Photchmtx tar&uvb/ptrltm&uvb at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$87.10
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.
$134.00
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.
$22.07 with Simply vs $229.55 with AVMED — 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 |
|---|---|---|---|
| Simply | Managed Medicaid | $22.07 | ↓ -75% |
| Freedom Health | Managed Medicaid | $22.07 | ↓ -75% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $22.07 | ↓ -75% |
| SUNSHINE HEALTH | Managed Medicaid | $22.07 | ↓ -75% |
| AMERIHEALTH | Managed Medicaid | $22.73 | ↓ -74% |
| Miami Childrens Health Plan | Managed Medicaid | $23.17 | ↓ -73% |
| MOLINA | Managed Medicaid | $23.17 | ↓ -73% |
| MOLINA | Florida KidCare | $23.17 | ↓ -73% |
| Independent Living Systems | Managed Medicaid | $26.48 | ↓ -70% |
| AETNA | Managed Medicaid/CHIP | $26.48 | ↓ -70% |
| Blue Cross | Health Options | $54.60 | ↓ -37% |
| Blue Cross | BlueSelect | $54.60 | ↓ -37% |
| BLUE CROSS | Medicare Advantage PPO | $59.62 | ↓ -32% |
| HUMANA | Medicare Advantage HMO | $59.62 | ↓ -32% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $59.62 | ↓ -32% |
| UNITED | MEDICARE ADVANTAGE | $59.62 | ↓ -32% |
| BLUE CROSS | Medicare Advantage HMO | $59.62 | ↓ -32% |
| AETNA | MEDICARE ADVANTAGE | $61.60 | ↓ -29% |
| Wellcare | MEDICARE ADVANTAGE | $61.60 | ↓ -29% |
| AVMED | MEDICARE ADVANTAGE | $62.01 | ↓ -29% |
| Freedom Health | MEDICARE ADVANTAGE | $62.61 | ↓ -28% |
| Careplus | MEDICARE ADVANTAGE | $62.61 | ↓ -28% |
| Blue Cross | Network Blue | $65.84 | ↓ -24% |
| DEVOTED HEALTH | Medicare Advantage HMO | $67.76 | ↓ -22% |
| Blue Cross | Perferred Patient Care | $67.99 | ↓ -22% |
| Blue Cross | Traditional (PPS) | $67.99 | ↓ -22% |
| AmeriHealth | Managed Medicaid | $81.26 | ↓ -7% |
| Molina | Managed Medicaid | $82.83 | ↓ -5% |
| Molina | Florida Kidcare | $82.83 | ↓ -5% |
| Sunshine Health | Managed Medicaid | $82.83 | ↓ -5% |
| The Legacy Companies | All Products | $87.10 | ↑ +0% |
| Clarity Health | All Products | $87.10 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $100.50 | ↑ +15% |
| AVMED | EXCHANGE | $104.34 | ↑ +20% |
| Miami Childrens Health Plan | Medicare Advantage | $117.51 | ↑ +35% |
| Avmed | Medicare Advantage | $117.51 | ↑ +35% |
| United | Medicare Advantage | $117.51 | ↑ +35% |
| Blue Cross | Medicare Advantage PPO | $117.51 | ↑ +35% |
| Blue Cross | Medicare Advantage HMO | $117.51 | ↑ +35% |
| Independent Living Systems | Medicare Advantage | $119.50 | ↑ +37% |
| Aetna | All Products First Health | $120.60 | ↑ +38% |
| Careplus | Medicare Advantage | $123.39 | ↑ +42% |
| Freedom Health | Medicare Advantage | $123.39 | ↑ +42% |
| Clear Spring Health | All Products | $126.91 | ↑ +46% |
| Cigna | Surefit Mid-Level | $134.00 | ↑ +54% |
| Cigna | Surefit Physician | $134.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $134.00 | ↑ +54% |
| Cigna | All Products Physician | $134.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $134.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $134.00 | ↑ +54% |
| Aetna | Medicare Advantage PCP | $145.71 | ↑ +67% |
| Aetna | Medicare Advantage Specialist | $148.06 | ↑ +70% |
| Avmed | Exchange | $154.41 | ↑ +77% |
| Avmed | Select | $160.35 | ↑ +84% |
| Avmed | Broad | $172.23 | ↑ +98% |
| AVMED | Select | $175.89 | ↑ +102% |
| Multiplan | All Products | $176.27 | ↑ +102% |
| United | All Products | $206.48 | ↑ +137% |
| AVMED | BROAD | $229.55 | ↑ +164% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Photchmtx tar&uvb/ptrltm&uvb at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $125.40 – $128.04 |
| cleveland clinic florida weston hospital | Weston | $87.10 | $20.97 – $134.00 |
| indian river hospital | Vero Beach | $87.10 | $20.97 – $134.00 |
| Baptist Hospital | MIAMI | $179.40 | $22.42 – $248.40 |
| AdventHealth Orlando | Orlando | $214.00 | $61.60 – $163.25 |
| Adventhealth Carrollwood | Tampa | $670.29 | $61.60 – $136.76 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $58.52 – $102.82 |
| Adventhealth Lake Wales | Lake Wales | not published | $61.60 – $136.76 |