Mapping functional cort/subcort ea add'l hr at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,322.10
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.
$2,034.00
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.
$122.57 with Blue Cross vs $1,754.00 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 |
|---|---|---|---|
| Blue Cross | BlueSelect | $122.57 | ↓ -91% |
| Blue Cross | Health Options | $122.57 | ↓ -91% |
| Blue Cross | Network Blue | $147.80 | ↓ -89% |
| Blue Cross | Perferred Patient Care | $152.61 | ↓ -88% |
| Blue Cross | Traditional (PPS) | $152.61 | ↓ -88% |
| AETNA | MEDICARE ADVANTAGE | $156.00 | ↓ -88% |
| Independent Living Systems | Medicare Advantage | $180.17 | ↓ -86% |
| Miami Childrens Health Plan | Medicare Advantage | $192.65 | ↓ -85% |
| Blue Cross | Medicare Advantage HMO | $192.65 | ↓ -85% |
| Blue Cross | Medicare Advantage PPO | $192.65 | ↓ -85% |
| Avmed | Medicare Advantage | $192.65 | ↓ -85% |
| United | Medicare Advantage | $192.65 | ↓ -85% |
| Freedom Health | Medicare Advantage | $202.28 | ↓ -85% |
| Careplus | Medicare Advantage | $202.28 | ↓ -85% |
| Clear Spring Health | All Products | $208.06 | ↓ -84% |
| CIGNA | Individual Family Plan | $212.25 | ↓ -84% |
| Freedom Health | Managed Medicaid | $215.49 | ↓ -84% |
| AETNA | QHP | $219.75 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $221.95 | ↓ -83% |
| AVMED | Select | $225.00 | ↓ -83% |
| AVMED | EXCHANGE | $225.00 | ↓ -83% |
| Molina | Managed Medicaid | $226.26 | ↓ -83% |
| Sunshine Health | Managed Medicaid | $226.26 | ↓ -83% |
| Miami Childrens Health Plan | Managed Medicaid | $226.26 | ↓ -83% |
| Molina | Florida Kidcare | $226.26 | ↓ -83% |
| Avmed | Exchange | $227.25 | ↓ -83% |
| AETNA | ALL PRODUCTS | $234.00 | ↓ -82% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $234.21 | ↓ -82% |
| SUNSHINE HEALTH | Managed Medicaid | $234.21 | ↓ -82% |
| Simply | Managed Medicaid | $234.21 | ↓ -82% |
| Avmed | Select | $235.99 | ↓ -82% |
| Aetna | Medicare Advantage PCP | $238.89 | ↓ -82% |
| AMERIHEALTH | Managed Medicaid | $241.24 | ↓ -82% |
| Aetna | Medicare Advantage Specialist | $242.74 | ↓ -82% |
| AETNA | All Products New Business | $245.25 | ↓ -81% |
| MOLINA | Managed Medicaid | $245.92 | ↓ -81% |
| MOLINA | Florida KidCare | $245.92 | ↓ -81% |
| Avmed | Broad | $253.47 | ↓ -81% |
| Independent Living Systems | Managed Medicaid | $258.59 | ↓ -80% |
| AETNA | Managed Medicaid/CHIP | $281.05 | ↓ -79% |
| AVMED | BROAD | $285.00 | ↓ -78% |
| Multiplan | All Products | $288.98 | ↓ -78% |
| United | All Products | $303.88 | ↓ -77% |
| CIGNA | SUREFIT | $306.75 | ↓ -77% |
| BMI | ALL PRODUCTS | $375.00 | ↓ -72% |
| CIGNA | ALL PRODUCTS | $396.00 | ↓ -70% |
| MULTIPLAN | ALL PRODUCTS | $417.46 | ↓ -68% |
| Clear Spring Health | ALL PRODUCTS | $429.39 | ↓ -68% |
| The Legacy Companies | ALL PRODUCTS | $487.50 | ↓ -63% |
| Clarity Health | ALL PRODUCTS | $487.50 | ↓ -63% |
| BLUE CROSS | MBN | $551.00 | ↓ -58% |
| Consociate Health | ALL PRODUCTS | $562.50 | ↓ -57% |
| BLUE CROSS | BSL | $568.00 | ↓ -57% |
| AETNA | All Products First Health | $675.00 | ↓ -49% |
| BLUE CROSS | PPO | $703.00 | ↓ -47% |
| BLUE CROSS | HMO | $706.00 | ↓ -47% |
| BLUE CROSS | NWBI | $803.00 | ↓ -39% |
| BLUE CROSS | NWB | $803.00 | ↓ -39% |
| Clarity Health | All Products | $834.60 | ↓ -37% |
| The Legacy Companies | All Products | $834.60 | ↓ -37% |
| BLUE CROSS | PHS | $1,123.00 | ↓ -15% |
| Aetna | All Products First Health | $1,155.60 | ↓ -13% |
| Cigna | All Products Physician | $1,284.00 | ↓ -3% |
| Cigna | Surefit Physician | $1,284.00 | ↓ -3% |
| Cigna | All Products Mid-Level | $1,284.00 | ↓ -3% |
| Cigna | Surefit Mid-Level | $1,284.00 | ↓ -3% |
| Cigna | Individual Family Plan Physician | $1,284.00 | ↓ -3% |
| Cigna | Individual Family Plan Mid-Level | $1,284.00 | ↓ -3% |
| UNITED | NHP | $1,333.00 | ↑ +1% |
| UNITED | ALL PRODUCTS | $1,590.00 | ↑ +20% |
| UNITED | International | $1,754.00 | ↑ +33% |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
Visitor-reported prices
Comments
Mapping functional cort/subcort ea add'l hr at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $95.95 – $97.97 |
| cleveland clinic florida weston hospital | Weston | $1,322.10 | $63.04 – $821.00 |
| indian river hospital | Vero Beach | $1,322.10 | $141.48 – $1,474.00 |
| Baptist Hospital | MIAMI | $789.10 | $173.17 – $1,092.60 |
| Bethesda Hospital East | BOYNTON BEACH | $789.10 | $236.10 – $1,092.60 |
| Doctors Hospital | CORAL GABLES | $789.10 | $212.45 – $1,092.60 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $789.10 | $211.24 – $1,092.60 |
| Fishermens Community Hospital | MARATHON | $789.10 | $202.74 – $1,092.60 |