Ins mark thor for right perq at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$5,114.20
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.
$7,868.00
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.
$215.88 with MULTIPLAN vs $14,382.00 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 |
|---|---|---|---|
| MULTIPLAN | ALL PRODUCTS | $215.88 | ↓ -96% |
| Clear Spring Health | ALL PRODUCTS | $222.05 | ↓ -96% |
| SUNSHINE HEALTH | Managed Medicaid | $668.93 | ↓ -87% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $668.93 | ↓ -87% |
| Freedom Health | Managed Medicaid | $668.93 | ↓ -87% |
| Simply | Managed Medicaid | $668.93 | ↓ -87% |
| AMERIHEALTH | Managed Medicaid | $689.00 | ↓ -87% |
| MOLINA | Florida KidCare | $702.38 | ↓ -86% |
| Miami Childrens Health Plan | Managed Medicaid | $702.38 | ↓ -86% |
| MOLINA | Managed Medicaid | $702.38 | ↓ -86% |
| AETNA | Managed Medicaid/CHIP | $802.72 | ↓ -84% |
| Independent Living Systems | Managed Medicaid | $802.72 | ↓ -84% |
| BLUE CROSS | Medicare Advantage HMO | $1,373.43 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $1,373.43 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $1,373.43 | ↓ -73% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $1,373.43 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $1,373.43 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $1,428.37 | ↓ -72% |
| Careplus | MEDICARE ADVANTAGE | $1,442.10 | ↓ -72% |
| Freedom Health | MEDICARE ADVANTAGE | $1,442.10 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $1,445.42 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $1,445.42 | ↓ -72% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,589.96 | ↓ -69% |
| CIGNA | Individual Family Plan | $2,226.64 | ↓ -56% |
| AVMED | EXCHANGE | $2,403.51 | ↓ -53% |
| UNITED | NHP | $2,500.00 | ↓ -51% |
| UNITED | ALL PRODUCTS | $2,994.00 | ↓ -41% |
| CIGNA | SUREFIT | $3,218.01 | ↓ -37% |
| UNITED | International | $3,287.00 | ↓ -36% |
| AETNA | QHP | $3,289.00 | ↓ -36% |
| AETNA | All Products New Business | $3,800.00 | ↓ -26% |
| BMI | ALL PRODUCTS | $3,934.00 | ↓ -23% |
| AVMED | Select | $4,051.62 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $4,154.30 | ↓ -19% |
| AETNA | ALL PRODUCTS | $4,270.00 | ↓ -17% |
| The Legacy Companies | ALL PRODUCTS | $5,114.20 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $5,114.20 | ↑ +0% |
| AVMED | BROAD | $5,287.71 | ↑ +3% |
| Consociate Health | ALL PRODUCTS | $5,901.00 | ↑ +15% |
| BLUE CROSS | MBN | $5,924.00 | ↑ +16% |
| BLUE CROSS | BSL | $6,260.00 | ↑ +22% |
| AETNA | All Products First Health | $7,081.20 | ↑ +38% |
| BLUE CROSS | HMO | $7,828.00 | ↑ +53% |
| BLUE CROSS | PPO | $8,632.00 | ↑ +69% |
| BLUE CROSS | NWBI | $10,923.00 | ↑ +114% |
| BLUE CROSS | NWB | $10,923.00 | ↑ +114% |
| BLUE CROSS | PHS | $14,382.00 | ↑ +181% |
| Consociate Health | Transplant | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Ins mark thor for right perq at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $1,668.74 – $1,703.87 |
| Adventhealth Tampa | Tampa | $3,246.42 | $1,445.42 – $3,208.83 |
| cleveland clinic florida weston hospital | Weston | $5,114.20 | $118.56 – $6,687.80 |
| indian river hospital | Vero Beach | $5,114.20 | $118.56 – $6,294.40 |
| Baptist Hospital | MIAMI | $4,790.50 | $173.17 – $6,633.00 |
| Bethesda Hospital East | BOYNTON BEACH | $4,790.50 | $670.86 – $6,633.00 |
| Boca Raton Regional Hospital | BOCA RATON | $4,291.30 | $1,419.46 – $4,707.00 |
| Doctors Hospital | CORAL GABLES | $4,790.50 | $650.33 – $6,633.00 |