Ophth Ultrasound b & quant a at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$722.15
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.
$1,111.00
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.
$69.38 with Independent Living Systems vs $999.90 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 |
|---|---|---|---|
| Independent Living Systems | Medicare Advantage | $69.38 | ↓ -90% |
| Simply | Managed Medicaid | $69.84 | ↓ -90% |
| SUNSHINE HEALTH | Managed Medicaid | $69.84 | ↓ -90% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $69.84 | ↓ -90% |
| Freedom Health | Managed Medicaid | $69.84 | ↓ -90% |
| Blue Cross | Medicare Advantage HMO | $70.28 | ↓ -90% |
| United | Medicare Advantage | $70.28 | ↓ -90% |
| Blue Cross | Medicare Advantage PPO | $70.28 | ↓ -90% |
| Avmed | Medicare Advantage | $70.28 | ↓ -90% |
| Miami Childrens Health Plan | Medicare Advantage | $70.28 | ↓ -90% |
| AMERIHEALTH | Managed Medicaid | $71.94 | ↓ -90% |
| Miami Childrens Health Plan | Managed Medicaid | $73.33 | ↓ -90% |
| MOLINA | Managed Medicaid | $73.33 | ↓ -90% |
| MOLINA | Florida KidCare | $73.33 | ↓ -90% |
| Freedom Health | Medicare Advantage | $73.79 | ↓ -90% |
| Careplus | Medicare Advantage | $73.79 | ↓ -90% |
| Clear Spring Health | All Products | $75.90 | ↓ -89% |
| AETNA | Managed Medicaid/CHIP | $83.81 | ↓ -88% |
| Independent Living Systems | Managed Medicaid | $83.81 | ↓ -88% |
| Aetna | Medicare Advantage PCP | $87.15 | ↓ -88% |
| Aetna | Medicare Advantage Specialist | $88.55 | ↓ -88% |
| United | All Products | $88.60 | ↓ -88% |
| Avmed | Exchange | $89.70 | ↓ -88% |
| Avmed | Select | $93.15 | ↓ -87% |
| MULTIPLAN | ALL PRODUCTS | $95.62 | ↓ -87% |
| Clear Spring Health | ALL PRODUCTS | $98.36 | ↓ -86% |
| Avmed | Broad | $100.05 | ↓ -86% |
| Multiplan | All Products | $105.42 | ↓ -85% |
| UNITED | MEDICARE ADVANTAGE | $129.39 | ↓ -82% |
| BLUE CROSS | Medicare Advantage PPO | $129.39 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $129.39 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $129.39 | ↓ -82% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $129.39 | ↓ -82% |
| Blue Cross | BlueSelect | $133.06 | ↓ -82% |
| Blue Cross | Health Options | $133.06 | ↓ -82% |
| AVMED | MEDICARE ADVANTAGE | $134.56 | ↓ -81% |
| Freedom Health | MEDICARE ADVANTAGE | $135.86 | ↓ -81% |
| Careplus | MEDICARE ADVANTAGE | $135.86 | ↓ -81% |
| AETNA | MEDICARE ADVANTAGE | $138.94 | ↓ -81% |
| Wellcare | MEDICARE ADVANTAGE | $138.94 | ↓ -81% |
| DEVOTED HEALTH | Medicare Advantage HMO | $152.83 | ↓ -79% |
| Blue Cross | Network Blue | $160.46 | ↓ -78% |
| BLUE CROSS | MBN | $164.00 | ↓ -77% |
| BLUE CROSS | BSL | $164.00 | ↓ -77% |
| Blue Cross | Perferred Patient Care | $165.68 | ↓ -77% |
| Blue Cross | Traditional (PPS) | $165.68 | ↓ -77% |
| The Legacy Companies | All Products | $200.20 | ↓ -72% |
| Clarity Health | All Products | $200.20 | ↓ -72% |
| BLUE CROSS | HMO | $207.00 | ↓ -71% |
| BLUE CROSS | NWB | $221.00 | ↓ -69% |
| BLUE CROSS | NWBI | $221.00 | ↓ -69% |
| AVMED | EXCHANGE | $226.43 | ↓ -69% |
| Consociate Health | ALL PRODUCTS | $231.00 | ↓ -68% |
| UNITED | ALL PRODUCTS | $245.32 | ↓ -66% |
| UNITED | International | $245.32 | ↓ -66% |
| UNITED | NHP | $245.32 | ↓ -66% |
| Aetna | All Products First Health | $277.20 | ↓ -62% |
| Cigna | Individual Family Plan Physician | $308.00 | ↓ -57% |
| BLUE CROSS | PHS | $308.00 | ↓ -57% |
| Cigna | All Products Mid-Level | $308.00 | ↓ -57% |
| Cigna | All Products Physician | $308.00 | ↓ -57% |
| Cigna | Individual Family Plan Mid-Level | $308.00 | ↓ -57% |
| Cigna | Surefit Mid-Level | $308.00 | ↓ -57% |
| Cigna | Surefit Physician | $308.00 | ↓ -57% |
| CIGNA | Individual Family Plan | $314.41 | ↓ -56% |
| AETNA | QHP | $325.52 | ↓ -55% |
| AETNA | ALL PRODUCTS | $346.63 | ↓ -52% |
| AETNA | All Products New Business | $363.30 | ↓ -50% |
| AVMED | Select | $381.69 | ↓ -47% |
| CIGNA | SUREFIT | $454.40 | ↓ -37% |
| AVMED | BROAD | $498.14 | ↓ -31% |
| BLUE CROSS | PPO | $543.00 | ↓ -25% |
| BMI | ALL PRODUCTS | $555.50 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $586.61 | ↓ -19% |
| The Legacy Companies | ALL PRODUCTS | $722.15 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $722.15 | ↑ +0% |
| AETNA | All Products First Health | $999.90 | ↑ +38% |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Ophth Ultrasound b & quant a at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $251.89 – $755.91 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $131.99 – $302.73 |
| Adventhealth Lake Wales | Lake Wales | not published | $138.94 – $308.45 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $131.99 – $411.62 |
| Adventhealth Tampa | Tampa | not published | $138.94 – $308.45 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $131.99 – $395.29 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $251.89 – $725.48 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $138.94 – $253.70 |