#pnh-flow cytometry interp at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$29.90
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.
$46.00
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.
$8.94 with AETNA vs $51.08 with Clear Spring Health — 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 |
|---|---|---|---|
| AETNA | MEDICARE ADVANTAGE | $8.94 | ↓ -70% |
| SUNSHINE HEALTH | Managed Medicaid | $12.13 | ↓ -59% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $12.13 | ↓ -59% |
| Freedom Health | Managed Medicaid | $12.13 | ↓ -59% |
| Simply | Managed Medicaid | $12.13 | ↓ -59% |
| CIGNA | Individual Family Plan | $12.17 | ↓ -59% |
| AMERIHEALTH | Managed Medicaid | $12.49 | ↓ -58% |
| AETNA | QHP | $12.60 | ↓ -58% |
| MOLINA | Managed Medicaid | $12.74 | ↓ -57% |
| Miami Childrens Health Plan | Managed Medicaid | $12.74 | ↓ -57% |
| MOLINA | Florida KidCare | $12.74 | ↓ -57% |
| AVMED | EXCHANGE | $12.90 | ↓ -57% |
| AVMED | Select | $12.90 | ↓ -57% |
| AETNA | ALL PRODUCTS | $13.42 | ↓ -55% |
| AETNA | All Products New Business | $14.06 | ↓ -53% |
| AETNA | Managed Medicaid/CHIP | $14.56 | ↓ -51% |
| Independent Living Systems | Managed Medicaid | $14.56 | ↓ -51% |
| AVMED | BROAD | $16.34 | ↓ -45% |
| CIGNA | SUREFIT | $17.59 | ↓ -41% |
| BMI | ALL PRODUCTS | $21.50 | ↓ -28% |
| CIGNA | ALL PRODUCTS | $22.70 | ↓ -24% |
| The Legacy Companies | ALL PRODUCTS | $27.95 | ↓ -7% |
| Clarity Health | ALL PRODUCTS | $27.95 | ↓ -7% |
| Consociate Health | ALL PRODUCTS | $32.25 | ↑ +8% |
| AETNA | All Products First Health | $38.70 | ↑ +29% |
| UNITED | NHP | $39.34 | ↑ +32% |
| MULTIPLAN | ALL PRODUCTS | $49.67 | ↑ +66% |
| Clear Spring Health | ALL PRODUCTS | $51.08 | ↑ +71% |
| Consociate Health | Transplant | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| BLUE CROSS | MBN | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
#pnh-flow cytometry interp at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $36.64 – $164.46 |
| Adventhealth Tampa | Tampa | $158.55 | not published |
| cleveland clinic florida weston hospital | Weston | $207.35 | $7.22 – $319.00 |
| Boca Raton Regional Hospital | BOCA RATON | $278.20 | $7.92 – $22.00 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $68.17 | $34.73 – $85.45 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $30.00 | $39.34 – $106.96 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $30.00 | $39.34 – $108.54 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City | $30.00 | $39.34 – $108.54 |