Patient recorded spirometry at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$148.85
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.
$229.00
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.
$35.77 with Blue Cross vs $1,542.11 with AVMED — 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 | $35.77 | ↓ -76% |
| Blue Cross | Health Options | $35.77 | ↓ -76% |
| Blue Cross | Network Blue | $43.13 | ↓ -71% |
| Blue Cross | Traditional (PPS) | $44.53 | ↓ -70% |
| Blue Cross | Perferred Patient Care | $44.53 | ↓ -70% |
| Independent Living Systems | Medicare Advantage | $57.77 | ↓ -61% |
| Avmed | Medicare Advantage | $61.44 | ↓ -59% |
| Blue Cross | Medicare Advantage HMO | $61.44 | ↓ -59% |
| Blue Cross | Medicare Advantage PPO | $61.44 | ↓ -59% |
| United | Medicare Advantage | $61.44 | ↓ -59% |
| Miami Childrens Health Plan | Medicare Advantage | $61.44 | ↓ -59% |
| Careplus | Medicare Advantage | $64.51 | ↓ -57% |
| Freedom Health | Medicare Advantage | $64.51 | ↓ -57% |
| Clear Spring Health | All Products | $66.36 | ↓ -55% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $69.14 | ↓ -54% |
| SUNSHINE HEALTH | Managed Medicaid | $69.14 | ↓ -54% |
| Simply | Managed Medicaid | $69.14 | ↓ -54% |
| Freedom Health | Managed Medicaid | $69.14 | ↓ -54% |
| AMERIHEALTH | Managed Medicaid | $71.21 | ↓ -52% |
| Miami Childrens Health Plan | Managed Medicaid | $72.60 | ↓ -51% |
| MOLINA | Florida KidCare | $72.60 | ↓ -51% |
| MOLINA | Managed Medicaid | $72.60 | ↓ -51% |
| Avmed | Exchange | $73.61 | ↓ -51% |
| Aetna | Medicare Advantage PCP | $76.19 | ↓ -49% |
| Avmed | Select | $76.44 | ↓ -49% |
| Aetna | Medicare Advantage Specialist | $77.41 | ↓ -48% |
| Avmed | Broad | $82.10 | ↓ -45% |
| Independent Living Systems | Managed Medicaid | $82.97 | ↓ -44% |
| AETNA | Managed Medicaid/CHIP | $82.97 | ↓ -44% |
| Multiplan | All Products | $92.16 | ↓ -38% |
| United | All Products | $98.43 | ↓ -34% |
| Clarity Health | All Products | $148.85 | ↑ +0% |
| The Legacy Companies | All Products | $148.85 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $171.75 | ↑ +15% |
| Aetna | All Products First Health | $206.10 | ↑ +38% |
| Cigna | Surefit Mid-Level | $229.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $229.00 | ↑ +54% |
| Cigna | Surefit Physician | $229.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $229.00 | ↑ +54% |
| Cigna | All Products Physician | $229.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $229.00 | ↑ +54% |
| BLUE CROSS | Medicare Advantage HMO | $400.55 | ↑ +169% |
| BLUE CROSS | Medicare Advantage PPO | $400.55 | ↑ +169% |
| UNITED | MEDICARE ADVANTAGE | $400.55 | ↑ +169% |
| HUMANA | Medicare Advantage HMO | $400.55 | ↑ +169% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $400.55 | ↑ +169% |
| AVMED | MEDICARE ADVANTAGE | $416.57 | ↑ +180% |
| Careplus | MEDICARE ADVANTAGE | $420.58 | ↑ +183% |
| Freedom Health | MEDICARE ADVANTAGE | $420.58 | ↑ +183% |
| AETNA | MEDICARE ADVANTAGE | $466.50 | ↑ +213% |
| Wellcare | MEDICARE ADVANTAGE | $466.50 | ↑ +213% |
| DEVOTED HEALTH | Medicare Advantage HMO | $513.16 | ↑ +245% |
| AVMED | EXCHANGE | $700.96 | ↑ +371% |
| AVMED | Select | $1,181.62 | ↑ +694% |
| AVMED | BROAD | $1,542.11 | ↑ +936% |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
Visitor-reported prices
Comments
Patient recorded spirometry at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $60.80 – $62.08 |
| indian river hospital | Vero Beach | $148.85 | $26.63 – $513.16 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | $314.05 | $57.95 – $61.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $57.95 – $59.17 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $466.50 – $851.84 |
| cleveland clinic florida weston hospital | Weston | not published | $65.68 – $513.16 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $57.95 – $59.17 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $60.80 – $62.08 |