Photosensitivity tests at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$34.45
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.
$53.00
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.
$26.46 with Freedom Health vs $498.14 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 |
|---|---|---|---|
| Freedom Health | Managed Medicaid | $26.46 | ↓ -23% |
| SUNSHINE HEALTH | Managed Medicaid | $26.46 | ↓ -23% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $26.46 | ↓ -23% |
| Simply | Managed Medicaid | $26.46 | ↓ -23% |
| AMERIHEALTH | Managed Medicaid | $27.25 | ↓ -21% |
| MOLINA | Managed Medicaid | $27.78 | ↓ -19% |
| Miami Childrens Health Plan | Managed Medicaid | $27.78 | ↓ -19% |
| MOLINA | Florida KidCare | $27.78 | ↓ -19% |
| AETNA | Managed Medicaid/CHIP | $31.75 | ↓ -8% |
| Independent Living Systems | Managed Medicaid | $31.75 | ↓ -8% |
| Blue Cross | Health Options | $33.27 | ↓ -3% |
| Blue Cross | BlueSelect | $33.27 | ↓ -3% |
| AmeriHealth | Managed Medicaid | $34.44 | ↓ -0% |
| Clarity Health | All Products | $34.45 | ↑ +0% |
| The Legacy Companies | All Products | $34.45 | ↑ +0% |
| Molina | Managed Medicaid | $35.11 | ↑ +2% |
| Sunshine Health | Managed Medicaid | $35.11 | ↑ +2% |
| Molina | Florida Kidcare | $35.11 | ↑ +2% |
| Consociate Health | ALL PRODUCTS | $39.75 | ↑ +15% |
| Blue Cross | Network Blue | $40.13 | ↑ +16% |
| Blue Cross | Perferred Patient Care | $41.43 | ↑ +20% |
| Blue Cross | Traditional (PPS) | $41.43 | ↑ +20% |
| Aetna | All Products First Health | $47.70 | ↑ +38% |
| Cigna | Surefit Mid-Level | $53.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $53.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $53.00 | ↑ +54% |
| Cigna | All Products Physician | $53.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $53.00 | ↑ +54% |
| Cigna | Surefit Physician | $53.00 | ↑ +54% |
| Avmed | Medicare Advantage | $53.24 | ↑ +55% |
| Blue Cross | Medicare Advantage HMO | $53.24 | ↑ +55% |
| Blue Cross | Medicare Advantage PPO | $53.24 | ↑ +55% |
| United | Medicare Advantage | $53.24 | ↑ +55% |
| Miami Childrens Health Plan | Medicare Advantage | $53.24 | ↑ +55% |
| Independent Living Systems | Medicare Advantage | $54.42 | ↑ +58% |
| Freedom Health | Medicare Advantage | $55.90 | ↑ +62% |
| Careplus | Medicare Advantage | $55.90 | ↑ +62% |
| Clear Spring Health | All Products | $57.50 | ↑ +67% |
| Aetna | Medicare Advantage PCP | $66.02 | ↑ +92% |
| Aetna | Medicare Advantage Specialist | $67.08 | ↑ +95% |
| Avmed | Exchange | $68.47 | ↑ +99% |
| Avmed | Select | $71.10 | ↑ +106% |
| Avmed | Broad | $76.37 | ↑ +122% |
| Multiplan | All Products | $79.86 | ↑ +132% |
| United | All Products | $91.56 | ↑ +166% |
| BLUE CROSS | Medicare Advantage PPO | $129.39 | ↑ +276% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $129.39 | ↑ +276% |
| UNITED | MEDICARE ADVANTAGE | $129.39 | ↑ +276% |
| BLUE CROSS | Medicare Advantage HMO | $129.39 | ↑ +276% |
| HUMANA | Medicare Advantage HMO | $129.39 | ↑ +276% |
| AVMED | MEDICARE ADVANTAGE | $134.56 | ↑ +291% |
| Freedom Health | MEDICARE ADVANTAGE | $135.86 | ↑ +294% |
| Careplus | MEDICARE ADVANTAGE | $135.86 | ↑ +294% |
| Wellcare | MEDICARE ADVANTAGE | $138.94 | ↑ +303% |
| AETNA | MEDICARE ADVANTAGE | $138.94 | ↑ +303% |
| DEVOTED HEALTH | Medicare Advantage HMO | $152.83 | ↑ +344% |
| AVMED | EXCHANGE | $226.43 | ↑ +557% |
| AVMED | Select | $381.69 | ↑ +1008% |
| AVMED | BROAD | $498.14 | ↑ +1346% |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Photosensitivity tests at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $50.35 – $51.41 |
| cleveland clinic florida weston hospital | Weston | $34.45 | $23.99 – $152.83 |
| indian river hospital | Vero Beach | $34.45 | $23.85 – $152.83 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $131.99 – $231.89 |
| Adventhealth Lake Wales | Lake Wales | not published | $138.94 – $308.45 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $131.99 – $296.76 |
| Adventhealth Tampa | Tampa | not published | $138.94 – $308.45 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $131.99 – $303.51 |