Lev 3 hosp type b ed visit at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
not published by hospital
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.
not published by hospital
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.
$179.50 with Wellcare vs $721.09 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 |
|---|---|---|---|
| Wellcare | MEDICARE ADVANTAGE | $179.50 | — |
| AETNA | MEDICARE ADVANTAGE | $179.50 | — |
| BLUE CROSS | Medicare Advantage PPO | $187.30 | — |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $187.30 | — |
| HUMANA | Medicare Advantage HMO | $187.30 | — |
| BLUE CROSS | Medicare Advantage HMO | $187.30 | — |
| UNITED | MEDICARE ADVANTAGE | $187.30 | — |
| AVMED | MEDICARE ADVANTAGE | $194.79 | — |
| Careplus | MEDICARE ADVANTAGE | $196.66 | — |
| Freedom Health | MEDICARE ADVANTAGE | $196.66 | — |
| DEVOTED HEALTH | Medicare Advantage HMO | $197.45 | — |
| AVMED | EXCHANGE | $327.77 | — |
| AVMED | Select | $552.52 | — |
| AVMED | BROAD | $721.09 | — |
Visitor-reported prices
Comments
Lev 3 hosp type b ed visit at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $918.41 – $937.75 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $2,695.00 | $894.78 – $913.61 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness | $3,660.36 | $832.59 – $850.12 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON | $4,121.26 | $894.78 – $913.61 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE | $992.00 | $968.99 – $989.39 |
| HCA FLORIDA OAK HILL HOSPITAL | BROOKSVILLE | $3,196.60 | $894.78 – $913.61 |
| HCA FLORIDA TRINITY HOSPITAL | TRINITY | $2,848.04 | $894.78 – $913.61 |
| HCA FLORIDA OCALA HOSPITAL | SUMMERFIELD | $3,389.29 | $840.70 – $884.95 |