Interrog dev eval scrms ip at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$220.35
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.
$339.00
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.
$22.26 with Simply vs $1,061.00 with UNITED — 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 |
|---|---|---|---|
| Simply | Managed Medicaid | $22.26 | ↓ -90% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $22.26 | ↓ -90% |
| SUNSHINE HEALTH | Managed Medicaid | $22.26 | ↓ -90% |
| Freedom Health | Managed Medicaid | $22.26 | ↓ -90% |
| AMERIHEALTH | Managed Medicaid | $22.93 | ↓ -90% |
| Miami Childrens Health Plan | Managed Medicaid | $23.37 | ↓ -89% |
| MOLINA | Managed Medicaid | $23.37 | ↓ -89% |
| MOLINA | Florida KidCare | $23.37 | ↓ -89% |
| BLUE CROSS | Medicare Advantage HMO | $24.58 | ↓ -89% |
| HUMANA | Medicare Advantage HMO | $24.58 | ↓ -89% |
| UNITED | MEDICARE ADVANTAGE | $24.58 | ↓ -89% |
| BLUE CROSS | Medicare Advantage PPO | $24.58 | ↓ -89% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $24.58 | ↓ -89% |
| AVMED | MEDICARE ADVANTAGE | $25.57 | ↓ -88% |
| Careplus | MEDICARE ADVANTAGE | $25.81 | ↓ -88% |
| Freedom Health | MEDICARE ADVANTAGE | $25.81 | ↓ -88% |
| AETNA | Managed Medicaid/CHIP | $26.71 | ↓ -88% |
| Independent Living Systems | Managed Medicaid | $26.71 | ↓ -88% |
| Blue Cross | BlueSelect | $27.58 | ↓ -87% |
| Blue Cross | Health Options | $27.58 | ↓ -87% |
| Wellcare | MEDICARE ADVANTAGE | $30.20 | ↓ -86% |
| AETNA | MEDICARE ADVANTAGE | $30.20 | ↓ -86% |
| DEVOTED HEALTH | Medicare Advantage HMO | $33.22 | ↓ -85% |
| Blue Cross | Network Blue | $33.26 | ↓ -85% |
| Blue Cross | Perferred Patient Care | $34.34 | ↓ -84% |
| Blue Cross | Traditional (PPS) | $34.34 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $37.87 | ↓ -83% |
| Molina | Florida Kidcare | $38.61 | ↓ -82% |
| Molina | Managed Medicaid | $38.61 | ↓ -82% |
| Sunshine Health | Managed Medicaid | $38.61 | ↓ -82% |
| AVMED | EXCHANGE | $43.02 | ↓ -80% |
| AETNA | QHP | $48.40 | ↓ -78% |
| United | Medicare Advantage | $49.34 | ↓ -78% |
| Avmed | Medicare Advantage | $49.34 | ↓ -78% |
| Blue Cross | Medicare Advantage HMO | $49.34 | ↓ -78% |
| Miami Childrens Health Plan | Medicare Advantage | $49.34 | ↓ -78% |
| Blue Cross | Medicare Advantage PPO | $49.34 | ↓ -78% |
| Independent Living Systems | Medicare Advantage | $49.36 | ↓ -78% |
| CIGNA | Individual Family Plan | $49.81 | ↓ -77% |
| Careplus | Medicare Advantage | $51.81 | ↓ -76% |
| Freedom Health | Medicare Advantage | $51.81 | ↓ -76% |
| Clear Spring Health | All Products | $53.29 | ↓ -76% |
| AETNA | ALL PRODUCTS | $54.91 | ↓ -75% |
| AETNA | All Products New Business | $57.55 | ↓ -74% |
| Aetna | Medicare Advantage PCP | $61.18 | ↓ -72% |
| Aetna | Medicare Advantage Specialist | $62.17 | ↓ -72% |
| Avmed | Exchange | $63.75 | ↓ -71% |
| Avmed | Select | $66.20 | ↓ -70% |
| MULTIPLAN | ALL PRODUCTS | $68.00 | ↓ -69% |
| Clear Spring Health | ALL PRODUCTS | $69.94 | ↓ -68% |
| Avmed | Broad | $71.11 | ↓ -68% |
| CIGNA | SUREFIT | $71.98 | ↓ -67% |
| AVMED | Select | $72.52 | ↓ -67% |
| Multiplan | All Products | $74.01 | ↓ -66% |
| United | All Products | $85.25 | ↓ -61% |
| BMI | ALL PRODUCTS | $88.00 | ↓ -60% |
| CIGNA | ALL PRODUCTS | $92.93 | ↓ -58% |
| AVMED | BROAD | $94.64 | ↓ -57% |
| Clarity Health | ALL PRODUCTS | $114.40 | ↓ -48% |
| The Legacy Companies | ALL PRODUCTS | $114.40 | ↓ -48% |
| Consociate Health | ALL PRODUCTS | $132.00 | ↓ -40% |
| AETNA | All Products First Health | $158.40 | ↓ -28% |
| Clarity Health | All Products | $220.35 | ↑ +0% |
| The Legacy Companies | All Products | $220.35 | ↑ +0% |
| Aetna | All Products First Health | $305.10 | ↑ +38% |
| Cigna | Surefit Mid-Level | $339.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $339.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $339.00 | ↑ +54% |
| Cigna | Surefit Physician | $339.00 | ↑ +54% |
| Cigna | All Products Physician | $339.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $339.00 | ↑ +54% |
| BLUE CROSS | MBN | $624.00 | ↑ +183% |
| BLUE CROSS | BSL | $642.00 | ↑ +191% |
| BLUE CROSS | PPO | $785.00 | ↑ +256% |
| BLUE CROSS | HMO | $794.00 | ↑ +260% |
| UNITED | NHP | $811.00 | ↑ +268% |
| BLUE CROSS | NWB | $898.00 | ↑ +308% |
| BLUE CROSS | NWBI | $898.00 | ↑ +308% |
| UNITED | ALL PRODUCTS | $970.00 | ↑ +340% |
| BLUE CROSS | PHS | $1,007.00 | ↑ +357% |
| UNITED | International | $1,061.00 | ↑ +382% |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Interrog dev eval scrms ip at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $26.60 – $27.16 |
| Adventhealth Daytona Beach | Daytona Beach | $87.61 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $87.61 | not published |
| Adventhealth Tampa | Tampa | $304.65 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $75.10 | not published |
| cleveland clinic florida weston hospital | Weston | $220.35 | $12.78 – $163.00 |
| indian river hospital | Vero Beach | $114.40 | $21.15 – $163.00 |
| Baptist Hospital | MIAMI | $317.85 | $22.77 – $440.10 |