Njx aa&/strd lmbr plex nfs at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$4,991.35
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.
$7,679.00
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.
$84.00 with MULTIPLAN vs $14,047.00 with BLUE CROSS — 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 |
|---|---|---|---|
| MULTIPLAN | ALL PRODUCTS | $84.00 | ↓ -98% |
| Clear Spring Health | ALL PRODUCTS | $86.40 | ↓ -98% |
| HUMANA | Medicare Advantage HMO | $893.66 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $893.66 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $893.66 | ↓ -82% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $893.66 | ↓ -82% |
| BLUE CROSS | Medicare Advantage PPO | $893.66 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $923.64 | ↓ -81% |
| Wellcare | MEDICARE ADVANTAGE | $923.64 | ↓ -81% |
| AVMED | MEDICARE ADVANTAGE | $929.40 | ↓ -81% |
| Freedom Health | MEDICARE ADVANTAGE | $938.34 | ↓ -81% |
| Careplus | MEDICARE ADVANTAGE | $938.34 | ↓ -81% |
| Simply | Managed Medicaid | $959.54 | ↓ -81% |
| Freedom Health | Managed Medicaid | $959.54 | ↓ -81% |
| SUNSHINE HEALTH | Managed Medicaid | $959.54 | ↓ -81% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $959.54 | ↓ -81% |
| AMERIHEALTH | Managed Medicaid | $988.33 | ↓ -80% |
| Miami Childrens Health Plan | Managed Medicaid | $1,007.52 | ↓ -80% |
| MOLINA | Florida KidCare | $1,007.52 | ↓ -80% |
| MOLINA | Managed Medicaid | $1,007.52 | ↓ -80% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,016.00 | ↓ -80% |
| AETNA | Managed Medicaid/CHIP | $1,151.45 | ↓ -77% |
| Independent Living Systems | Managed Medicaid | $1,151.45 | ↓ -77% |
| AVMED | EXCHANGE | $1,563.90 | ↓ -69% |
| UNITED | NHP | $1,901.00 | ↓ -62% |
| BLUE CROSS | BSL | $2,091.00 | ↓ -58% |
| CIGNA | Individual Family Plan | $2,173.16 | ↓ -56% |
| UNITED | ALL PRODUCTS | $2,277.00 | ↓ -54% |
| UNITED | International | $2,500.00 | ↓ -50% |
| AVMED | Select | $2,636.28 | ↓ -47% |
| CIGNA | SUREFIT | $3,140.71 | ↓ -37% |
| AETNA | QHP | $3,289.00 | ↓ -34% |
| AVMED | BROAD | $3,440.57 | ↓ -31% |
| AETNA | All Products New Business | $3,800.00 | ↓ -24% |
| BMI | ALL PRODUCTS | $3,839.50 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $4,054.51 | ↓ -19% |
| AETNA | ALL PRODUCTS | $4,270.00 | ↓ -14% |
| The Legacy Companies | ALL PRODUCTS | $4,991.35 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $4,991.35 | ↑ +0% |
| BLUE CROSS | MBN | $5,736.00 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $5,759.25 | ↑ +15% |
| AETNA | All Products First Health | $6,911.10 | ↑ +38% |
| BLUE CROSS | HMO | $7,574.00 | ↑ +52% |
| BLUE CROSS | PPO | $8,450.00 | ↑ +69% |
| BLUE CROSS | NWB | $10,615.00 | ↑ +113% |
| BLUE CROSS | NWBI | $10,615.00 | ↑ +113% |
| BLUE CROSS | PHS | $14,047.00 | ↑ +181% |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Njx aa&/strd lmbr plex nfs at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $3,583.59 – $3,659.03 |
| cleveland clinic florida weston hospital | Weston | $363.35 | $49.79 – $1,016.00 |
| indian river hospital | Vero Beach | $363.35 | $49.79 – $1,016.00 |
| AdventHealth Orlando | Orlando | $2,674.00 | $923.64 – $2,447.64 |
| Adventhealth Carrollwood | Tampa | $2,719.69 | $923.64 – $2,050.47 |
| Adventhealth Tampa | Tampa | not published | $923.64 – $2,050.47 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $3,439.31 – $3,511.72 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $923.64 – $1,686.56 |