Ins/rpl pm gen exist sgl lead at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,302.60
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.
$2,004.00
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.
$245.62 with Freedom Health vs $31,982.96 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 | $245.62 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $252.99 | ↓ -81% |
| Molina | Managed Medicaid | $257.90 | ↓ -80% |
| Sunshine Health | Managed Medicaid | $257.90 | ↓ -80% |
| Miami Childrens Health Plan | Managed Medicaid | $257.90 | ↓ -80% |
| Molina | Florida Kidcare | $257.90 | ↓ -80% |
| Blue Cross | BlueSelect | $268.55 | ↓ -79% |
| Blue Cross | Health Options | $268.55 | ↓ -79% |
| Independent Living Systems | Managed Medicaid | $294.74 | ↓ -77% |
| Blue Cross | Network Blue | $323.84 | ↓ -75% |
| Avmed | Medicare Advantage | $326.36 | ↓ -75% |
| Blue Cross | Medicare Advantage HMO | $326.36 | ↓ -75% |
| Miami Childrens Health Plan | Medicare Advantage | $326.36 | ↓ -75% |
| United | Medicare Advantage | $326.36 | ↓ -75% |
| Blue Cross | Medicare Advantage PPO | $326.36 | ↓ -75% |
| Blue Cross | Perferred Patient Care | $334.38 | ↓ -74% |
| Blue Cross | Traditional (PPS) | $334.38 | ↓ -74% |
| Freedom Health | Medicare Advantage | $342.68 | ↓ -74% |
| Careplus | Medicare Advantage | $342.68 | ↓ -74% |
| Clear Spring Health | All Products | $352.47 | ↓ -73% |
| Independent Living Systems | Medicare Advantage | $356.57 | ↓ -73% |
| Aetna | Medicare Advantage PCP | $404.69 | ↓ -69% |
| Aetna | Medicare Advantage Specialist | $411.21 | ↓ -68% |
| Avmed | Exchange | $451.30 | ↓ -65% |
| Avmed | Select | $468.65 | ↓ -64% |
| Multiplan | All Products | $489.54 | ↓ -62% |
| Avmed | Broad | $503.37 | ↓ -61% |
| United | All Products | $656.84 | ↓ -50% |
| The Legacy Companies | All Products | $1,302.60 | ↑ +0% |
| Clarity Health | All Products | $1,302.60 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $1,503.00 | ↑ +15% |
| Aetna | All Products First Health | $1,803.60 | ↑ +38% |
| Cigna | Individual Family Plan Mid-Level | $2,004.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $2,004.00 | ↑ +54% |
| Cigna | All Products Physician | $2,004.00 | ↑ +54% |
| Cigna | Surefit Physician | $2,004.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $2,004.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $2,004.00 | ↑ +54% |
| Simply | Managed Medicaid | $4,953.92 | ↑ +280% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $4,953.92 | ↑ +280% |
| SUNSHINE HEALTH | Managed Medicaid | $4,953.92 | ↑ +280% |
| AMERIHEALTH | Managed Medicaid | $5,102.54 | ↑ +292% |
| MOLINA | Managed Medicaid | $5,201.62 | ↑ +299% |
| MOLINA | Florida KidCare | $5,201.62 | ↑ +299% |
| AETNA | Managed Medicaid/CHIP | $5,944.70 | ↑ +356% |
| HUMANA | Medicare Advantage HMO | $8,307.26 | ↑ +538% |
| BLUE CROSS | Medicare Advantage PPO | $8,307.26 | ↑ +538% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $8,307.26 | ↑ +538% |
| UNITED | MEDICARE ADVANTAGE | $8,307.26 | ↑ +538% |
| BLUE CROSS | Medicare Advantage HMO | $8,307.26 | ↑ +538% |
| AVMED | MEDICARE ADVANTAGE | $8,639.55 | ↑ +563% |
| Wellcare | MEDICARE ADVANTAGE | $8,641.82 | ↑ +563% |
| AETNA | MEDICARE ADVANTAGE | $8,641.82 | ↑ +563% |
| Careplus | MEDICARE ADVANTAGE | $8,722.63 | ↑ +570% |
| Freedom Health | MEDICARE ADVANTAGE | $8,722.63 | ↑ +570% |
| DEVOTED HEALTH | Medicare Advantage HMO | $9,506.00 | ↑ +630% |
| AVMED | EXCHANGE | $14,537.71 | ↑ +1016% |
| AVMED | Select | $24,506.43 | ↑ +1781% |
| AVMED | BROAD | $31,982.96 | ↑ +2355% |
| 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/rpl pm gen exist sgl lead 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 | $18,473.65 | $245.62 – $24,157.85 |
| Baptist Hospital | MIAMI | $14,006.20 | $173.17 – $19,393.20 |
| Bethesda Hospital East | BOYNTON BEACH | $14,006.20 | $2,608.00 – $19,393.20 |
| Boca Raton Regional Hospital | BOCA RATON | $12,199.85 | $4,587.00 – $12,256.16 |
| Doctors Hospital | CORAL GABLES | $14,006.20 | $3,770.90 – $19,393.20 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $14,006.20 | $3,749.35 – $19,393.20 |
| Fishermens Community Hospital | MARATHON | $14,006.20 | $3,598.52 – $19,393.20 |