Nm imaging hepatobiliary system w/pharmacologic intervention at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$3,275.35
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.
$5,039.00
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.
$32.02 with Blue Cross vs $4,178.70 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 | BlueSelect | $32.02 | ↓ -99% |
| Blue Cross | Health Options | $32.02 | ↓ -99% |
| Blue Cross | Network Blue | $38.61 | ↓ -99% |
| Blue Cross | Perferred Patient Care | $39.86 | ↓ -99% |
| Blue Cross | Traditional (PPS) | $39.86 | ↓ -99% |
| Blue Cross | Medicare Advantage HMO | $42.78 | ↓ -99% |
| Miami Childrens Health Plan | Medicare Advantage | $42.78 | ↓ -99% |
| United | Medicare Advantage | $42.78 | ↓ -99% |
| Blue Cross | Medicare Advantage PPO | $42.78 | ↓ -99% |
| Avmed | Medicare Advantage | $42.78 | ↓ -99% |
| Independent Living Systems | Medicare Advantage | $43.48 | ↓ -99% |
| Freedom Health | Medicare Advantage | $44.92 | ↓ -99% |
| Careplus | Medicare Advantage | $44.92 | ↓ -99% |
| Clear Spring Health | All Products | $46.20 | ↓ -99% |
| Aetna | Medicare Advantage PCP | $53.05 | ↓ -98% |
| Aetna | Medicare Advantage Specialist | $53.90 | ↓ -98% |
| United | All Products | $54.29 | ↓ -98% |
| Avmed | Exchange | $54.96 | ↓ -98% |
| Avmed | Select | $57.08 | ↓ -98% |
| Avmed | Broad | $61.31 | ↓ -98% |
| Multiplan | All Products | $64.17 | ↓ -98% |
| Simply | Managed Medicaid | $237.02 | ↓ -93% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $237.02 | ↓ -93% |
| SUNSHINE HEALTH | Managed Medicaid | $237.02 | ↓ -93% |
| Freedom Health | Managed Medicaid | $237.02 | ↓ -93% |
| AMERIHEALTH | Managed Medicaid | $244.13 | ↓ -93% |
| Miami Childrens Health Plan | Managed Medicaid | $248.87 | ↓ -92% |
| MOLINA | Managed Medicaid | $248.87 | ↓ -92% |
| MOLINA | Florida KidCare | $248.87 | ↓ -92% |
| Clarity Health | All Products | $257.40 | ↓ -92% |
| The Legacy Companies | All Products | $257.40 | ↓ -92% |
| AETNA | Managed Medicaid/CHIP | $284.42 | ↓ -91% |
| Independent Living Systems | Managed Medicaid | $284.42 | ↓ -91% |
| Consociate Health | ALL PRODUCTS | $297.00 | ↓ -91% |
| Aetna | All Products First Health | $356.40 | ↓ -89% |
| Cigna | All Products Physician | $396.00 | ↓ -88% |
| Cigna | Surefit Mid-Level | $396.00 | ↓ -88% |
| Cigna | Surefit Physician | $396.00 | ↓ -88% |
| Cigna | All Products Mid-Level | $396.00 | ↓ -88% |
| Cigna | Individual Family Plan Physician | $396.00 | ↓ -88% |
| Cigna | Individual Family Plan Mid-Level | $396.00 | ↓ -88% |
| Aetna | All Products Anesthesia | $402.70 | ↓ -88% |
| Aetna | All Products PCP | $520.14 | ↓ -84% |
| HUMANA | Medicare Advantage HMO | $540.30 | ↓ -84% |
| BLUE CROSS | Medicare Advantage HMO | $540.30 | ↓ -84% |
| BLUE CROSS | Medicare Advantage PPO | $540.30 | ↓ -84% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $540.30 | ↓ -84% |
| UNITED | MEDICARE ADVANTAGE | $540.30 | ↓ -84% |
| AVMED | MEDICARE ADVANTAGE | $561.92 | ↓ -83% |
| MULTIPLAN | ALL PRODUCTS | $565.50 | ↓ -83% |
| Wellcare | MEDICARE ADVANTAGE | $567.01 | ↓ -83% |
| AETNA | MEDICARE ADVANTAGE | $567.01 | ↓ -83% |
| Freedom Health | MEDICARE ADVANTAGE | $567.32 | ↓ -83% |
| Careplus | MEDICARE ADVANTAGE | $567.32 | ↓ -83% |
| Clear Spring Health | ALL PRODUCTS | $581.66 | ↓ -82% |
| DEVOTED HEALTH | Medicare Advantage HMO | $623.71 | ↓ -81% |
| Aetna | All Products Specialist | $639.78 | ↓ -80% |
| BLUE CROSS | MBN | $649.00 | ↓ -80% |
| BLUE CROSS | BSL | $741.00 | ↓ -77% |
| BLUE CROSS | HMO | $880.00 | ↓ -73% |
| AVMED | EXCHANGE | $945.53 | ↓ -71% |
| BLUE CROSS | NWBI | $1,019.00 | ↓ -69% |
| BLUE CROSS | NWB | $1,019.00 | ↓ -69% |
| UNITED | ALL PRODUCTS | $1,061.96 | ↓ -68% |
| UNITED | International | $1,061.96 | ↓ -68% |
| UNITED | NHP | $1,061.96 | ↓ -68% |
| BLUE CROSS | PHS | $1,205.00 | ↓ -63% |
| CIGNA | Individual Family Plan | $1,313.97 | ↓ -60% |
| AETNA | QHP | $1,360.40 | ↓ -58% |
| BLUE CROSS | PPO | $1,437.00 | ↓ -56% |
| AETNA | ALL PRODUCTS | $1,448.62 | ↓ -56% |
| AETNA | All Products New Business | $1,518.26 | ↓ -54% |
| AVMED | Select | $1,593.90 | ↓ -51% |
| CIGNA | SUREFIT | $1,898.99 | ↓ -42% |
| AVMED | BROAD | $2,080.17 | ↓ -36% |
| BMI | ALL PRODUCTS | $2,321.50 | ↓ -29% |
| CIGNA | ALL PRODUCTS | $2,451.50 | ↓ -25% |
| The Legacy Companies | ALL PRODUCTS | $3,017.95 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $3,017.95 | ↓ -8% |
| AETNA | All Products First Health | $4,178.70 | ↑ +28% |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
Visitor-reported prices
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Nm imaging hepatobiliary system w/pharmacologic intervention at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | $8,832.00 | $1,101.15 – $1,751.89 |
| Adventhealth Daytona Beach | Daytona Beach | $1,203.02 | $538.66 – $946.34 |
| Adventhealth Lake Wales | Lake Wales | $3,484.26 | $504.57 – $1,258.77 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,275.05 | $538.66 – $1,211.08 |
| Adventhealth Tampa | Tampa | $4,656.91 | $497.56 – $1,258.77 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,765.34 | $538.66 – $1,238.64 |
| Adventhealth Port Charlotte | Port Charlotte | $3,665.85 | $519.99 – $1,035.36 |
| cleveland clinic florida weston hospital | Weston | $3,275.35 | $35.78 – $3,946.55 |