Lab draw <3 yrs scalp vein 36405 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$104.65
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.
?
What you pay up front if you don't use insurance.
$161.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2.65 with SUNSHINE HEALTH vs $8,696.00 with BLUE CROSS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| SUNSHINE HEALTH | Managed Medicaid | $2.65 | ↓ -97% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $2.65 | ↓ -97% |
| Simply | Managed Medicaid | $2.65 | ↓ -97% |
| Freedom Health | Managed Medicaid | $2.65 | ↓ -97% |
| AMERIHEALTH | Managed Medicaid | $2.73 | ↓ -97% |
| MOLINA | Florida KidCare | $2.78 | ↓ -97% |
| Miami Childrens Health Plan | Managed Medicaid | $2.78 | ↓ -97% |
| MOLINA | Managed Medicaid | $2.78 | ↓ -97% |
| Independent Living Systems | Managed Medicaid | $3.18 | ↓ -97% |
| AETNA | Managed Medicaid/CHIP | $3.18 | ↓ -97% |
| MULTIPLAN | ALL PRODUCTS | $18.41 | ↓ -82% |
| Clear Spring Health | ALL PRODUCTS | $18.93 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $33.49 | ↓ -68% |
| CIGNA | Individual Family Plan | $45.56 | ↓ -56% |
| AVMED | EXCHANGE | $48.30 | ↓ -54% |
| AVMED | Select | $48.30 | ↓ -54% |
| AVMED | BROAD | $61.18 | ↓ -42% |
| CIGNA | SUREFIT | $65.85 | ↓ -37% |
| BMI | ALL PRODUCTS | $80.50 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $85.01 | ↓ -19% |
| The Legacy Companies | ALL PRODUCTS | $104.65 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $104.65 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $120.75 | ↑ +15% |
| AETNA | All Products First Health | $144.90 | ↑ +38% |
| BLUE CROSS | MBN | $1,339.00 | ↑ +1180% |
| BLUE CROSS | HMO | $1,789.00 | ↑ +1610% |
| AETNA | QHP | $2,001.00 | ↑ +1812% |
| AETNA | All Products New Business | $2,200.00 | ↑ +2002% |
| UNITED | NHP | $2,235.00 | ↑ +2036% |
| AETNA | ALL PRODUCTS | $2,472.00 | ↑ +2262% |
| UNITED | ALL PRODUCTS | $2,667.00 | ↑ +2448% |
| UNITED | International | $2,942.00 | ↑ +2711% |
| BLUE CROSS | PPO | $3,029.00 | ↑ +2794% |
| BLUE CROSS | NWB | $3,680.00 | ↑ +3416% |
| BLUE CROSS | NWBI | $3,680.00 | ↑ +3416% |
| BLUE CROSS | PHS | $8,696.00 | ↑ +8210% |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
Visitor-reported prices
Comments
Lab draw <3 yrs scalp vein 36405 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $104.65 | $2.52 – $1,595.00 |
| indian river hospital | Vero Beach | $80.60 | $2.52 – $105.40 |