Oncoprotein dcp at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$354.25
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.
$545.00
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.
$14.09 with Simply vs $490.50 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 |
|---|---|---|---|
| Simply | Managed Medicaid | $14.09 | ↓ -96% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $14.09 | ↓ -96% |
| Freedom Health | Managed Medicaid | $14.09 | ↓ -96% |
| SUNSHINE HEALTH | Managed Medicaid | $14.09 | ↓ -96% |
| AMERIHEALTH | Managed Medicaid | $14.51 | ↓ -96% |
| Miami Childrens Health Plan | Managed Medicaid | $14.79 | ↓ -96% |
| MOLINA | Florida KidCare | $14.79 | ↓ -96% |
| MOLINA | Managed Medicaid | $14.79 | ↓ -96% |
| AETNA | Managed Medicaid/CHIP | $16.91 | ↓ -95% |
| Independent Living Systems | Managed Medicaid | $16.91 | ↓ -95% |
| HUMANA | Medicare Advantage HMO | $64.41 | ↓ -82% |
| UNITED | NHP | $64.41 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $64.41 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $64.41 | ↓ -82% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $64.41 | ↓ -82% |
| Wellcare | MEDICARE ADVANTAGE | $64.41 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $64.41 | ↓ -82% |
| BLUE CROSS | Medicare Advantage PPO | $64.41 | ↓ -82% |
| AVMED | MEDICARE ADVANTAGE | $66.99 | ↓ -81% |
| Careplus | MEDICARE ADVANTAGE | $67.63 | ↓ -81% |
| Freedom Health | MEDICARE ADVANTAGE | $67.63 | ↓ -81% |
| DEVOTED HEALTH | Medicare Advantage HMO | $70.85 | ↓ -80% |
| CIGNA | Individual Family Plan | $94.90 | ↓ -73% |
| CIGNA | SUREFIT | $125.60 | ↓ -65% |
| AETNA | QHP | $159.69 | ↓ -55% |
| AVMED | Select | $163.50 | ↓ -54% |
| AVMED | EXCHANGE | $163.50 | ↓ -54% |
| CIGNA | ALL PRODUCTS | $167.08 | ↓ -53% |
| AETNA | ALL PRODUCTS | $170.04 | ↓ -52% |
| AETNA | All Products New Business | $178.22 | ↓ -50% |
| AVMED | BROAD | $207.10 | ↓ -42% |
| BMI | ALL PRODUCTS | $272.50 | ↓ -23% |
| The Legacy Companies | ALL PRODUCTS | $354.25 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $354.25 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $408.75 | ↑ +15% |
| AETNA | All Products First Health | $490.50 | ↑ +38% |
| BLUE CROSS | MBN | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| MULTIPLAN | ALL PRODUCTS | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Oncoprotein dcp at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $64.13 – $145.57 |
| Adventhealth Daytona Beach | Daytona Beach | $430.64 | $61.19 – $107.50 |
| Adventhealth Lake Wales | Lake Wales | $223.68 | $64.41 – $142.99 |
| Adventhealth Tampa | Tampa | $994.17 | $64.41 – $142.99 |
| Adventhealth Port Charlotte | Port Charlotte | $225.44 | $64.41 – $117.61 |
| cleveland clinic florida weston hospital | Weston | $354.25 | $13.39 – $463.25 |
| indian river hospital | Vero Beach | $354.25 | $13.39 – $436.00 |
| Boca Raton Regional Hospital | BOCA RATON | $217.10 | $64.41 – $213.53 |