Exc prtl bn phlnx toe at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,300.00
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.
$2,000.00
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.
$252.58 with Blue Cross vs $12,538.97 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 | Health Options | $252.58 | ↓ -81% |
| Blue Cross | BlueSelect | $252.58 | ↓ -81% |
| Blue Cross | Network Blue | $304.58 | ↓ -77% |
| Blue Cross | Perferred Patient Care | $314.49 | ↓ -76% |
| Blue Cross | Traditional (PPS) | $314.49 | ↓ -76% |
| Miami Childrens Health Plan | Medicare Advantage | $334.13 | ↓ -74% |
| Blue Cross | Medicare Advantage PPO | $334.13 | ↓ -74% |
| Blue Cross | Medicare Advantage HMO | $334.13 | ↓ -74% |
| United | Medicare Advantage | $334.13 | ↓ -74% |
| Avmed | Medicare Advantage | $334.13 | ↓ -74% |
| Careplus | Medicare Advantage | $350.84 | ↓ -73% |
| Freedom Health | Medicare Advantage | $350.84 | ↓ -73% |
| Independent Living Systems | Medicare Advantage | $360.70 | ↓ -72% |
| Clear Spring Health | All Products | $360.86 | ↓ -72% |
| Freedom Health | Managed Medicaid | $365.62 | ↓ -72% |
| AmeriHealth | Managed Medicaid | $376.59 | ↓ -71% |
| Miami Childrens Health Plan | Managed Medicaid | $383.90 | ↓ -70% |
| Molina | Managed Medicaid | $383.90 | ↓ -70% |
| Molina | Florida Kidcare | $383.90 | ↓ -70% |
| Sunshine Health | Managed Medicaid | $383.90 | ↓ -70% |
| Aetna | Medicare Advantage PCP | $414.32 | ↓ -68% |
| Aetna | Medicare Advantage Specialist | $421.00 | ↓ -68% |
| Independent Living Systems | Managed Medicaid | $438.74 | ↓ -66% |
| Avmed | Exchange | $453.39 | ↓ -65% |
| Avmed | Select | $470.83 | ↓ -64% |
| Multiplan | All Products | $501.20 | ↓ -61% |
| Avmed | Broad | $505.70 | ↓ -61% |
| United | All Products | $659.89 | ↓ -49% |
| Cigna | Individual Family Plan Mid-Level | $678.38 | ↓ -48% |
| Cigna | Surefit Mid-Level | $691.38 | ↓ -47% |
| Cigna | All Products Mid-Level | $746.60 | ↓ -43% |
| Cigna | Individual Family Plan Physician | $798.14 | ↓ -39% |
| Cigna | Surefit Physician | $813.39 | ↓ -37% |
| Cigna | All Products Physician | $878.44 | ↓ -32% |
| The Legacy Companies | All Products | $1,300.00 | ↑ +0% |
| Clarity Health | All Products | $1,300.00 | ↑ +0% |
| Simply | Managed Medicaid | $1,413.02 | ↑ +9% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,413.02 | ↑ +9% |
| SUNSHINE HEALTH | Managed Medicaid | $1,413.02 | ↑ +9% |
| AMERIHEALTH | Managed Medicaid | $1,455.41 | ↑ +12% |
| MOLINA | Managed Medicaid | $1,483.67 | ↑ +14% |
| MOLINA | Florida KidCare | $1,483.67 | ↑ +14% |
| Consociate Health | ALL PRODUCTS | $1,500.00 | ↑ +15% |
| AETNA | Managed Medicaid/CHIP | $1,695.62 | ↑ +30% |
| Aetna | All Products First Health | $1,800.00 | ↑ +38% |
| HUMANA | Medicare Advantage HMO | $3,256.87 | ↑ +151% |
| UNITED | MEDICARE ADVANTAGE | $3,256.87 | ↑ +151% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $3,256.87 | ↑ +151% |
| BLUE CROSS | Medicare Advantage HMO | $3,256.87 | ↑ +151% |
| BLUE CROSS | Medicare Advantage PPO | $3,256.87 | ↑ +151% |
| AVMED | MEDICARE ADVANTAGE | $3,387.15 | ↑ +161% |
| AETNA | MEDICARE ADVANTAGE | $3,416.88 | ↑ +163% |
| Wellcare | MEDICARE ADVANTAGE | $3,416.88 | ↑ +163% |
| Careplus | MEDICARE ADVANTAGE | $3,419.72 | ↑ +163% |
| Freedom Health | MEDICARE ADVANTAGE | $3,419.72 | ↑ +163% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,758.57 | ↑ +189% |
| AVMED | EXCHANGE | $5,699.53 | ↑ +338% |
| AVMED | Select | $9,607.78 | ↑ +639% |
| AVMED | BROAD | $12,538.97 | ↑ +865% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
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Exc prtl bn phlnx toe at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $5,500.44 – $5,616.24 |
| Adventhealth Port Charlotte | Port Charlotte | $6,154.89 | $3,416.88 – $6,239.22 |
| cleveland clinic florida weston hospital | Weston | $1,300.00 | $160.60 – $3,758.57 |
| Bethesda Hospital East | BOYNTON BEACH | $5,908.50 | $1,385.21 – $8,181.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $5,908.50 | $1,342.82 – $8,181.00 |
| AdventHealth Orlando | Orlando | $8,796.00 | $3,416.88 – $9,054.74 |
| Adventhealth Carrollwood | Tampa | $33,752.58 | $3,416.88 – $7,585.48 |
| Adventhealth North Pinellas | Tarpon Springs | $35,608.90 | $3,416.88 – $7,585.48 |