Ins pm gen w/exist mlt leads at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,443.00
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.
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What you pay up front if you don't use insurance.
$2,220.00
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.
$270.13 with Freedom Health vs $73,701.51 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 |
|---|---|---|---|
| Freedom Health | Managed Medicaid | $270.13 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $278.23 | ↓ -81% |
| Molina | Managed Medicaid | $283.64 | ↓ -80% |
| Sunshine Health | Managed Medicaid | $283.64 | ↓ -80% |
| Miami Childrens Health Plan | Managed Medicaid | $283.64 | ↓ -80% |
| Molina | Florida Kidcare | $283.64 | ↓ -80% |
| Blue Cross | BlueSelect | $284.23 | ↓ -80% |
| Blue Cross | Health Options | $284.23 | ↓ -80% |
| Independent Living Systems | Managed Medicaid | $324.16 | ↓ -78% |
| Blue Cross | Network Blue | $342.75 | ↓ -76% |
| Blue Cross | Perferred Patient Care | $353.89 | ↓ -75% |
| Blue Cross | Traditional (PPS) | $353.89 | ↓ -75% |
| Blue Cross | Medicare Advantage PPO | $356.46 | ↓ -75% |
| Blue Cross | Medicare Advantage HMO | $356.46 | ↓ -75% |
| Miami Childrens Health Plan | Medicare Advantage | $356.46 | ↓ -75% |
| Avmed | Medicare Advantage | $356.46 | ↓ -75% |
| United | Medicare Advantage | $356.46 | ↓ -75% |
| Freedom Health | Medicare Advantage | $374.28 | ↓ -74% |
| Careplus | Medicare Advantage | $374.28 | ↓ -74% |
| Clear Spring Health | All Products | $384.98 | ↓ -73% |
| Independent Living Systems | Medicare Advantage | $392.03 | ↓ -73% |
| Aetna | Medicare Advantage PCP | $442.01 | ↓ -69% |
| Aetna | Medicare Advantage Specialist | $449.14 | ↓ -69% |
| Avmed | Exchange | $498.29 | ↓ -65% |
| Avmed | Select | $517.46 | ↓ -64% |
| Multiplan | All Products | $534.69 | ↓ -63% |
| Avmed | Broad | $555.79 | ↓ -61% |
| United | All Products | $725.24 | ↓ -50% |
| The Legacy Companies | All Products | $1,443.00 | ↑ +0% |
| Clarity Health | All Products | $1,443.00 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $1,665.00 | ↑ +15% |
| Aetna | All Products First Health | $1,998.00 | ↑ +38% |
| Cigna | Individual Family Plan Mid-Level | $2,220.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $2,220.00 | ↑ +54% |
| Cigna | All Products Physician | $2,220.00 | ↑ +54% |
| Cigna | Surefit Physician | $2,220.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $2,220.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $2,220.00 | ↑ +54% |
| Simply | Managed Medicaid | $4,953.92 | ↑ +243% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $4,953.92 | ↑ +243% |
| SUNSHINE HEALTH | Managed Medicaid | $4,953.92 | ↑ +243% |
| AMERIHEALTH | Managed Medicaid | $5,102.54 | ↑ +254% |
| MOLINA | Managed Medicaid | $5,201.62 | ↑ +260% |
| MOLINA | Florida KidCare | $5,201.62 | ↑ +260% |
| AETNA | Managed Medicaid/CHIP | $5,944.70 | ↑ +312% |
| HUMANA | Medicare Advantage HMO | $19,143.25 | ↑ +1227% |
| BLUE CROSS | Medicare Advantage PPO | $19,143.25 | ↑ +1227% |
| UNITED | MEDICARE ADVANTAGE | $19,143.25 | ↑ +1227% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $19,143.25 | ↑ +1227% |
| BLUE CROSS | Medicare Advantage HMO | $19,143.25 | ↑ +1227% |
| AVMED | MEDICARE ADVANTAGE | $19,908.98 | ↑ +1280% |
| Freedom Health | MEDICARE ADVANTAGE | $20,100.41 | ↑ +1293% |
| Careplus | MEDICARE ADVANTAGE | $20,100.41 | ↑ +1293% |
| Wellcare | MEDICARE ADVANTAGE | $20,114.58 | ↑ +1294% |
| AETNA | MEDICARE ADVANTAGE | $20,114.58 | ↑ +1294% |
| DEVOTED HEALTH | Medicare Advantage HMO | $22,126.04 | ↑ +1433% |
| AVMED | EXCHANGE | $33,500.69 | ↑ +2222% |
| AVMED | Select | $56,472.58 | ↑ +3814% |
| AVMED | BROAD | $73,701.51 | ↑ +5008% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Ins pm gen w/exist mlt leads at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $518.23 – $529.14 |
| cleveland clinic florida weston hospital | Weston | $36,592.40 | $175.89 – $47,851.60 |
| Baptist Hospital | MIAMI | $18,461.30 | $173.17 – $25,561.80 |
| Bethesda Hospital East | BOYNTON BEACH | $18,461.30 | $3,651.00 – $25,561.80 |
| Boca Raton Regional Hospital | BOCA RATON | $36,599.55 | $4,587.00 – $36,768.47 |
| Doctors Hospital | CORAL GABLES | $18,461.30 | $4,863.22 – $25,561.80 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $18,461.30 | $4,863.22 – $25,561.80 |
| Fishermens Community Hospital | MARATHON | $18,461.30 | $4,743.13 – $25,561.80 |