Exc malig feenl <0.5cm 11640 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,715.35
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.
$2,639.00
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.
$97.17 with Blue Cross vs $9,364.00 with BLUE CROSS — 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 | $97.17 | ↓ -94% |
| Blue Cross | BlueSelect | $97.17 | ↓ -94% |
| Blue Cross | Network Blue | $117.18 | ↓ -93% |
| Avmed | Medicare Advantage | $117.52 | ↓ -93% |
| United | Medicare Advantage | $117.52 | ↓ -93% |
| Blue Cross | Medicare Advantage PPO | $117.52 | ↓ -93% |
| Blue Cross | Medicare Advantage HMO | $117.52 | ↓ -93% |
| Miami Childrens Health Plan | Medicare Advantage | $117.52 | ↓ -93% |
| Blue Cross | Traditional (PPS) | $120.99 | ↓ -93% |
| Blue Cross | Perferred Patient Care | $120.99 | ↓ -93% |
| Freedom Health | Medicare Advantage | $123.40 | ↓ -93% |
| Careplus | Medicare Advantage | $123.40 | ↓ -93% |
| Clear Spring Health | All Products | $126.92 | ↓ -93% |
| Independent Living Systems | Medicare Advantage | $135.44 | ↓ -92% |
| MULTIPLAN | ALL PRODUCTS | $145.27 | ↓ -92% |
| Aetna | Medicare Advantage PCP | $145.72 | ↓ -92% |
| Aetna | Medicare Advantage Specialist | $148.08 | ↓ -91% |
| Clear Spring Health | ALL PRODUCTS | $149.42 | ↓ -91% |
| Freedom Health | Managed Medicaid | $155.49 | ↓ -91% |
| AmeriHealth | Managed Medicaid | $160.15 | ↓ -91% |
| Sunshine Health | Managed Medicaid | $163.26 | ↓ -90% |
| Molina | Florida Kidcare | $163.26 | ↓ -90% |
| Miami Childrens Health Plan | Managed Medicaid | $163.26 | ↓ -90% |
| Molina | Managed Medicaid | $163.26 | ↓ -90% |
| Avmed | Exchange | $171.70 | ↓ -90% |
| Multiplan | All Products | $176.28 | ↓ -90% |
| Avmed | Select | $178.31 | ↓ -90% |
| Independent Living Systems | Managed Medicaid | $186.59 | ↓ -89% |
| Avmed | Broad | $191.52 | ↓ -89% |
| Cigna | Individual Family Plan Mid-Level | $220.92 | ↓ -87% |
| Cigna | Surefit Mid-Level | $225.15 | ↓ -87% |
| Cigna | All Products Mid-Level | $243.18 | ↓ -86% |
| United | All Products | $249.91 | ↓ -85% |
| Cigna | Individual Family Plan Physician | $259.92 | ↓ -85% |
| Cigna | Surefit Physician | $264.90 | ↓ -85% |
| SUNSHINE HEALTH | Managed Medicaid | $268.07 | ↓ -84% |
| Simply | Managed Medicaid | $268.07 | ↓ -84% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $268.07 | ↓ -84% |
| AMERIHEALTH | Managed Medicaid | $276.11 | ↓ -84% |
| MOLINA | Managed Medicaid | $281.47 | ↓ -84% |
| MOLINA | Florida KidCare | $281.47 | ↓ -84% |
| Cigna | All Products Physician | $286.08 | ↓ -83% |
| AETNA | Managed Medicaid/CHIP | $321.68 | ↓ -81% |
| Clarity Health | All Products | $434.20 | ↓ -75% |
| The Legacy Companies | All Products | $434.20 | ↓ -75% |
| Consociate Health | ALL PRODUCTS | $501.00 | ↓ -71% |
| Aetna | All Products First Health | $601.20 | ↓ -65% |
| BLUE CROSS | Medicare Advantage HMO | $706.25 | ↓ -59% |
| UNITED | MEDICARE ADVANTAGE | $706.25 | ↓ -59% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $706.25 | ↓ -59% |
| HUMANA | Medicare Advantage HMO | $706.25 | ↓ -59% |
| BLUE CROSS | Medicare Advantage PPO | $706.25 | ↓ -59% |
| AVMED | MEDICARE ADVANTAGE | $734.50 | ↓ -57% |
| AETNA | MEDICARE ADVANTAGE | $739.49 | ↓ -57% |
| Wellcare | MEDICARE ADVANTAGE | $739.49 | ↓ -57% |
| Careplus | MEDICARE ADVANTAGE | $741.56 | ↓ -57% |
| Freedom Health | MEDICARE ADVANTAGE | $741.56 | ↓ -57% |
| CIGNA | Individual Family Plan | $746.84 | ↓ -56% |
| DEVOTED HEALTH | Medicare Advantage HMO | $813.44 | ↓ -53% |
| CIGNA | SUREFIT | $1,079.35 | ↓ -37% |
| AVMED | EXCHANGE | $1,235.94 | ↓ -28% |
| BMI | ALL PRODUCTS | $1,319.50 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $1,393.39 | ↓ -19% |
| Clarity Health | ALL PRODUCTS | $1,715.35 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $1,715.35 | ↑ +0% |
| BLUE CROSS | MBN | $1,719.00 | ↑ +0% |
| AVMED | Select | $2,083.44 | ↑ +21% |
| BLUE CROSS | BSL | $2,091.00 | ↑ +22% |
| BLUE CROSS | HMO | $2,276.00 | ↑ +33% |
| AETNA | All Products First Health | $2,375.10 | ↑ +38% |
| AVMED | BROAD | $2,719.06 | ↑ +59% |
| BLUE CROSS | PPO | $3,381.00 | ↑ +97% |
| AETNA | QHP | $3,806.00 | ↑ +122% |
| AETNA | All Products New Business | $4,025.00 | ↑ +135% |
| BLUE CROSS | NWB | $4,249.00 | ↑ +148% |
| BLUE CROSS | NWBI | $4,249.00 | ↑ +148% |
| AETNA | ALL PRODUCTS | $4,523.00 | ↑ +164% |
| BLUE CROSS | PHS | $9,364.00 | ↑ +446% |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
Visitor-reported prices
Comments
Exc malig feenl <0.5cm 11640 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $1,286.07 – $1,313.15 |
| cleveland clinic florida weston hospital | Weston | $434.20 | $68.68 – $813.44 |
| indian river hospital | Vero Beach | $1,715.35 | $68.68 – $2,111.20 |
| Baptist Hospital | MIAMI | $514.15 | $136.84 – $828.23 |
| Bethesda Hospital East | BOYNTON BEACH | $514.15 | $158.99 – $769.07 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $514.15 | $137.63 – $813.44 |
| AdventHealth Orlando | Orlando | $3,113.00 | $739.49 – $1,959.64 |
| Adventhealth Carrollwood | Tampa | $5,749.71 | $739.49 – $1,641.66 |