Kidney function study at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$98.80
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.
$152.00
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.
$13.34 with Blue Cross vs $1,552.89 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 |
|---|---|---|---|
| Blue Cross | BlueSelect | $13.34 | ↓ -86% |
| Blue Cross | Health Options | $13.34 | ↓ -86% |
| Blue Cross | Network Blue | $16.09 | ↓ -84% |
| Blue Cross | Traditional (PPS) | $16.61 | ↓ -83% |
| Blue Cross | Perferred Patient Care | $16.61 | ↓ -83% |
| Independent Living Systems | Medicare Advantage | $17.24 | ↓ -83% |
| United | Medicare Advantage | $17.71 | ↓ -82% |
| Miami Childrens Health Plan | Medicare Advantage | $17.71 | ↓ -82% |
| Blue Cross | Medicare Advantage PPO | $17.71 | ↓ -82% |
| Avmed | Medicare Advantage | $17.71 | ↓ -82% |
| Blue Cross | Medicare Advantage HMO | $17.71 | ↓ -82% |
| Careplus | Medicare Advantage | $18.60 | ↓ -81% |
| Freedom Health | Medicare Advantage | $18.60 | ↓ -81% |
| Clear Spring Health | All Products | $19.13 | ↓ -81% |
| United | All Products | $21.69 | ↓ -78% |
| Avmed | Exchange | $21.96 | ↓ -78% |
| Aetna | Medicare Advantage PCP | $21.96 | ↓ -78% |
| Aetna | Medicare Advantage Specialist | $22.31 | ↓ -77% |
| Avmed | Select | $22.80 | ↓ -77% |
| Avmed | Broad | $24.49 | ↓ -75% |
| Multiplan | All Products | $26.57 | ↓ -73% |
| Clarity Health | All Products | $98.80 | ↑ +0% |
| The Legacy Companies | All Products | $98.80 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $114.00 | ↑ +15% |
| Aetna | All Products First Health | $136.80 | ↑ +38% |
| Cigna | Surefit Physician | $152.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $152.00 | ↑ +54% |
| Cigna | All Products Physician | $152.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $152.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $152.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $152.00 | ↑ +54% |
| SUNSHINE HEALTH | Managed Medicaid | $237.02 | ↑ +140% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $237.02 | ↑ +140% |
| Simply | Managed Medicaid | $237.02 | ↑ +140% |
| Freedom Health | Managed Medicaid | $237.02 | ↑ +140% |
| AMERIHEALTH | Managed Medicaid | $244.13 | ↑ +147% |
| Miami Childrens Health Plan | Managed Medicaid | $248.87 | ↑ +152% |
| MOLINA | Managed Medicaid | $248.87 | ↑ +152% |
| MOLINA | Florida KidCare | $248.87 | ↑ +152% |
| AETNA | Managed Medicaid/CHIP | $284.42 | ↑ +188% |
| Independent Living Systems | Managed Medicaid | $284.42 | ↑ +188% |
| BLUE CROSS | Medicare Advantage HMO | $403.35 | ↑ +308% |
| BLUE CROSS | Medicare Advantage PPO | $403.35 | ↑ +308% |
| UNITED | MEDICARE ADVANTAGE | $403.35 | ↑ +308% |
| HUMANA | Medicare Advantage HMO | $403.35 | ↑ +308% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $403.35 | ↑ +308% |
| Wellcare | MEDICARE ADVANTAGE | $417.47 | ↑ +323% |
| AETNA | MEDICARE ADVANTAGE | $417.47 | ↑ +323% |
| AVMED | MEDICARE ADVANTAGE | $419.48 | ↑ +325% |
| Careplus | MEDICARE ADVANTAGE | $423.52 | ↑ +329% |
| Freedom Health | MEDICARE ADVANTAGE | $423.52 | ↑ +329% |
| DEVOTED HEALTH | Medicare Advantage HMO | $459.22 | ↑ +365% |
| AVMED | EXCHANGE | $705.86 | ↑ +614% |
| UNITED | International | $828.29 | ↑ +738% |
| UNITED | NHP | $828.29 | ↑ +738% |
| AVMED | Select | $1,189.88 | ↑ +1104% |
| AVMED | BROAD | $1,552.89 | ↑ +1472% |
| AmeriHealth | Managed Medicaid | 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 | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
Visitor-reported prices
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Kidney function study at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | $1,448.00 | $848.52 – $2,155.38 |
| cleveland clinic florida weston hospital | Weston | $2,351.70 | $14.91 – $459.22 |
| indian river hospital | Vero Beach | $98.80 | $13.82 – $459.22 |
| Baptist Hospital | MIAMI | $1,064.05 | $173.17 – $1,473.30 |
| Bethesda Hospital East | BOYNTON BEACH | $1,064.05 | $234.02 – $1,473.30 |
| Doctors Hospital | CORAL GABLES | $1,064.05 | $226.86 – $1,473.30 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $1,064.05 | $226.86 – $1,473.30 |
| Fishermens Community Hospital | MARATHON | $1,064.05 | $226.86 – $1,473.30 |