Lumbar diskogram s&i at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$11,163.75
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.
$17,175.00
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.
$32.30 with Blue Cross vs $15,158.70 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 | $32.30 | ↓ -100% |
| Blue Cross | BlueSelect | $32.30 | ↓ -100% |
| Blue Cross | Network Blue | $38.95 | ↓ -100% |
| Blue Cross | Traditional (PPS) | $40.22 | ↓ -100% |
| Blue Cross | Perferred Patient Care | $40.22 | ↓ -100% |
| Independent Living Systems | Medicare Advantage | $41.11 | ↓ -100% |
| Avmed | Medicare Advantage | $41.86 | ↓ -100% |
| United | Medicare Advantage | $41.86 | ↓ -100% |
| Blue Cross | Medicare Advantage PPO | $41.86 | ↓ -100% |
| Blue Cross | Medicare Advantage HMO | $41.86 | ↓ -100% |
| Miami Childrens Health Plan | Medicare Advantage | $41.86 | ↓ -100% |
| Careplus | Medicare Advantage | $43.95 | ↓ -100% |
| Freedom Health | Medicare Advantage | $43.95 | ↓ -100% |
| Clear Spring Health | All Products | $45.21 | ↓ -100% |
| United | All Products | $51.30 | ↓ -100% |
| Aetna | Medicare Advantage PCP | $51.91 | ↓ -100% |
| Avmed | Exchange | $51.94 | ↓ -100% |
| Aetna | Medicare Advantage Specialist | $52.74 | ↓ -100% |
| Avmed | Select | $53.93 | ↓ -100% |
| Avmed | Broad | $57.93 | ↓ -99% |
| Multiplan | All Products | $62.79 | ↓ -99% |
| BLUE CROSS | MBN | $146.00 | ↓ -99% |
| BLUE CROSS | BSL | $146.00 | ↓ -99% |
| MULTIPLAN | ALL PRODUCTS | $174.08 | ↓ -98% |
| Clear Spring Health | ALL PRODUCTS | $179.05 | ↓ -98% |
| BLUE CROSS | HMO | $185.00 | ↓ -98% |
| BLUE CROSS | NWB | $203.00 | ↓ -98% |
| BLUE CROSS | NWBI | $203.00 | ↓ -98% |
| The Legacy Companies | All Products | $215.80 | ↓ -98% |
| Clarity Health | All Products | $215.80 | ↓ -98% |
| Consociate Health | ALL PRODUCTS | $249.00 | ↓ -98% |
| BLUE CROSS | PHS | $295.00 | ↓ -97% |
| Aetna | All Products First Health | $298.80 | ↓ -97% |
| Cigna | Surefit Mid-Level | $332.00 | ↓ -97% |
| Cigna | Individual Family Plan Mid-Level | $332.00 | ↓ -97% |
| Cigna | Individual Family Plan Physician | $332.00 | ↓ -97% |
| Cigna | Surefit Physician | $332.00 | ↓ -97% |
| Cigna | All Products Mid-Level | $332.00 | ↓ -97% |
| Cigna | All Products Physician | $332.00 | ↓ -97% |
| Simply | Managed Medicaid | $368.92 | ↓ -97% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $368.92 | ↓ -97% |
| Freedom Health | Managed Medicaid | $368.92 | ↓ -97% |
| SUNSHINE HEALTH | Managed Medicaid | $368.92 | ↓ -97% |
| AMERIHEALTH | Managed Medicaid | $379.99 | ↓ -97% |
| MOLINA | Managed Medicaid | $387.37 | ↓ -97% |
| MOLINA | Florida KidCare | $387.37 | ↓ -97% |
| Miami Childrens Health Plan | Managed Medicaid | $387.37 | ↓ -97% |
| Independent Living Systems | Managed Medicaid | $442.70 | ↓ -96% |
| AETNA | Managed Medicaid/CHIP | $442.70 | ↓ -96% |
| BLUE CROSS | PPO | $528.00 | ↓ -95% |
| BLUE CROSS | Medicare Advantage HMO | $1,960.15 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $1,960.15 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $1,960.15 | ↓ -82% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $1,960.15 | ↓ -82% |
| BLUE CROSS | Medicare Advantage PPO | $1,960.15 | ↓ -82% |
| AVMED | MEDICARE ADVANTAGE | $2,038.56 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $2,039.19 | ↓ -82% |
| Wellcare | MEDICARE ADVANTAGE | $2,039.19 | ↓ -82% |
| Freedom Health | MEDICARE ADVANTAGE | $2,058.16 | ↓ -82% |
| Careplus | MEDICARE ADVANTAGE | $2,058.16 | ↓ -82% |
| DEVOTED HEALTH | Medicare Advantage HMO | $2,243.11 | ↓ -80% |
| AVMED | EXCHANGE | $3,430.27 | ↓ -69% |
| UNITED | ALL PRODUCTS | $3,868.54 | ↓ -65% |
| UNITED | International | $3,868.54 | ↓ -65% |
| UNITED | NHP | $3,868.54 | ↓ -65% |
| CIGNA | Individual Family Plan | $4,766.57 | ↓ -57% |
| AETNA | QHP | $4,935.00 | ↓ -56% |
| AETNA | ALL PRODUCTS | $5,255.02 | ↓ -53% |
| AETNA | All Products New Business | $5,507.66 | ↓ -51% |
| AVMED | Select | $5,782.45 | ↓ -48% |
| CIGNA | SUREFIT | $6,888.79 | ↓ -38% |
| AVMED | BROAD | $7,546.58 | ↓ -32% |
| BMI | ALL PRODUCTS | $8,421.50 | ↓ -25% |
| CIGNA | ALL PRODUCTS | $8,893.10 | ↓ -20% |
| Clarity Health | ALL PRODUCTS | $10,947.95 | ↓ -2% |
| The Legacy Companies | ALL PRODUCTS | $10,947.95 | ↓ -2% |
| AETNA | All Products First Health | $15,158.70 | ↑ +36% |
| Aetna | All Products PCP | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| 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 | — |
| Molina | Florida Kidcare | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
Visitor-reported prices
Comments
Lumbar diskogram s&i at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $3,856.71 – $3,947.38 |
| Adventhealth Tampa | Tampa | $6,598.98 | $2,039.19 – $4,527.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $9,880.00 | $3,701.44 – $3,947.38 |
| Adventhealth Port Charlotte | Port Charlotte | $7,811.03 | $2,039.19 – $3,853.47 |
| cleveland clinic florida weston hospital | Weston | $11,163.75 | $36.10 – $14,316.55 |
| indian river hospital | Vero Beach | $215.80 | $32.94 – $2,243.11 |
| Baptist Hospital | MIAMI | $3,412.50 | $173.17 – $4,184.10 |
| Bethesda Hospital East | BOYNTON BEACH | $3,412.50 | $353.09 – $4,184.10 |