healthcosts.net
Lung Function Test (Spirometry) at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$585.00
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.
$900.00
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.
$20.94 with Freedom Health vs $1,127.00 with UNITED — 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 |
|---|---|---|---|
| Freedom Health | Managed Medicaid | $20.94 | ↓ -96% |
| AmeriHealth | Managed Medicaid | $21.57 | ↓ -96% |
| Miami Childrens Health Plan | Managed Medicaid | $21.99 | ↓ -96% |
| Molina | Managed Medicaid | $21.99 | ↓ -96% |
| Molina | Florida Kidcare | $21.99 | ↓ -96% |
| Sunshine Health | Managed Medicaid | $21.99 | ↓ -96% |
| Independent Living Systems | Managed Medicaid | $25.13 | ↓ -96% |
| Blue Cross | Health Options | $27.42 | ↓ -95% |
| Blue Cross | BlueSelect | $27.42 | ↓ -95% |
| Independent Living Systems | Medicare Advantage | $28.33 | ↓ -95% |
| United | Medicare Advantage | $30.72 | ↓ -95% |
| Avmed | Medicare Advantage | $30.72 | ↓ -95% |
| Blue Cross | Medicare Advantage PPO | $30.72 | ↓ -95% |
| Miami Childrens Health Plan | Medicare Advantage | $30.72 | ↓ -95% |
| Blue Cross | Medicare Advantage HMO | $30.72 | ↓ -95% |
| Freedom Health | Medicare Advantage | $32.26 | ↓ -94% |
| Careplus | Medicare Advantage | $32.26 | ↓ -94% |
| Blue Cross | Network Blue | $33.07 | ↓ -94% |
| Clear Spring Health | All Products | $33.18 | ↓ -94% |
| Blue Cross | Traditional (PPS) | $34.14 | ↓ -94% |
| Blue Cross | Perferred Patient Care | $34.14 | ↓ -94% |
| Avmed | Exchange | $36.10 | ↓ -94% |
| Avmed | Select | $37.49 | ↓ -94% |
| Aetna | Medicare Advantage PCP | $38.09 | ↓ -93% |
| Aetna | Medicare Advantage Specialist | $38.71 | ↓ -93% |
| Avmed | Broad | $40.27 | ↓ -93% |
| Simply | Managed Medicaid | $40.87 | ↓ -93% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $40.87 | ↓ -93% |
| SUNSHINE HEALTH | Managed Medicaid | $40.87 | ↓ -93% |
| AMERIHEALTH | Managed Medicaid | $42.10 | ↓ -93% |
| MULTIPLAN | ALL PRODUCTS | $42.40 | ↓ -93% |
| MOLINA | Florida KidCare | $42.91 | ↓ -93% |
| MOLINA | Managed Medicaid | $42.91 | ↓ -93% |
| Clear Spring Health | ALL PRODUCTS | $43.61 | ↓ -93% |
| Multiplan | All Products | $46.08 | ↓ -92% |
| United | All Products | $48.27 | ↓ -92% |
| Clarity Health | All Products | $48.75 | ↓ -92% |
| The Legacy Companies | All Products | $48.75 | ↓ -92% |
| AETNA | Managed Medicaid/CHIP | $49.04 | ↓ -92% |
| Consociate Health | ALL PRODUCTS | $56.25 | ↓ -90% |
| Aetna | All Products First Health | $67.50 | ↓ -88% |
| Cigna | Individual Family Plan Mid-Level | $75.00 | ↓ -87% |
| Cigna | Surefit Physician | $75.00 | ↓ -87% |
| Cigna | All Products Physician | $75.00 | ↓ -87% |
| Cigna | All Products Mid-Level | $75.00 | ↓ -87% |
| Cigna | Individual Family Plan Physician | $75.00 | ↓ -87% |
| Cigna | Surefit Mid-Level | $75.00 | ↓ -87% |
| BLUE CROSS | MBN | $131.00 | ↓ -78% |
| BLUE CROSS | BSL | $132.00 | ↓ -77% |
| UNITED | MEDICARE ADVANTAGE | $157.05 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $157.05 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $157.05 | ↓ -73% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $157.05 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $157.05 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $163.33 | ↓ -72% |
| BLUE CROSS | HMO | $164.00 | ↓ -72% |
| Careplus | MEDICARE ADVANTAGE | $164.90 | ↓ -72% |
| Freedom Health | MEDICARE ADVANTAGE | $164.90 | ↓ -72% |
| BLUE CROSS | NWBI | $182.00 | ↓ -69% |
| BLUE CROSS | NWB | $182.00 | ↓ -69% |
| Wellcare | MEDICARE ADVANTAGE | $225.48 | ↓ -61% |
| AETNA | MEDICARE ADVANTAGE | $225.48 | ↓ -61% |
| DEVOTED HEALTH | Medicare Advantage HMO | $248.03 | ↓ -58% |
| CIGNA | Individual Family Plan | $254.70 | ↓ -56% |
| AETNA | QHP | $263.70 | ↓ -55% |
| AVMED | EXCHANGE | $274.84 | ↓ -53% |
| AETNA | ALL PRODUCTS | $280.80 | ↓ -52% |
| BLUE CROSS | PHS | $285.00 | ↓ -51% |
| AETNA | All Products New Business | $294.30 | ↓ -50% |
| CIGNA | SUREFIT | $368.10 | ↓ -37% |
| BMI | ALL PRODUCTS | $450.00 | ↓ -23% |
| AVMED | Select | $463.30 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $475.20 | ↓ -19% |
| BLUE CROSS | PPO | $528.00 | ↓ -10% |
| The Legacy Companies | ALL PRODUCTS | $585.00 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $585.00 | ↑ +0% |
| AVMED | BROAD | $604.65 | ↑ +3% |
| AETNA | All Products First Health | $810.00 | ↑ +38% |
| UNITED | NHP | $855.00 | ↑ +46% |
| UNITED | ALL PRODUCTS | $1,021.00 | ↑ +75% |
| UNITED | International | $1,127.00 | ↑ +93% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Lung Function Test (Spirometry) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $633.75 | $6.96 – $765.00 |
| indian river hospital | Vero Beach | $585.00 | $20.80 – $720.00 |
| Baptist Hospital | MIAMI | $170.95 | $34.43 – $252.54 |
| Bethesda Hospital East | BOYNTON BEACH | $170.95 | $36.79 – $236.70 |
| Boca Raton Regional Hospital | BOCA RATON | $169.00 | $93.60 – $260.00 |
| Doctors Hospital | CORAL GABLES | $170.95 | $35.66 – $252.54 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $170.95 | $34.63 – $248.03 |
| Fishermens Community Hospital | MARATHON | $170.95 | $35.66 – $236.70 |