healthcosts.net
Lower Back (Lumbar Spine) X-ray at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$659.75
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.
$1,015.00
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.
$9.03 with Blue Cross vs $826.20 with AETNA — 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 | Health Options | $9.03 | ↓ -99% |
| Blue Cross | BlueSelect | $9.03 | ↓ -99% |
| Blue Cross | Network Blue | $10.89 | ↓ -98% |
| United | Medicare Advantage | $11.06 | ↓ -98% |
| Avmed | Medicare Advantage | $11.06 | ↓ -98% |
| Blue Cross | Medicare Advantage PPO | $11.06 | ↓ -98% |
| Miami Childrens Health Plan | Medicare Advantage | $11.06 | ↓ -98% |
| Blue Cross | Medicare Advantage HMO | $11.06 | ↓ -98% |
| Independent Living Systems | Medicare Advantage | $11.12 | ↓ -98% |
| Blue Cross | Traditional (PPS) | $11.24 | ↓ -98% |
| Blue Cross | Perferred Patient Care | $11.24 | ↓ -98% |
| Freedom Health | Medicare Advantage | $11.61 | ↓ -98% |
| Careplus | Medicare Advantage | $11.61 | ↓ -98% |
| Clear Spring Health | All Products | $11.94 | ↓ -98% |
| Aetna | Medicare Advantage PCP | $13.71 | ↓ -98% |
| Aetna | Medicare Advantage Specialist | $13.94 | ↓ -98% |
| United | All Products | $14.00 | ↓ -98% |
| Avmed | Exchange | $14.17 | ↓ -98% |
| Avmed | Select | $14.72 | ↓ -98% |
| Avmed | Broad | $15.81 | ↓ -98% |
| Multiplan | All Products | $16.59 | ↓ -97% |
| Aetna | All Products Anesthesia | $33.15 | ↓ -95% |
| Simply | Managed Medicaid | $35.59 | ↓ -95% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $35.59 | ↓ -95% |
| SUNSHINE HEALTH | Managed Medicaid | $35.59 | ↓ -95% |
| Freedom Health | Managed Medicaid | $35.59 | ↓ -95% |
| AMERIHEALTH | Managed Medicaid | $36.66 | ↓ -94% |
| Miami Childrens Health Plan | Managed Medicaid | $37.37 | ↓ -94% |
| MOLINA | Florida KidCare | $37.37 | ↓ -94% |
| MOLINA | Managed Medicaid | $37.37 | ↓ -94% |
| Independent Living Systems | Managed Medicaid | $42.71 | ↓ -94% |
| AETNA | Managed Medicaid/CHIP | $42.71 | ↓ -94% |
| Aetna | All Products PCP | $42.81 | ↓ -94% |
| Aetna | All Products Specialist | $52.66 | ↓ -92% |
| MULTIPLAN | ALL PRODUCTS | $58.11 | ↓ -91% |
| Clear Spring Health | ALL PRODUCTS | $59.77 | ↓ -91% |
| Clarity Health | All Products | $63.05 | ↓ -90% |
| The Legacy Companies | All Products | $63.05 | ↓ -90% |
| Consociate Health | ALL PRODUCTS | $72.75 | ↓ -89% |
| Aetna | All Products First Health | $87.30 | ↓ -87% |
| Cigna | Individual Family Plan Mid-Level | $97.00 | ↓ -85% |
| Cigna | Surefit Physician | $97.00 | ↓ -85% |
| Cigna | All Products Physician | $97.00 | ↓ -85% |
| Cigna | All Products Mid-Level | $97.00 | ↓ -85% |
| Cigna | Individual Family Plan Physician | $97.00 | ↓ -85% |
| Cigna | Surefit Mid-Level | $97.00 | ↓ -85% |
| UNITED | MEDICARE ADVANTAGE | $106.74 | ↓ -84% |
| BLUE CROSS | Medicare Advantage HMO | $106.74 | ↓ -84% |
| HUMANA | Medicare Advantage HMO | $106.74 | ↓ -84% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $106.74 | ↓ -84% |
| BLUE CROSS | Medicare Advantage PPO | $106.74 | ↓ -84% |
| Wellcare | MEDICARE ADVANTAGE | $109.17 | ↓ -83% |
| AETNA | MEDICARE ADVANTAGE | $109.17 | ↓ -83% |
| AVMED | MEDICARE ADVANTAGE | $111.01 | ↓ -83% |
| Careplus | MEDICARE ADVANTAGE | $112.08 | ↓ -83% |
| Freedom Health | MEDICARE ADVANTAGE | $112.08 | ↓ -83% |
| DEVOTED HEALTH | Medicare Advantage HMO | $120.09 | ↓ -82% |
| BLUE CROSS | BSL | $146.00 | ↓ -78% |
| BLUE CROSS | MBN | $146.00 | ↓ -78% |
| BLUE CROSS | HMO | $185.00 | ↓ -72% |
| AVMED | EXCHANGE | $186.80 | ↓ -72% |
| BLUE CROSS | NWBI | $203.00 | ↓ -69% |
| BLUE CROSS | NWB | $203.00 | ↓ -69% |
| UNITED | International | $252.18 | ↓ -62% |
| UNITED | NHP | $252.18 | ↓ -62% |
| UNITED | ALL PRODUCTS | $252.18 | ↓ -62% |
| CIGNA | Individual Family Plan | $259.79 | ↓ -61% |
| AETNA | QHP | $268.97 | ↓ -59% |
| AETNA | ALL PRODUCTS | $286.42 | ↓ -57% |
| BLUE CROSS | PHS | $295.00 | ↓ -55% |
| AETNA | All Products New Business | $300.19 | ↓ -54% |
| AVMED | Select | $314.89 | ↓ -52% |
| CIGNA | SUREFIT | $375.46 | ↓ -43% |
| AVMED | BROAD | $410.96 | ↓ -38% |
| BMI | ALL PRODUCTS | $459.00 | ↓ -30% |
| CIGNA | ALL PRODUCTS | $484.70 | ↓ -27% |
| BLUE CROSS | PPO | $528.00 | ↓ -20% |
| The Legacy Companies | ALL PRODUCTS | $596.70 | ↓ -10% |
| Clarity Health | ALL PRODUCTS | $596.70 | ↓ -10% |
| AETNA | All Products First Health | $826.20 | ↑ +25% |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) X-ray at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $659.75 | $10.09 – $780.30 |
| indian river hospital | Vero Beach | $596.70 | $8.45 – $734.40 |
| Baptist Hospital | MIAMI | $691.60 | $35.25 – $722.70 |
| Bethesda Hospital East | BOYNTON BEACH | $691.60 | $35.25 – $957.60 |
| Boca Raton Regional Hospital | BOCA RATON | $620.10 | $107.21 – $622.96 |
| Doctors Hospital | CORAL GABLES | $691.60 | $34.17 – $957.60 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $691.60 | $34.17 – $722.70 |
| Fishermens Community Hospital | MARATHON | $691.60 | $34.17 – $957.60 |