Nasal function studies at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$143.00
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.
$220.00
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.
$21.49 with Blue Cross vs $1,203.42 with AVMED — 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 | $21.49 | ↓ -85% |
| Blue Cross | BlueSelect | $21.49 | ↓ -85% |
| Avmed | Medicare Advantage | $24.63 | ↓ -83% |
| Miami Childrens Health Plan | Medicare Advantage | $24.63 | ↓ -83% |
| Blue Cross | Medicare Advantage HMO | $24.63 | ↓ -83% |
| Blue Cross | Medicare Advantage PPO | $24.63 | ↓ -83% |
| United | Medicare Advantage | $24.63 | ↓ -83% |
| Freedom Health | Medicare Advantage | $25.86 | ↓ -82% |
| Careplus | Medicare Advantage | $25.86 | ↓ -82% |
| Blue Cross | Network Blue | $25.92 | ↓ -82% |
| Clear Spring Health | All Products | $26.60 | ↓ -81% |
| Blue Cross | Perferred Patient Care | $26.76 | ↓ -81% |
| Blue Cross | Traditional (PPS) | $26.76 | ↓ -81% |
| Independent Living Systems | Medicare Advantage | $28.54 | ↓ -80% |
| Aetna | Medicare Advantage PCP | $30.54 | ↓ -79% |
| Aetna | Medicare Advantage Specialist | $31.03 | ↓ -78% |
| Avmed | Exchange | $36.36 | ↓ -75% |
| Multiplan | All Products | $36.95 | ↓ -74% |
| Avmed | Select | $37.76 | ↓ -74% |
| Avmed | Broad | $40.56 | ↓ -72% |
| United | All Products | $48.62 | ↓ -66% |
| Freedom Health | Managed Medicaid | $49.28 | ↓ -66% |
| AmeriHealth | Managed Medicaid | $50.76 | ↓ -65% |
| Sunshine Health | Managed Medicaid | $51.74 | ↓ -64% |
| Miami Childrens Health Plan | Managed Medicaid | $51.74 | ↓ -64% |
| Molina | Managed Medicaid | $51.74 | ↓ -64% |
| Molina | Florida Kidcare | $51.74 | ↓ -64% |
| Independent Living Systems | Managed Medicaid | $59.14 | ↓ -59% |
| Cigna | Individual Family Plan Mid-Level | $77.20 | ↓ -46% |
| Cigna | Surefit Mid-Level | $78.67 | ↓ -45% |
| Cigna | All Products Mid-Level | $84.96 | ↓ -41% |
| Simply | Managed Medicaid | $86.13 | ↓ -40% |
| SUNSHINE HEALTH | Managed Medicaid | $86.13 | ↓ -40% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $86.13 | ↓ -40% |
| AMERIHEALTH | Managed Medicaid | $88.71 | ↓ -38% |
| MOLINA | Florida KidCare | $90.44 | ↓ -37% |
| MOLINA | Managed Medicaid | $90.44 | ↓ -37% |
| Cigna | Individual Family Plan Physician | $90.82 | ↓ -36% |
| Cigna | Surefit Physician | $92.55 | ↓ -35% |
| Cigna | All Products Physician | $99.96 | ↓ -30% |
| AETNA | Managed Medicaid/CHIP | $103.36 | ↓ -28% |
| Clarity Health | All Products | $143.00 | ↑ +0% |
| The Legacy Companies | All Products | $143.00 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $165.00 | ↑ +15% |
| Aetna | All Products First Health | $198.00 | ↑ +38% |
| Wellcare | MEDICARE ADVANTAGE | $225.48 | ↑ +58% |
| AETNA | MEDICARE ADVANTAGE | $225.48 | ↑ +58% |
| DEVOTED HEALTH | Medicare Advantage HMO | $248.03 | ↑ +73% |
| HUMANA | Medicare Advantage HMO | $312.58 | ↑ +119% |
| UNITED | MEDICARE ADVANTAGE | $312.58 | ↑ +119% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $312.58 | ↑ +119% |
| BLUE CROSS | Medicare Advantage PPO | $312.58 | ↑ +119% |
| BLUE CROSS | Medicare Advantage HMO | $312.58 | ↑ +119% |
| AVMED | MEDICARE ADVANTAGE | $325.08 | ↑ +127% |
| Careplus | MEDICARE ADVANTAGE | $328.21 | ↑ +130% |
| Freedom Health | MEDICARE ADVANTAGE | $328.21 | ↑ +130% |
| AVMED | EXCHANGE | $547.01 | ↑ +283% |
| AVMED | Select | $922.10 | ↑ +545% |
| AVMED | BROAD | $1,203.42 | ↑ +742% |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Nasal function studies at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $43.70 – $44.62 |
| cleveland clinic florida weston hospital | Weston | $143.00 | $13.32 – $325.08 |
| indian river hospital | Vero Beach | $143.00 | $13.32 – $325.08 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $214.21 – $376.33 |
| Adventhealth Lake Wales | Lake Wales | not published | $225.48 – $500.57 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $214.21 – $481.61 |
| Adventhealth Tampa | Tampa | not published | $225.48 – $500.57 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $214.21 – $492.57 |