS | PPO | $9,687.00 | ↑ +2029% |
| AVMED | BROAD | $12,287.46 | ↑ +2601% |
| 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
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Exam plvc w/anes othr thn lcl at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $9,870.39 – $10,078.18 |
| cleveland clinic florida weston hospital | Weston | $455.00 | $81.45 – $3,718.51 |
| indian river hospital | Vero Beach | $455.00 | $81.45 – $3,718.51 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,211.44 – $5,641.99 |
| Adventhealth Tampa | Tampa | not published | $537.00 – $7,504.63 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $3,211.44 – $7,384.62 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $9,472.99 – $9,672.42 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $3,380.46 – $6,172.72 |