Inst via cath agent pleurds at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$2,310.75
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.
$3,555.00
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.
$64.71 with Blue Cross vs $10,035.00 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 | Health Options | $64.71 | ↓ -97% |
| Blue Cross | BlueSelect | $64.71 | ↓ -97% |
| United | Medicare Advantage | $75.19 | ↓ -97% |
| Blue Cross | Medicare Advantage PPO | $75.19 | ↓ -97% |
| Miami Childrens Health Plan | Medicare Advantage | $75.19 | ↓ -97% |
| Blue Cross | Medicare Advantage HMO | $75.19 | ↓ -97% |
| Avmed | Medicare Advantage | $75.19 | ↓ -97% |
| Blue Cross | Network Blue | $78.04 | ↓ -97% |
| Careplus | Medicare Advantage | $78.95 | ↓ -97% |
| Freedom Health | Medicare Advantage | $78.95 | ↓ -97% |
| Blue Cross | Traditional (PPS) | $80.57 | ↓ -97% |
| Blue Cross | Perferred Patient Care | $80.57 | ↓ -97% |
| Clear Spring Health | All Products | $81.21 | ↓ -96% |
| Independent Living Systems | Medicare Advantage | $82.06 | ↓ -96% |
| Aetna | Medicare Advantage PCP | $93.24 | ↓ -96% |
| Aetna | Medicare Advantage Specialist | $94.74 | ↓ -96% |
| MULTIPLAN | ALL PRODUCTS | $95.31 | ↓ -96% |
| Clear Spring Health | ALL PRODUCTS | $98.03 | ↓ -96% |
| Avmed | Exchange | $104.88 | ↓ -95% |
| Avmed | Select | $108.92 | ↓ -95% |
| Multiplan | All Products | $112.79 | ↓ -95% |
| Avmed | Broad | $116.99 | ↓ -95% |
| United | All Products | $152.65 | ↓ -93% |
| Freedom Health | Managed Medicaid | $187.41 | ↓ -92% |
| AmeriHealth | Managed Medicaid | $193.03 | ↓ -92% |
| Molina | Florida Kidcare | $196.78 | ↓ -91% |
| Molina | Managed Medicaid | $196.78 | ↓ -91% |
| Sunshine Health | Managed Medicaid | $196.78 | ↓ -91% |
| Miami Childrens Health Plan | Managed Medicaid | $196.78 | ↓ -91% |
| Independent Living Systems | Managed Medicaid | $224.89 | ↓ -90% |
| Cigna | Individual Family Plan Mid-Level | $345.02 | ↓ -85% |
| Cigna | Surefit Mid-Level | $351.64 | ↓ -85% |
| Cigna | All Products Mid-Level | $379.72 | ↓ -84% |
| Clarity Health | All Products | $400.40 | ↓ -83% |
| The Legacy Companies | All Products | $400.40 | ↓ -83% |
| Cigna | Individual Family Plan Physician | $405.93 | ↓ -82% |
| Cigna | Surefit Physician | $413.69 | ↓ -82% |
| Cigna | All Products Physician | $446.78 | ↓ -81% |
| Consociate Health | ALL PRODUCTS | $462.00 | ↓ -80% |
| Aetna | All Products First Health | $554.40 | ↓ -76% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $620.60 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $620.60 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $620.60 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $620.60 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $620.60 | ↓ -73% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $630.56 | ↓ -73% |
| Simply | Managed Medicaid | $630.56 | ↓ -73% |
| SUNSHINE HEALTH | Managed Medicaid | $630.56 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $645.42 | ↓ -72% |
| AMERIHEALTH | Managed Medicaid | $649.48 | ↓ -72% |
| Careplus | MEDICARE ADVANTAGE | $651.63 | ↓ -72% |
| Freedom Health | MEDICARE ADVANTAGE | $651.63 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $655.08 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $655.08 | ↓ -72% |
| MOLINA | Florida KidCare | $662.09 | ↓ -71% |
| MOLINA | Managed Medicaid | $662.09 | ↓ -71% |
| DEVOTED HEALTH | Medicare Advantage HMO | $720.59 | ↓ -69% |
| AETNA | Managed Medicaid/CHIP | $756.67 | ↓ -67% |
| CIGNA | Individual Family Plan | $1,006.07 | ↓ -56% |
| AVMED | EXCHANGE | $1,086.04 | ↓ -53% |
| CIGNA | SUREFIT | $1,454.00 | ↓ -37% |
| BMI | ALL PRODUCTS | $1,777.50 | ↓ -23% |
| AVMED | Select | $1,830.76 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $1,877.04 | ↓ -19% |
| UNITED | NHP | $1,901.00 | ↓ -18% |
| UNITED | ALL PRODUCTS | $2,277.00 | ↓ -1% |
| Clarity Health | ALL PRODUCTS | $2,310.75 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $2,310.75 | ↑ +0% |
| AVMED | BROAD | $2,389.30 | ↑ +3% |
| UNITED | International | $2,500.00 | ↑ +8% |
| BLUE CROSS | MBN | $3,060.00 | ↑ +32% |
| AETNA | All Products First Health | $3,199.50 | ↑ +38% |
| AETNA | QHP | $3,806.00 | ↑ +65% |
| AETNA | All Products New Business | $4,025.00 | ↑ +74% |
| BLUE CROSS | HMO | $4,044.00 | ↑ +75% |
| AETNA | ALL PRODUCTS | $4,523.00 | ↑ +96% |
| BLUE CROSS | PPO | $4,941.00 | ↑ +114% |
| BLUE CROSS | NWBI | $6,374.00 | ↑ +176% |
| BLUE CROSS | NWB | $6,374.00 | ↑ +176% |
| BLUE CROSS | PHS | $10,035.00 | ↑ +334% |
| BLUE CROSS | BSL | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| 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
Inst via cath agent pleurds at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $1,668.74 – $1,703.87 |
| cleveland clinic florida weston hospital | Weston | $2,310.75 | $37.15 – $3,021.75 |
| indian river hospital | Vero Beach | $400.40 | $37.15 – $720.59 |
| Baptist Hospital | MIAMI | $1,896.70 | $173.17 – $2,626.20 |
| Bethesda Hospital East | BOYNTON BEACH | $1,896.70 | $640.35 – $2,626.20 |
| Doctors Hospital | CORAL GABLES | $1,896.70 | $510.65 – $2,626.20 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $1,896.70 | $507.73 – $2,626.20 |
| Homestead Hospital | HOMESTEAD | $1,896.70 | $167.89 – $2,626.20 |