Hlth bhv ivntj indiv 1st 30 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$413.40
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.
$636.00
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.
$60.41 with Miami Childrens Health Plan vs $620.92 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 |
|---|---|---|---|
| Miami Childrens Health Plan | Medicare Advantage | $60.41 | ↓ -85% |
| United | Medicare Advantage | $60.41 | ↓ -85% |
| Blue Cross | Medicare Advantage PPO | $60.41 | ↓ -85% |
| Avmed | Medicare Advantage | $60.41 | ↓ -85% |
| Blue Cross | Medicare Advantage HMO | $60.41 | ↓ -85% |
| Freedom Health | Medicare Advantage | $63.43 | ↓ -85% |
| Careplus | Medicare Advantage | $63.43 | ↓ -85% |
| Independent Living Systems | Medicare Advantage | $63.53 | ↓ -85% |
| Clear Spring Health | All Products | $65.24 | ↓ -84% |
| Cigna | Individual Family Plan Mid-Level | $72.17 | ↓ -83% |
| Cigna | Surefit Mid-Level | $73.55 | ↓ -82% |
| Aetna | Medicare Advantage PCP | $74.91 | ↓ -82% |
| Aetna | Medicare Advantage Specialist | $76.12 | ↓ -82% |
| Avmed | Exchange | $77.48 | ↓ -81% |
| SUNSHINE HEALTH | Managed Medicaid | $78.04 | ↓ -81% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $78.04 | ↓ -81% |
| Simply | Managed Medicaid | $78.04 | ↓ -81% |
| Freedom Health | Managed Medicaid | $78.04 | ↓ -81% |
| Cigna | All Products Mid-Level | $79.43 | ↓ -81% |
| AMERIHEALTH | Managed Medicaid | $80.38 | ↓ -81% |
| Avmed | Select | $80.46 | ↓ -81% |
| Miami Childrens Health Plan | Managed Medicaid | $81.94 | ↓ -80% |
| MOLINA | Managed Medicaid | $81.94 | ↓ -80% |
| MOLINA | Florida KidCare | $81.94 | ↓ -80% |
| Cigna | Individual Family Plan Physician | $84.91 | ↓ -79% |
| Avmed | Broad | $86.42 | ↓ -79% |
| Cigna | Surefit Physician | $86.53 | ↓ -79% |
| Multiplan | All Products | $90.62 | ↓ -78% |
| Cigna | All Products Physician | $93.44 | ↓ -77% |
| Independent Living Systems | Managed Medicaid | $93.65 | ↓ -77% |
| AETNA | Managed Medicaid/CHIP | $93.65 | ↓ -77% |
| United | All Products | $103.61 | ↓ -75% |
| BLUE CROSS | Medicare Advantage HMO | $161.28 | ↓ -61% |
| UNITED | MEDICARE ADVANTAGE | $161.28 | ↓ -61% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $161.28 | ↓ -61% |
| BLUE CROSS | Medicare Advantage PPO | $161.28 | ↓ -61% |
| HUMANA | Medicare Advantage HMO | $161.28 | ↓ -61% |
| AVMED | MEDICARE ADVANTAGE | $167.73 | ↓ -59% |
| Careplus | MEDICARE ADVANTAGE | $169.34 | ↓ -59% |
| Freedom Health | MEDICARE ADVANTAGE | $169.34 | ↓ -59% |
| AETNA | MEDICARE ADVANTAGE | $185.35 | ↓ -55% |
| Wellcare | MEDICARE ADVANTAGE | $185.35 | ↓ -55% |
| DEVOTED HEALTH | Medicare Advantage HMO | $203.89 | ↓ -51% |
| AVMED | EXCHANGE | $282.24 | ↓ -32% |
| The Legacy Companies | All Products | $413.40 | ↑ +0% |
| Clarity Health | All Products | $413.40 | ↑ +0% |
| AVMED | Select | $475.77 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $477.00 | ↑ +15% |
| Aetna | All Products First Health | $572.40 | ↑ +38% |
| AVMED | BROAD | $620.92 | ↑ +50% |
| Aetna | All Products Specialist | not published by hospital | — |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | BlueSelect | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
Visitor-reported prices
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Hlth bhv ivntj indiv 1st 30 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | $421.00 | $66.50 – $67.90 |
| cleveland clinic florida weston hospital | Weston | $413.40 | $60.41 – $477.00 |
| indian river hospital | Vero Beach | $413.40 | $60.41 – $540.60 |
| AdventHealth Orlando | Orlando | $124.00 | $185.35 – $491.19 |
| Adventhealth Carrollwood | Tampa | $926.54 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $64.60 – $65.96 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $64.60 – $65.96 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $66.50 – $67.90 |