Largsc w/rmvl foreign bdy(s) at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,451.45
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.
$2,233.00
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.
$159.48 with MULTIPLAN vs $9,694.00 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 |
|---|---|---|---|
| MULTIPLAN | ALL PRODUCTS | $159.48 | ↓ -89% |
| Clear Spring Health | ALL PRODUCTS | $164.04 | ↓ -89% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $376.62 | ↓ -74% |
| Freedom Health | Managed Medicaid | $376.62 | ↓ -74% |
| Simply | Managed Medicaid | $376.62 | ↓ -74% |
| SUNSHINE HEALTH | Managed Medicaid | $376.62 | ↓ -74% |
| AMERIHEALTH | Managed Medicaid | $387.92 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $389.78 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $389.78 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $389.78 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $389.78 | ↓ -73% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $389.78 | ↓ -73% |
| MOLINA | Florida KidCare | $395.45 | ↓ -73% |
| MOLINA | Managed Medicaid | $395.45 | ↓ -73% |
| Miami Childrens Health Plan | Managed Medicaid | $395.45 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $405.37 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $408.44 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $408.44 | ↓ -72% |
| Freedom Health | MEDICARE ADVANTAGE | $409.27 | ↓ -72% |
| Careplus | MEDICARE ADVANTAGE | $409.27 | ↓ -72% |
| DEVOTED HEALTH | Medicare Advantage HMO | $449.28 | ↓ -69% |
| AETNA | Managed Medicaid/CHIP | $451.94 | ↓ -69% |
| Independent Living Systems | Managed Medicaid | $451.94 | ↓ -69% |
| CIGNA | Individual Family Plan | $631.94 | ↓ -56% |
| AVMED | EXCHANGE | $682.11 | ↓ -53% |
| CIGNA | SUREFIT | $913.30 | ↓ -37% |
| BMI | ALL PRODUCTS | $1,116.50 | ↓ -23% |
| AVMED | Select | $1,149.84 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $1,179.02 | ↓ -19% |
| Clarity Health | ALL PRODUCTS | $1,451.45 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $1,451.45 | ↑ +0% |
| AVMED | BROAD | $1,500.64 | ↑ +3% |
| Consociate Health | ALL PRODUCTS | $1,674.75 | ↑ +15% |
| BLUE CROSS | BSL | $1,876.00 | ↑ +29% |
| BLUE CROSS | MBN | $1,914.00 | ↑ +32% |
| AETNA | All Products First Health | $2,009.70 | ↑ +38% |
| AETNA | QHP | $2,038.00 | ↑ +40% |
| UNITED | NHP | $2,235.00 | ↑ +54% |
| AETNA | ALL PRODUCTS | $2,472.00 | ↑ +70% |
| BLUE CROSS | HMO | $2,552.00 | ↑ +76% |
| UNITED | ALL PRODUCTS | $2,667.00 | ↑ +84% |
| UNITED | International | $2,942.00 | ↑ +103% |
| BLUE CROSS | PPO | $3,782.00 | ↑ +161% |
| AETNA | All Products New Business | $4,025.00 | ↑ +177% |
| BLUE CROSS | NWB | $4,598.00 | ↑ +217% |
| BLUE CROSS | NWBI | $4,598.00 | ↑ +217% |
| BLUE CROSS | PHS | $9,694.00 | ↑ +568% |
| Consociate Health | Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Largsc w/rmvl foreign bdy(s) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $2,625.16 – $2,680.43 |
| Adventhealth Lake Wales | Lake Wales | $1,212.15 | not published |
| Adventhealth Tampa | Tampa | $2,078.57 | $408.44 – $906.73 |
| cleveland clinic florida weston hospital | Weston | $1,451.45 | $70.62 – $1,898.05 |
| AdventHealth Orlando | Orlando | $1,418.00 | not published |
| Adventhealth Riverview | Riverview | $2,078.57 | not published |
| Adventhealth Carrollwood | Tampa | $2,078.57 | $408.44 – $906.73 |
| Adventhealth Sebring | Sebring | $2,330.44 | not published |