Phys blood bank serv reactj at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$263.25
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.
$405.00
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.
$20.66 with United vs $662.23 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 |
|---|---|---|---|
| United | All Products | $20.66 | ↓ -92% |
| Cigna | Individual Family Plan Physician | $29.02 | ↓ -89% |
| Cigna | Surefit Physician | $29.02 | ↓ -89% |
| Cigna | Surefit Mid-Level | $29.02 | ↓ -89% |
| Cigna | All Products Mid-Level | $29.02 | ↓ -89% |
| Cigna | All Products Physician | $29.02 | ↓ -89% |
| Cigna | Individual Family Plan Mid-Level | $29.02 | ↓ -89% |
| Blue Cross | Health Options | $36.49 | ↓ -86% |
| Blue Cross | BlueSelect | $36.49 | ↓ -86% |
| Miami Childrens Health Plan | Medicare Advantage | $41.40 | ↓ -84% |
| Blue Cross | Medicare Advantage PPO | $41.40 | ↓ -84% |
| Avmed | Medicare Advantage | $41.40 | ↓ -84% |
| United | Medicare Advantage | $41.40 | ↓ -84% |
| Blue Cross | Medicare Advantage HMO | $41.40 | ↓ -84% |
| Careplus | Medicare Advantage | $43.47 | ↓ -83% |
| Freedom Health | Medicare Advantage | $43.47 | ↓ -83% |
| Blue Cross | Network Blue | $44.01 | ↓ -83% |
| Clear Spring Health | All Products | $44.71 | ↓ -83% |
| Blue Cross | Traditional (PPS) | $45.44 | ↓ -83% |
| Blue Cross | Perferred Patient Care | $45.44 | ↓ -83% |
| Independent Living Systems | Medicare Advantage | $49.93 | ↓ -81% |
| Aetna | Medicare Advantage PCP | $51.34 | ↓ -80% |
| Aetna | Medicare Advantage Specialist | $52.16 | ↓ -80% |
| Simply | Managed Medicaid | $59.78 | ↓ -77% |
| Freedom Health | Managed Medicaid | $59.78 | ↓ -77% |
| SUNSHINE HEALTH | Managed Medicaid | $59.78 | ↓ -77% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $59.78 | ↓ -77% |
| AMERIHEALTH | Managed Medicaid | $61.57 | ↓ -77% |
| Multiplan | All Products | $62.10 | ↓ -76% |
| MOLINA | Florida KidCare | $62.77 | ↓ -76% |
| MOLINA | Managed Medicaid | $62.77 | ↓ -76% |
| Miami Childrens Health Plan | Managed Medicaid | $62.77 | ↓ -76% |
| Avmed | Exchange | $63.95 | ↓ -76% |
| Avmed | Select | $66.41 | ↓ -75% |
| Avmed | Broad | $71.33 | ↓ -73% |
| AETNA | Managed Medicaid/CHIP | $71.74 | ↓ -73% |
| Independent Living Systems | Managed Medicaid | $71.74 | ↓ -73% |
| UNITED | NHP | $143.50 | ↓ -45% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $172.01 | ↓ -35% |
| UNITED | MEDICARE ADVANTAGE | $172.01 | ↓ -35% |
| BLUE CROSS | Medicare Advantage PPO | $172.01 | ↓ -35% |
| BLUE CROSS | Medicare Advantage HMO | $172.01 | ↓ -35% |
| HUMANA | Medicare Advantage HMO | $172.01 | ↓ -35% |
| Wellcare | MEDICARE ADVANTAGE | $177.91 | ↓ -32% |
| AETNA | MEDICARE ADVANTAGE | $177.91 | ↓ -32% |
| AVMED | MEDICARE ADVANTAGE | $178.89 | ↓ -32% |
| Freedom Health | MEDICARE ADVANTAGE | $180.61 | ↓ -31% |
| Careplus | MEDICARE ADVANTAGE | $180.61 | ↓ -31% |
| DEVOTED HEALTH | Medicare Advantage HMO | $195.71 | ↓ -26% |
| The Legacy Companies | All Products | $263.25 | ↑ +0% |
| Clarity Health | All Products | $263.25 | ↑ +0% |
| AVMED | EXCHANGE | $301.01 | ↑ +14% |
| Consociate Health | ALL PRODUCTS | $303.75 | ↑ +15% |
| Aetna | All Products First Health | $364.50 | ↑ +38% |
| AVMED | Select | $507.42 | ↑ +93% |
| AVMED | BROAD | $662.23 | ↑ +152% |
| Aetna | All Products Specialist | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Phys blood bank serv reactj at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $90.04 – $149.16 |
| Adventhealth Daytona Beach | Daytona Beach | $306.03 | $169.02 – $296.94 |
| Adventhealth Lake Wales | Lake Wales | $455.16 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $329.56 | $169.02 – $380.01 |
| Adventhealth Tampa | Tampa | $1,666.44 | $177.91 – $394.97 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $249.82 | $169.02 – $388.65 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $134.00 | $86.41 – $149.16 |
| Adventhealth Port Charlotte | Port Charlotte | $1,101.73 | $177.91 – $324.87 |