Initial nursing facility care/day 35 minutes at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$650.00
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.
?
What you pay up front if you don't use insurance.
$1,000.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$97.44 with Blue Cross vs $1,000.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | BlueSelect | $97.44 | ↓ -85% |
| Blue Cross | Health Options | $97.44 | ↓ -85% |
| Freedom Health | Managed Medicaid | $101.36 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $104.40 | ↓ -84% |
| Sunshine Health | Managed Medicaid | $106.43 | ↓ -84% |
| Miami Childrens Health Plan | Managed Medicaid | $106.43 | ↓ -84% |
| Molina | Managed Medicaid | $106.43 | ↓ -84% |
| Molina | Florida Kidcare | $106.43 | ↓ -84% |
| Blue Cross | Network Blue | $117.50 | ↓ -82% |
| Blue Cross | Traditional (PPS) | $121.32 | ↓ -81% |
| Blue Cross | Perferred Patient Care | $121.32 | ↓ -81% |
| Independent Living Systems | Managed Medicaid | $121.63 | ↓ -81% |
| Blue Cross | Medicare Advantage HMO | $125.79 | ↓ -81% |
| Miami Childrens Health Plan | Medicare Advantage | $125.79 | ↓ -81% |
| Avmed | Medicare Advantage | $125.79 | ↓ -81% |
| United | Medicare Advantage | $125.79 | ↓ -81% |
| Blue Cross | Medicare Advantage PPO | $125.79 | ↓ -81% |
| Careplus | Medicare Advantage | $132.08 | ↓ -80% |
| Freedom Health | Medicare Advantage | $132.08 | ↓ -80% |
| Clear Spring Health | All Products | $135.85 | ↓ -79% |
| Independent Living Systems | Medicare Advantage | $138.94 | ↓ -79% |
| Aetna | Medicare Advantage PCP | $155.98 | ↓ -76% |
| Aetna | Medicare Advantage Specialist | $158.50 | ↓ -76% |
| Avmed | Exchange | $177.35 | ↓ -73% |
| Avmed | Select | $184.17 | ↓ -72% |
| Multiplan | All Products | $188.69 | ↓ -71% |
| Avmed | Broad | $197.81 | ↓ -70% |
| United | All Products | $230.63 | ↓ -65% |
| The Legacy Companies | All Products | $650.00 | ↑ +0% |
| Clarity Health | All Products | $650.00 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $750.00 | ↑ +15% |
| Aetna | All Products First Health | $900.00 | ↑ +38% |
| Cigna | Surefit Physician | $1,000.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $1,000.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $1,000.00 | ↑ +54% |
| Cigna | All Products Physician | $1,000.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $1,000.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $1,000.00 | ↑ +54% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
Visitor-reported prices
Comments
Initial nursing facility care/day 35 minutes at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $141.55 – $144.53 |
| cleveland clinic florida weston hospital | Weston | $650.00 | $60.99 – $1,000.00 |
| indian river hospital | Vero Beach | $650.00 | $60.99 – $1,000.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $136.80 – $139.68 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $136.80 – $139.68 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $141.55 – $144.53 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $320.73 – $320.73 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | not published | $60.00 – $60.00 |