Inj proc myelogram lumbar at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,283.10
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.
$1,974.00
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.
$66.41 with Blue Cross vs $8,696.00 with BLUE CROSS — 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 | BlueSelect | $66.41 | ↓ -95% |
| Blue Cross | Health Options | $66.41 | ↓ -95% |
| Miami Childrens Health Plan | Medicare Advantage | $76.72 | ↓ -94% |
| United | Medicare Advantage | $76.72 | ↓ -94% |
| Blue Cross | Medicare Advantage PPO | $76.72 | ↓ -94% |
| Blue Cross | Medicare Advantage HMO | $76.72 | ↓ -94% |
| Avmed | Medicare Advantage | $76.72 | ↓ -94% |
| Blue Cross | Network Blue | $80.09 | ↓ -94% |
| Freedom Health | Medicare Advantage | $80.56 | ↓ -94% |
| Careplus | Medicare Advantage | $80.56 | ↓ -94% |
| Blue Cross | Traditional (PPS) | $82.69 | ↓ -94% |
| Blue Cross | Perferred Patient Care | $82.69 | ↓ -94% |
| Clear Spring Health | All Products | $82.86 | ↓ -94% |
| Independent Living Systems | Medicare Advantage | $88.02 | ↓ -93% |
| Aetna | Medicare Advantage PCP | $95.13 | ↓ -93% |
| Aetna | Medicare Advantage Specialist | $96.67 | ↓ -92% |
| MULTIPLAN | ALL PRODUCTS | $100.31 | ↓ -92% |
| Clear Spring Health | ALL PRODUCTS | $103.17 | ↓ -92% |
| Avmed | Exchange | $112.05 | ↓ -91% |
| Multiplan | All Products | $115.08 | ↓ -91% |
| Avmed | Select | $116.36 | ↓ -91% |
| Avmed | Broad | $124.98 | ↓ -90% |
| Freedom Health | Managed Medicaid | $140.43 | ↓ -89% |
| AmeriHealth | Managed Medicaid | $144.64 | ↓ -89% |
| Miami Childrens Health Plan | Managed Medicaid | $147.45 | ↓ -89% |
| Molina | Managed Medicaid | $147.45 | ↓ -89% |
| Molina | Florida Kidcare | $147.45 | ↓ -89% |
| Sunshine Health | Managed Medicaid | $147.45 | ↓ -89% |
| United | All Products | $163.08 | ↓ -87% |
| Independent Living Systems | Managed Medicaid | $168.52 | ↓ -87% |
| SUNSHINE HEALTH | Managed Medicaid | $235.56 | ↓ -82% |
| Simply | Managed Medicaid | $235.56 | ↓ -82% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $235.56 | ↓ -82% |
| Cigna | Individual Family Plan Mid-Level | $237.04 | ↓ -82% |
| Cigna | Surefit Mid-Level | $241.57 | ↓ -81% |
| AMERIHEALTH | Managed Medicaid | $242.63 | ↓ -81% |
| MOLINA | Managed Medicaid | $247.34 | ↓ -81% |
| MOLINA | Florida KidCare | $247.34 | ↓ -81% |
| Cigna | All Products Mid-Level | $260.90 | ↓ -80% |
| Cigna | Individual Family Plan Physician | $278.88 | ↓ -78% |
| AETNA | Managed Medicaid/CHIP | $282.67 | ↓ -78% |
| Cigna | Surefit Physician | $284.21 | ↓ -78% |
| Cigna | All Products Physician | $306.95 | ↓ -76% |
| Clarity Health | All Products | $400.40 | ↓ -69% |
| The Legacy Companies | All Products | $400.40 | ↓ -69% |
| AETNA | MEDICARE ADVANTAGE | $410.59 | ↓ -68% |
| Consociate Health | ALL PRODUCTS | $462.00 | ↓ -64% |
| UNITED | NHP | $474.00 | ↓ -63% |
| Aetna | All Products First Health | $554.40 | ↓ -57% |
| CIGNA | Individual Family Plan | $558.64 | ↓ -56% |
| UNITED | ALL PRODUCTS | $568.00 | ↓ -56% |
| AETNA | QHP | $578.38 | ↓ -55% |
| AVMED | Select | $592.20 | ↓ -54% |
| AVMED | EXCHANGE | $592.20 | ↓ -54% |
| AETNA | ALL PRODUCTS | $615.89 | ↓ -52% |
| UNITED | International | $625.00 | ↓ -51% |
| AETNA | All Products New Business | $645.50 | ↓ -50% |
| AVMED | BROAD | $750.12 | ↓ -42% |
| CIGNA | SUREFIT | $807.37 | ↓ -37% |
| BMI | ALL PRODUCTS | $987.00 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $1,042.27 | ↓ -19% |
| Clarity Health | ALL PRODUCTS | $1,283.10 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $1,283.10 | ↑ +0% |
| BLUE CROSS | MBN | $1,339.00 | ↑ +4% |
| AETNA | All Products First Health | $1,776.60 | ↑ +38% |
| BLUE CROSS | HMO | $1,789.00 | ↑ +39% |
| BLUE CROSS | PPO | $3,029.00 | ↑ +136% |
| BLUE CROSS | NWB | $3,680.00 | ↑ +187% |
| BLUE CROSS | NWBI | $3,680.00 | ↑ +187% |
| BLUE CROSS | PHS | $8,696.00 | ↑ +578% |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Inj proc myelogram lumbar at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $850.38 – $868.29 |
| Adventhealth Daytona Beach | Daytona Beach | $652.72 | not published |
| Adventhealth Tampa | Tampa | $3,449.99 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $787.50 | not published |
| cleveland clinic florida weston hospital | Weston | $1,283.10 | $40.76 – $1,677.90 |
| indian river hospital | Vero Beach | $1,283.10 | $40.76 – $2,467.00 |
| Baptist Hospital | MIAMI | $419.90 | $111.76 – $581.40 |
| Bethesda Hospital East | BOYNTON BEACH | $419.90 | $182.17 – $646.00 |