Opn ax/subcla art expos at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$16,076.45
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.
$24,733.00
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.
$222.39 with Freedom Health vs $22,259.70 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 |
|---|---|---|---|
| Freedom Health | Managed Medicaid | $222.39 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $229.06 | ↓ -99% |
| Molina | Managed Medicaid | $233.51 | ↓ -99% |
| Miami Childrens Health Plan | Managed Medicaid | $233.51 | ↓ -99% |
| Molina | Florida Kidcare | $233.51 | ↓ -99% |
| Sunshine Health | Managed Medicaid | $233.51 | ↓ -99% |
| Independent Living Systems | Managed Medicaid | $266.87 | ↓ -98% |
| United | Medicare Advantage | $311.35 | ↓ -98% |
| Blue Cross | Medicare Advantage PPO | $311.35 | ↓ -98% |
| Blue Cross | Medicare Advantage HMO | $311.35 | ↓ -98% |
| Avmed | Medicare Advantage | $311.35 | ↓ -98% |
| Miami Childrens Health Plan | Medicare Advantage | $311.35 | ↓ -98% |
| Freedom Health | Medicare Advantage | $326.92 | ↓ -98% |
| Careplus | Medicare Advantage | $326.92 | ↓ -98% |
| Independent Living Systems | Medicare Advantage | $334.18 | ↓ -98% |
| Clear Spring Health | All Products | $336.26 | ↓ -98% |
| MULTIPLAN | ALL PRODUCTS | $363.98 | ↓ -98% |
| Clear Spring Health | ALL PRODUCTS | $374.38 | ↓ -98% |
| Aetna | Medicare Advantage PCP | $386.07 | ↓ -98% |
| Aetna | Medicare Advantage Specialist | $392.30 | ↓ -98% |
| Avmed | Exchange | $426.45 | ↓ -97% |
| Avmed | Select | $442.85 | ↓ -97% |
| Multiplan | All Products | $467.03 | ↓ -97% |
| UNITED | NHP | $474.00 | ↓ -97% |
| Avmed | Broad | $475.66 | ↓ -97% |
| UNITED | ALL PRODUCTS | $568.00 | ↓ -96% |
| United | All Products | $620.68 | ↓ -96% |
| UNITED | International | $625.00 | ↓ -96% |
| The Legacy Companies | All Products | $1,560.00 | ↓ -90% |
| Clarity Health | All Products | $1,560.00 | ↓ -90% |
| Consociate Health | ALL PRODUCTS | $1,800.00 | ↓ -89% |
| Aetna | All Products First Health | $2,160.00 | ↓ -87% |
| Cigna | All Products Physician | $2,400.00 | ↓ -85% |
| Cigna | Surefit Physician | $2,400.00 | ↓ -85% |
| Cigna | Surefit Mid-Level | $2,400.00 | ↓ -85% |
| Cigna | Individual Family Plan Physician | $2,400.00 | ↓ -85% |
| Cigna | Individual Family Plan Mid-Level | $2,400.00 | ↓ -85% |
| Cigna | All Products Mid-Level | $2,400.00 | ↓ -85% |
| Simply | Managed Medicaid | $2,481.51 | ↓ -85% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $2,481.51 | ↓ -85% |
| SUNSHINE HEALTH | Managed Medicaid | $2,481.51 | ↓ -85% |
| AMERIHEALTH | Managed Medicaid | $2,555.96 | ↓ -84% |
| MOLINA | Florida KidCare | $2,605.59 | ↓ -84% |
| MOLINA | Managed Medicaid | $2,605.59 | ↓ -84% |
| AETNA | Managed Medicaid/CHIP | $2,977.81 | ↓ -81% |
| AETNA | QHP | $3,289.00 | ↓ -80% |
| AETNA | All Products New Business | $3,800.00 | ↓ -76% |
| AETNA | ALL PRODUCTS | $4,270.00 | ↓ -73% |
| AETNA | MEDICARE ADVANTAGE | $5,144.46 | ↓ -68% |
| CIGNA | Individual Family Plan | $6,999.44 | ↓ -56% |
| AVMED | Select | $7,419.90 | ↓ -54% |
| AVMED | EXCHANGE | $7,419.90 | ↓ -54% |
| AVMED | BROAD | $9,398.54 | ↓ -42% |
| CIGNA | SUREFIT | $10,115.80 | ↓ -37% |
| BMI | ALL PRODUCTS | $12,366.50 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $13,059.02 | ↓ -19% |
| The Legacy Companies | ALL PRODUCTS | $16,076.45 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $16,076.45 | ↑ +0% |
| AETNA | All Products First Health | $22,259.70 | ↑ +38% |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Blue Cross | BlueSelect | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| BLUE CROSS | MBN | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
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Opn ax/subcla art expos at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $2,640.17 – $2,695.76 |
| cleveland clinic florida weston hospital | Weston | $1,560.00 | $222.39 – $2,977.81 |
| indian river hospital | Vero Beach | $1,560.00 | $222.39 – $2,729.66 |
| Baptist Hospital | MIAMI | $4,723.55 | $173.17 – $3,270.60 |
| Bethesda Hospital East | BOYNTON BEACH | $4,723.55 | $1,024.79 – $3,634.00 |
| Doctors Hospital | CORAL GABLES | $4,723.55 | $366.00 – $3,270.60 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $4,723.55 | $366.00 – $3,270.60 |
| Homestead Hospital | HOMESTEAD | $4,723.55 | $167.89 – $3,270.60 |