healthcosts.net
Head CT scan (without contrast) at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$789.75
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.
$1,215.00
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.
$31.26 with Blue Cross vs $2,135.00 with AETNA — 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 | $31.26 | ↓ -96% |
| Blue Cross | BlueSelect | $31.26 | ↓ -96% |
| Blue Cross | Network Blue | $37.70 | ↓ -95% |
| Blue Cross | Traditional (PPS) | $38.93 | ↓ -95% |
| Blue Cross | Perferred Patient Care | $38.93 | ↓ -95% |
| United | Medicare Advantage | $41.10 | ↓ -95% |
| Avmed | Medicare Advantage | $41.10 | ↓ -95% |
| Blue Cross | Medicare Advantage PPO | $41.10 | ↓ -95% |
| Miami Childrens Health Plan | Medicare Advantage | $41.10 | ↓ -95% |
| Blue Cross | Medicare Advantage HMO | $41.10 | ↓ -95% |
| Independent Living Systems | Medicare Advantage | $41.78 | ↓ -95% |
| Freedom Health | Medicare Advantage | $43.16 | ↓ -95% |
| Careplus | Medicare Advantage | $43.16 | ↓ -95% |
| Clear Spring Health | All Products | $44.39 | ↓ -94% |
| Aetna | Medicare Advantage PCP | $50.96 | ↓ -94% |
| Aetna | Medicare Advantage Specialist | $51.79 | ↓ -93% |
| United | All Products | $52.16 | ↓ -93% |
| Avmed | Exchange | $52.81 | ↓ -93% |
| Avmed | Select | $54.84 | ↓ -93% |
| Avmed | Broad | $58.90 | ↓ -93% |
| Multiplan | All Products | $61.65 | ↓ -92% |
| Aetna | All Products Anesthesia | $81.78 | ↓ -90% |
| Aetna | All Products PCP | $105.63 | ↓ -87% |
| UNITED | MEDICARE ADVANTAGE | $106.74 | ↓ -86% |
| BLUE CROSS | Medicare Advantage HMO | $106.74 | ↓ -86% |
| HUMANA | Medicare Advantage HMO | $106.74 | ↓ -86% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $106.74 | ↓ -86% |
| BLUE CROSS | Medicare Advantage PPO | $106.74 | ↓ -86% |
| Wellcare | MEDICARE ADVANTAGE | $109.17 | ↓ -86% |
| AETNA | MEDICARE ADVANTAGE | $109.17 | ↓ -86% |
| AVMED | MEDICARE ADVANTAGE | $111.01 | ↓ -86% |
| Careplus | MEDICARE ADVANTAGE | $112.08 | ↓ -86% |
| Freedom Health | MEDICARE ADVANTAGE | $112.08 | ↓ -86% |
| DEVOTED HEALTH | Medicare Advantage HMO | $120.09 | ↓ -85% |
| Aetna | All Products Specialist | $129.92 | ↓ -84% |
| MULTIPLAN | ALL PRODUCTS | $149.75 | ↓ -81% |
| Clear Spring Health | ALL PRODUCTS | $154.03 | ↓ -80% |
| AVMED | EXCHANGE | $186.80 | ↓ -76% |
| Simply | Managed Medicaid | $206.90 | ↓ -74% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $206.90 | ↓ -74% |
| SUNSHINE HEALTH | Managed Medicaid | $206.90 | ↓ -74% |
| Freedom Health | Managed Medicaid | $206.90 | ↓ -74% |
| AMERIHEALTH | Managed Medicaid | $213.11 | ↓ -73% |
| Miami Childrens Health Plan | Managed Medicaid | $217.25 | ↓ -72% |
| MOLINA | Florida KidCare | $217.25 | ↓ -72% |
| MOLINA | Managed Medicaid | $217.25 | ↓ -72% |
| Clarity Health | All Products | $243.10 | ↓ -69% |
| The Legacy Companies | All Products | $243.10 | ↓ -69% |
| Independent Living Systems | Managed Medicaid | $248.28 | ↓ -69% |
| AETNA | Managed Medicaid/CHIP | $248.28 | ↓ -69% |
| UNITED | International | $252.18 | ↓ -68% |
| UNITED | NHP | $252.18 | ↓ -68% |
| UNITED | ALL PRODUCTS | $252.18 | ↓ -68% |
| CIGNA | Individual Family Plan | $259.79 | ↓ -67% |
| BLUE CROSS | MBN | $273.00 | ↓ -65% |
| BLUE CROSS | BSL | $274.00 | ↓ -65% |
| Consociate Health | ALL PRODUCTS | $280.50 | ↓ -64% |
| AVMED | Select | $314.89 | ↓ -60% |
| Aetna | All Products First Health | $336.60 | ↓ -57% |
| BLUE CROSS | HMO | $343.00 | ↓ -57% |
| BLUE CROSS | NWBI | $365.00 | ↓ -54% |
| BLUE CROSS | NWB | $365.00 | ↓ -54% |
| Cigna | Individual Family Plan Mid-Level | $374.00 | ↓ -53% |
| Cigna | Surefit Physician | $374.00 | ↓ -53% |
| Cigna | All Products Physician | $374.00 | ↓ -53% |
| Cigna | All Products Mid-Level | $374.00 | ↓ -53% |
| Cigna | Individual Family Plan Physician | $374.00 | ↓ -53% |
| Cigna | Surefit Mid-Level | $374.00 | ↓ -53% |
| CIGNA | SUREFIT | $375.46 | ↓ -52% |
| AVMED | BROAD | $410.96 | ↓ -48% |
| BLUE CROSS | PHS | $411.00 | ↓ -48% |
| BMI | ALL PRODUCTS | $459.00 | ↓ -42% |
| CIGNA | ALL PRODUCTS | $484.70 | ↓ -39% |
| The Legacy Companies | ALL PRODUCTS | $596.70 | ↓ -24% |
| Clarity Health | ALL PRODUCTS | $596.70 | ↓ -24% |
| AETNA | All Products First Health | $826.20 | ↑ +5% |
| BLUE CROSS | PPO | $902.00 | ↑ +14% |
| AETNA | QHP | $1,613.00 | ↑ +104% |
| AETNA | All Products New Business | $1,900.00 | ↑ +141% |
| AETNA | ALL PRODUCTS | $2,135.00 | ↑ +170% |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Head CT scan (without contrast) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fishermens Community Hospital | MARATHON | $3,054.35 | $197.10 – $4,229.10 |
| West Kendall Baptist Hospital | MIAMI | $3,054.35 | $109.17 – $4,229.10 |
| cleveland clinic florida weston hospital | Weston | $839.80 | $34.94 – $780.30 |
| indian river hospital | Vero Beach | $789.75 | $37.39 – $734.40 |
| Baptist Hospital | MIAMI | $3,257.15 | $109.17 – $4,229.10 |
| Bethesda Hospital East | BOYNTON BEACH | $3,054.35 | $109.17 – $4,229.10 |
| Boca Raton Regional Hospital | BOCA RATON | $2,777.45 | $107.21 – $2,743.91 |
| Doctors Hospital | CORAL GABLES | $3,054.35 | $109.17 – $4,229.10 |