Hast w/i&r phys/qhp at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$88.40
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.
$136.00
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.
$40.87 with Freedom Health vs $498.14 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 | $40.87 | ↓ -54% |
| SUNSHINE HEALTH | Managed Medicaid | $40.87 | ↓ -54% |
| Simply | Managed Medicaid | $40.87 | ↓ -54% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $40.87 | ↓ -54% |
| AMERIHEALTH | Managed Medicaid | $42.10 | ↓ -52% |
| MOLINA | Florida KidCare | $42.91 | ↓ -51% |
| MOLINA | Managed Medicaid | $42.91 | ↓ -51% |
| Miami Childrens Health Plan | Managed Medicaid | $42.91 | ↓ -51% |
| Blue Cross | Health Options | $44.07 | ↓ -50% |
| Blue Cross | BlueSelect | $44.07 | ↓ -50% |
| AETNA | Managed Medicaid/CHIP | $49.04 | ↓ -45% |
| Independent Living Systems | Managed Medicaid | $49.04 | ↓ -45% |
| Independent Living Systems | Medicare Advantage | $52.07 | ↓ -41% |
| Blue Cross | Network Blue | $53.15 | ↓ -40% |
| Blue Cross | Traditional (PPS) | $54.87 | ↓ -38% |
| Blue Cross | Perferred Patient Care | $54.87 | ↓ -38% |
| Avmed | Medicare Advantage | $58.89 | ↓ -33% |
| Miami Childrens Health Plan | Medicare Advantage | $58.89 | ↓ -33% |
| Blue Cross | Medicare Advantage HMO | $58.89 | ↓ -33% |
| Blue Cross | Medicare Advantage PPO | $58.89 | ↓ -33% |
| United | Medicare Advantage | $58.89 | ↓ -33% |
| Careplus | Medicare Advantage | $61.83 | ↓ -30% |
| Freedom Health | Medicare Advantage | $61.83 | ↓ -30% |
| Clear Spring Health | All Products | $63.60 | ↓ -28% |
| Avmed | Exchange | $65.91 | ↓ -25% |
| Avmed | Select | $68.45 | ↓ -23% |
| Aetna | Medicare Advantage PCP | $73.02 | ↓ -17% |
| Avmed | Broad | $73.52 | ↓ -17% |
| Aetna | Medicare Advantage Specialist | $74.20 | ↓ -16% |
| United | All Products | $88.13 | ↓ -0% |
| Multiplan | All Products | $88.34 | ↓ -0% |
| Clarity Health | All Products | $88.40 | ↑ +0% |
| The Legacy Companies | All Products | $88.40 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $102.00 | ↑ +15% |
| Aetna | All Products First Health | $122.40 | ↑ +38% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $129.39 | ↑ +46% |
| BLUE CROSS | Medicare Advantage HMO | $129.39 | ↑ +46% |
| UNITED | MEDICARE ADVANTAGE | $129.39 | ↑ +46% |
| HUMANA | Medicare Advantage HMO | $129.39 | ↑ +46% |
| BLUE CROSS | Medicare Advantage PPO | $129.39 | ↑ +46% |
| AVMED | MEDICARE ADVANTAGE | $134.56 | ↑ +52% |
| Freedom Health | MEDICARE ADVANTAGE | $135.86 | ↑ +54% |
| Careplus | MEDICARE ADVANTAGE | $135.86 | ↑ +54% |
| Cigna | All Products Physician | $136.00 | ↑ +54% |
| Cigna | Surefit Physician | $136.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $136.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $136.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $136.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $136.00 | ↑ +54% |
| Wellcare | MEDICARE ADVANTAGE | $138.94 | ↑ +57% |
| AETNA | MEDICARE ADVANTAGE | $138.94 | ↑ +57% |
| DEVOTED HEALTH | Medicare Advantage HMO | $152.83 | ↑ +73% |
| AVMED | EXCHANGE | $226.43 | ↑ +156% |
| AVMED | Select | $381.69 | ↑ +332% |
| AVMED | BROAD | $498.14 | ↑ +464% |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
Visitor-reported prices
Comments
Hast w/i&r phys/qhp at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $40.85 – $41.71 |
| Adventhealth Tampa | Tampa | $1,252.04 | $138.94 – $308.45 |
| cleveland clinic florida weston hospital | Weston | $570.05 | $12.07 – $629.85 |
| indian river hospital | Vero Beach | $481.65 | $37.14 – $592.80 |
| Baptist Hospital | MIAMI | $349.70 | $36.79 – $484.20 |
| Bethesda Hospital East | BOYNTON BEACH | $349.70 | $36.79 – $484.20 |
| Doctors Hospital | CORAL GABLES | $349.70 | $35.66 – $484.20 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $349.70 | $35.66 – $484.20 |