Observation/inpatient hospital care low severity 99234 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$520.00
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.
?
What you pay up front if you don't use insurance.
$800.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$77.30 with Freedom Health vs $800.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Freedom Health | Managed Medicaid | $77.30 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $79.62 | ↓ -85% |
| Molina | Managed Medicaid | $81.17 | ↓ -84% |
| Sunshine Health | Managed Medicaid | $81.17 | ↓ -84% |
| Miami Childrens Health Plan | Managed Medicaid | $81.17 | ↓ -84% |
| Molina | Florida Kidcare | $81.17 | ↓ -84% |
| Independent Living Systems | Managed Medicaid | $92.76 | ↓ -82% |
| Blue Cross | Medicare Advantage HMO | $93.70 | ↓ -82% |
| Miami Childrens Health Plan | Medicare Advantage | $93.70 | ↓ -82% |
| Avmed | Medicare Advantage | $93.70 | ↓ -82% |
| United | Medicare Advantage | $93.70 | ↓ -82% |
| Blue Cross | Medicare Advantage PPO | $93.70 | ↓ -82% |
| Freedom Health | Medicare Advantage | $98.39 | ↓ -81% |
| Careplus | Medicare Advantage | $98.39 | ↓ -81% |
| Blue Cross | Health Options | $100.95 | ↓ -81% |
| Blue Cross | BlueSelect | $100.95 | ↓ -81% |
| Clear Spring Health | All Products | $101.20 | ↓ -81% |
| Independent Living Systems | Medicare Advantage | $102.63 | ↓ -80% |
| Aetna | Medicare Advantage PCP | $116.19 | ↓ -78% |
| Aetna | Medicare Advantage Specialist | $118.06 | ↓ -77% |
| Blue Cross | Network Blue | $121.74 | ↓ -77% |
| Blue Cross | Traditional (PPS) | $125.69 | ↓ -76% |
| Blue Cross | Perferred Patient Care | $125.69 | ↓ -76% |
| Avmed | Exchange | $131.09 | ↓ -75% |
| Avmed | Select | $136.13 | ↓ -74% |
| Multiplan | All Products | $140.55 | ↓ -73% |
| Avmed | Broad | $146.22 | ↓ -72% |
| United | All Products | $170.48 | ↓ -67% |
| The Legacy Companies | All Products | $520.00 | ↑ +0% |
| Clarity Health | All Products | $520.00 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $600.00 | ↑ +15% |
| Aetna | All Products First Health | $720.00 | ↑ +38% |
| Cigna | Surefit Physician | $800.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $800.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $800.00 | ↑ +54% |
| Cigna | All Products Physician | $800.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $800.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $800.00 | ↑ +54% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
Visitor-reported prices
Comments
Observation/inpatient hospital care low severity 99234 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $149.15 – $152.29 |
| cleveland clinic florida weston hospital | Weston | $520.00 | $61.98 – $800.00 |
| indian river hospital | Vero Beach | $520.00 | $50.00 – $800.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $143.45 – $146.47 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $143.45 – $146.47 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $149.15 – $152.29 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $236.98 – $236.98 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | not published | $134.79 – $134.79 |