MRI guid ndl plc s&i at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,667.90
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.
$2,566.00
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.
$56.94 with Blue Cross vs $2,309.40 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 | $56.94 | ↓ -97% |
| Blue Cross | BlueSelect | $56.94 | ↓ -97% |
| Blue Cross | Network Blue | $68.66 | ↓ -96% |
| Blue Cross | Traditional (PPS) | $70.90 | ↓ -96% |
| Blue Cross | Perferred Patient Care | $70.90 | ↓ -96% |
| Blue Cross | Medicare Advantage PPO | $72.37 | ↓ -96% |
| Avmed | Medicare Advantage | $72.37 | ↓ -96% |
| United | Medicare Advantage | $72.37 | ↓ -96% |
| Blue Cross | Medicare Advantage HMO | $72.37 | ↓ -96% |
| Miami Childrens Health Plan | Medicare Advantage | $72.37 | ↓ -96% |
| Independent Living Systems | Medicare Advantage | $72.60 | ↓ -96% |
| Careplus | Medicare Advantage | $75.99 | ↓ -95% |
| Freedom Health | Medicare Advantage | $75.99 | ↓ -95% |
| Clear Spring Health | All Products | $78.16 | ↓ -95% |
| Aetna | Medicare Advantage PCP | $89.74 | ↓ -95% |
| Aetna | Medicare Advantage Specialist | $91.19 | ↓ -95% |
| United | All Products | $91.25 | ↓ -95% |
| Avmed | Exchange | $92.39 | ↓ -94% |
| Avmed | Select | $95.94 | ↓ -94% |
| Avmed | Broad | $103.05 | ↓ -94% |
| Multiplan | All Products | $108.56 | ↓ -93% |
| Freedom Health | Managed Medicaid | $130.74 | ↓ -92% |
| Simply | Managed Medicaid | $130.74 | ↓ -92% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $130.74 | ↓ -92% |
| SUNSHINE HEALTH | Managed Medicaid | $130.74 | ↓ -92% |
| AMERIHEALTH | Managed Medicaid | $134.66 | ↓ -92% |
| MOLINA | Managed Medicaid | $137.28 | ↓ -92% |
| MOLINA | Florida KidCare | $137.28 | ↓ -92% |
| Miami Childrens Health Plan | Managed Medicaid | $137.28 | ↓ -92% |
| AETNA | Managed Medicaid/CHIP | $156.89 | ↓ -91% |
| Independent Living Systems | Managed Medicaid | $156.89 | ↓ -91% |
| The Legacy Companies | All Products | $390.00 | ↓ -77% |
| Clarity Health | All Products | $390.00 | ↓ -77% |
| Aetna | All Products Anesthesia | $433.43 | ↓ -74% |
| Consociate Health | ALL PRODUCTS | $450.00 | ↓ -73% |
| AETNA | MEDICARE ADVANTAGE | $533.73 | ↓ -68% |
| Aetna | All Products First Health | $540.00 | ↓ -68% |
| Aetna | All Products PCP | $559.82 | ↓ -66% |
| Cigna | Surefit Mid-Level | $600.00 | ↓ -64% |
| Cigna | All Products Mid-Level | $600.00 | ↓ -64% |
| Cigna | All Products Physician | $600.00 | ↓ -64% |
| Cigna | Individual Family Plan Physician | $600.00 | ↓ -64% |
| Cigna | Individual Family Plan Mid-Level | $600.00 | ↓ -64% |
| Cigna | Surefit Physician | $600.00 | ↓ -64% |
| MULTIPLAN | ALL PRODUCTS | $626.78 | ↓ -62% |
| Clear Spring Health | ALL PRODUCTS | $644.68 | ↓ -61% |
| Aetna | All Products Specialist | $688.59 | ↓ -59% |
| CIGNA | Individual Family Plan | $726.18 | ↓ -56% |
| AVMED | EXCHANGE | $769.80 | ↓ -54% |
| AVMED | Select | $769.80 | ↓ -54% |
| AVMED | BROAD | $975.08 | ↓ -42% |
| CIGNA | SUREFIT | $1,049.49 | ↓ -37% |
| BMI | ALL PRODUCTS | $1,283.00 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $1,354.85 | ↓ -19% |
| The Legacy Companies | ALL PRODUCTS | $1,667.90 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $1,667.90 | ↑ +0% |
| AETNA | QHP | $1,677.00 | ↑ +1% |
| AETNA | All Products New Business | $2,027.00 | ↑ +22% |
| AETNA | ALL PRODUCTS | $2,278.00 | ↑ +37% |
| AETNA | All Products First Health | $2,309.40 | ↑ +38% |
| Molina | Florida Kidcare | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| BLUE CROSS | MBN | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
MRI guid ndl plc s&i at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | $2,514.00 | $1,499.00 – $1,499.00 |
| Adventhealth Tampa | Tampa | $4,381.89 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $3,165.13 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $11,267.00 | $946.00 – $946.00 |
| cleveland clinic florida weston hospital | Weston | $2,057.90 | $63.64 – $2,181.10 |
| indian river hospital | Vero Beach | $1,667.90 | $68.10 – $2,052.80 |
| Baptist Hospital | MIAMI | $4,470.05 | $132.75 – $6,189.30 |
| Bethesda Hospital East | BOYNTON BEACH | $4,470.05 | $132.75 – $6,189.30 |