Glaucoma scrn hgh risk direc at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$48.75
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.
$75.00
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.
$27.56 with Blue Cross vs $151.68 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 | $27.56 | ↓ -43% |
| Blue Cross | BlueSelect | $27.56 | ↓ -43% |
| Blue Cross | Network Blue | $33.23 | ↓ -32% |
| Blue Cross | Traditional (PPS) | $34.31 | ↓ -30% |
| Blue Cross | Perferred Patient Care | $34.31 | ↓ -30% |
| Wellcare | MEDICARE ADVANTAGE | $39.00 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $39.00 | ↓ -20% |
| BLUE CROSS | Medicare Advantage PPO | $39.40 | ↓ -19% |
| BLUE CROSS | Medicare Advantage HMO | $39.40 | ↓ -19% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $39.40 | ↓ -19% |
| HUMANA | Medicare Advantage HMO | $39.40 | ↓ -19% |
| UNITED | MEDICARE ADVANTAGE | $39.40 | ↓ -19% |
| AVMED | MEDICARE ADVANTAGE | $40.97 | ↓ -16% |
| United | Medicare Advantage | $41.34 | ↓ -15% |
| Miami Childrens Health Plan | Medicare Advantage | $41.34 | ↓ -15% |
| Blue Cross | Medicare Advantage HMO | $41.34 | ↓ -15% |
| Blue Cross | Medicare Advantage PPO | $41.34 | ↓ -15% |
| Avmed | Medicare Advantage | $41.34 | ↓ -15% |
| Careplus | MEDICARE ADVANTAGE | $41.37 | ↓ -15% |
| Freedom Health | MEDICARE ADVANTAGE | $41.37 | ↓ -15% |
| Independent Living Systems | Medicare Advantage | $42.30 | ↓ -13% |
| DEVOTED HEALTH | Medicare Advantage HMO | $42.91 | ↓ -12% |
| Freedom Health | Medicare Advantage | $43.41 | ↓ -11% |
| Careplus | Medicare Advantage | $43.41 | ↓ -11% |
| Clear Spring Health | All Products | $44.65 | ↓ -8% |
| The Legacy Companies | All Products | $48.75 | ↑ +0% |
| Clarity Health | All Products | $48.75 | ↑ +0% |
| Aetna | Medicare Advantage PCP | $51.26 | ↑ +5% |
| Aetna | Medicare Advantage Specialist | $52.09 | ↑ +7% |
| Avmed | Exchange | $54.77 | ↑ +12% |
| Consociate Health | ALL PRODUCTS | $56.25 | ↑ +15% |
| United | All Products | $56.35 | ↑ +16% |
| Avmed | Select | $56.88 | ↑ +17% |
| Avmed | Broad | $61.09 | ↑ +25% |
| Multiplan | All Products | $62.01 | ↑ +27% |
| Aetna | All Products First Health | $67.50 | ↑ +38% |
| AVMED | EXCHANGE | $68.95 | ↑ +41% |
| Cigna | Individual Family Plan Physician | $75.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $75.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $75.00 | ↑ +54% |
| Cigna | All Products Physician | $75.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $75.00 | ↑ +54% |
| Cigna | Surefit Physician | $75.00 | ↑ +54% |
| AVMED | Select | $116.23 | ↑ +138% |
| AVMED | BROAD | $151.68 | ↑ +211% |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Miami Childrens Health Plan | Managed Medicaid | not published by hospital | — |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
| Freedom Health | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Independent Living Systems | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
Visitor-reported prices
Comments
Glaucoma scrn hgh risk direc at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $47.50 – $48.50 |
| indian river hospital | Vero Beach | $48.75 | $19.30 – $75.00 |
| Adventhealth Lake Wales | Lake Wales | not published | $39.00 – $86.59 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $37.05 – $83.31 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $44.65 – $45.59 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $39.00 – $71.22 |
| cleveland clinic florida weston hospital | Weston | not published | $39.00 – $42.91 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $44.65 – $45.59 |