#flow interp 9 - 15 markers at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$343.20
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.
$528.00
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.
$12.13 with Freedom Health vs $528.00 with Cigna — 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 | $12.13 | ↓ -96% |
| SUNSHINE HEALTH | Managed Medicaid | $12.13 | ↓ -96% |
| Simply | Managed Medicaid | $12.13 | ↓ -96% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $12.13 | ↓ -96% |
| AMERIHEALTH | Managed Medicaid | $12.49 | ↓ -96% |
| MOLINA | Managed Medicaid | $12.74 | ↓ -96% |
| Miami Childrens Health Plan | Managed Medicaid | $12.74 | ↓ -96% |
| MOLINA | Florida KidCare | $12.74 | ↓ -96% |
| Independent Living Systems | Managed Medicaid | $14.56 | ↓ -96% |
| AETNA | Managed Medicaid/CHIP | $14.56 | ↓ -96% |
| AETNA | MEDICARE ADVANTAGE | $31.41 | ↓ -91% |
| United | All Products | $37.05 | ↓ -89% |
| CIGNA | Individual Family Plan | $42.73 | ↓ -88% |
| AETNA | QHP | $44.24 | ↓ -87% |
| AVMED | Select | $45.30 | ↓ -87% |
| AVMED | EXCHANGE | $45.30 | ↓ -87% |
| AETNA | ALL PRODUCTS | $47.11 | ↓ -86% |
| AETNA | All Products New Business | $49.38 | ↓ -86% |
| AVMED | BROAD | $57.38 | ↓ -83% |
| United | Medicare Advantage | $60.60 | ↓ -82% |
| Avmed | Medicare Advantage | $60.60 | ↓ -82% |
| Blue Cross | Medicare Advantage HMO | $60.60 | ↓ -82% |
| Blue Cross | Medicare Advantage PPO | $60.60 | ↓ -82% |
| Miami Childrens Health Plan | Medicare Advantage | $60.60 | ↓ -82% |
| CIGNA | SUREFIT | $61.76 | ↓ -82% |
| Independent Living Systems | Medicare Advantage | $62.40 | ↓ -82% |
| Careplus | Medicare Advantage | $63.63 | ↓ -81% |
| Freedom Health | Medicare Advantage | $63.63 | ↓ -81% |
| Blue Cross | BlueSelect | $63.81 | ↓ -81% |
| Blue Cross | Health Options | $63.81 | ↓ -81% |
| Clear Spring Health | All Products | $65.45 | ↓ -81% |
| UNITED | NHP | $66.04 | ↓ -81% |
| Aetna | Medicare Advantage PCP | $75.14 | ↓ -78% |
| BMI | ALL PRODUCTS | $75.50 | ↓ -78% |
| Aetna | Medicare Advantage Specialist | $76.36 | ↓ -78% |
| Blue Cross | Network Blue | $76.95 | ↓ -78% |
| Blue Cross | Perferred Patient Care | $79.45 | ↓ -77% |
| Blue Cross | Traditional (PPS) | $79.45 | ↓ -77% |
| CIGNA | ALL PRODUCTS | $79.73 | ↓ -77% |
| Avmed | Exchange | $80.28 | ↓ -77% |
| MULTIPLAN | ALL PRODUCTS | $82.13 | ↓ -76% |
| Avmed | Select | $83.36 | ↓ -76% |
| Clear Spring Health | ALL PRODUCTS | $84.48 | ↓ -75% |
| Avmed | Broad | $89.54 | ↓ -74% |
| Multiplan | All Products | $90.90 | ↓ -74% |
| The Legacy Companies | ALL PRODUCTS | $98.15 | ↓ -71% |
| Clarity Health | ALL PRODUCTS | $98.15 | ↓ -71% |
| Consociate Health | ALL PRODUCTS | $113.25 | ↓ -67% |
| AETNA | All Products First Health | $135.90 | ↓ -60% |
| The Legacy Companies | All Products | $343.20 | ↑ +0% |
| Clarity Health | All Products | $343.20 | ↑ +0% |
| Aetna | All Products First Health | $475.20 | ↑ +38% |
| Cigna | All Products Physician | $528.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $528.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $528.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $528.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $528.00 | ↑ +54% |
| Cigna | Surefit Physician | $528.00 | ↑ +54% |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| BLUE CROSS | MBN | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
#flow interp 9 - 15 markers at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $62.81 – $164.46 |
| Adventhealth Daytona Beach | Daytona Beach | $203.24 | not published |
| Adventhealth Tampa | Tampa | $194.04 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $193.56 | not published |
| cleveland clinic florida weston hospital | Weston | $343.20 | $11.52 – $528.00 |
| indian river hospital | Vero Beach | $343.20 | $11.52 – $528.00 |
| Boca Raton Regional Hospital | BOCA RATON | $227.50 | $10.80 – $30.00 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $102.86 | $57.89 – $144.78 |