Prgrmg eval implantable dfb at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$531.70
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.
$818.00
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.
$22.26 with Simply vs $1,061.00 with UNITED — 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 |
|---|---|---|---|
| Simply | Managed Medicaid | $22.26 | ↓ -96% |
| SUNSHINE HEALTH | Managed Medicaid | $22.26 | ↓ -96% |
| Freedom Health | Managed Medicaid | $22.26 | ↓ -96% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $22.26 | ↓ -96% |
| AMERIHEALTH | Managed Medicaid | $22.93 | ↓ -96% |
| MOLINA | Florida KidCare | $23.37 | ↓ -96% |
| MOLINA | Managed Medicaid | $23.37 | ↓ -96% |
| Miami Childrens Health Plan | Managed Medicaid | $23.37 | ↓ -96% |
| AETNA | Managed Medicaid/CHIP | $26.71 | ↓ -95% |
| Independent Living Systems | Managed Medicaid | $26.71 | ↓ -95% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $37.43 | ↓ -93% |
| BLUE CROSS | Medicare Advantage HMO | $37.43 | ↓ -93% |
| BLUE CROSS | Medicare Advantage PPO | $37.43 | ↓ -93% |
| HUMANA | Medicare Advantage HMO | $37.43 | ↓ -93% |
| UNITED | MEDICARE ADVANTAGE | $37.43 | ↓ -93% |
| AVMED | MEDICARE ADVANTAGE | $38.93 | ↓ -93% |
| Wellcare | MEDICARE ADVANTAGE | $38.97 | ↓ -93% |
| AETNA | MEDICARE ADVANTAGE | $38.97 | ↓ -93% |
| Careplus | MEDICARE ADVANTAGE | $39.30 | ↓ -93% |
| Freedom Health | MEDICARE ADVANTAGE | $39.30 | ↓ -93% |
| DEVOTED HEALTH | Medicare Advantage HMO | $42.87 | ↓ -92% |
| Blue Cross | Health Options | $47.30 | ↓ -91% |
| Blue Cross | BlueSelect | $47.30 | ↓ -91% |
| Blue Cross | Network Blue | $57.04 | ↓ -89% |
| Blue Cross | Perferred Patient Care | $58.89 | ↓ -89% |
| Blue Cross | Traditional (PPS) | $58.89 | ↓ -89% |
| United | Medicare Advantage | $60.72 | ↓ -89% |
| Avmed | Medicare Advantage | $60.72 | ↓ -89% |
| Blue Cross | Medicare Advantage PPO | $60.72 | ↓ -89% |
| Blue Cross | Medicare Advantage HMO | $60.72 | ↓ -89% |
| Miami Childrens Health Plan | Medicare Advantage | $60.72 | ↓ -89% |
| Independent Living Systems | Medicare Advantage | $61.47 | ↓ -88% |
| Careplus | Medicare Advantage | $63.76 | ↓ -88% |
| Freedom Health | Medicare Advantage | $63.76 | ↓ -88% |
| AVMED | EXCHANGE | $65.50 | ↓ -88% |
| Clear Spring Health | All Products | $65.58 | ↓ -88% |
| AETNA | QHP | $73.70 | ↓ -86% |
| Aetna | Medicare Advantage PCP | $75.29 | ↓ -86% |
| CIGNA | Individual Family Plan | $75.84 | ↓ -86% |
| Aetna | Medicare Advantage Specialist | $76.51 | ↓ -86% |
| Avmed | Exchange | $77.88 | ↓ -85% |
| Avmed | Select | $80.88 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $82.05 | ↓ -85% |
| AETNA | ALL PRODUCTS | $83.62 | ↓ -84% |
| Molina | Florida Kidcare | $83.64 | ↓ -84% |
| Sunshine Health | Managed Medicaid | $83.64 | ↓ -84% |
| Molina | Managed Medicaid | $83.64 | ↓ -84% |
| Avmed | Broad | $86.87 | ↓ -84% |
| AETNA | All Products New Business | $87.64 | ↓ -84% |
| Multiplan | All Products | $91.08 | ↓ -83% |
| United | All Products | $104.15 | ↓ -80% |
| CIGNA | SUREFIT | $109.61 | ↓ -79% |
| AVMED | Select | $110.42 | ↓ -79% |
| BMI | ALL PRODUCTS | $134.00 | ↓ -75% |
| CIGNA | ALL PRODUCTS | $141.50 | ↓ -73% |
| MULTIPLAN | ALL PRODUCTS | $141.99 | ↓ -73% |
| AVMED | BROAD | $144.11 | ↓ -73% |
| Clear Spring Health | ALL PRODUCTS | $146.05 | ↓ -73% |
| The Legacy Companies | ALL PRODUCTS | $174.20 | ↓ -67% |
| Clarity Health | ALL PRODUCTS | $174.20 | ↓ -67% |
| Consociate Health | ALL PRODUCTS | $201.00 | ↓ -62% |
| AETNA | All Products First Health | $241.20 | ↓ -55% |
| Clarity Health | All Products | $357.50 | ↓ -33% |
| The Legacy Companies | All Products | $357.50 | ↓ -33% |
| Aetna | All Products First Health | $495.00 | ↓ -7% |
| Cigna | All Products Mid-Level | $550.00 | ↑ +3% |
| Cigna | Individual Family Plan Physician | $550.00 | ↑ +3% |
| Cigna | Individual Family Plan Mid-Level | $550.00 | ↑ +3% |
| Cigna | All Products Physician | $550.00 | ↑ +3% |
| Cigna | Surefit Physician | $550.00 | ↑ +3% |
| Cigna | Surefit Mid-Level | $550.00 | ↑ +3% |
| BLUE CROSS | MBN | $624.00 | ↑ +17% |
| BLUE CROSS | BSL | $642.00 | ↑ +21% |
| BLUE CROSS | PPO | $785.00 | ↑ +48% |
| BLUE CROSS | HMO | $794.00 | ↑ +49% |
| UNITED | NHP | $811.00 | ↑ +53% |
| BLUE CROSS | NWB | $898.00 | ↑ +69% |
| BLUE CROSS | NWBI | $898.00 | ↑ +69% |
| UNITED | ALL PRODUCTS | $970.00 | ↑ +82% |
| BLUE CROSS | PHS | $1,007.00 | ↑ +89% |
| UNITED | International | $1,061.00 | ↑ +100% |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
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Prgrmg eval implantable dfb at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $38.95 – $39.77 |
| Adventhealth Daytona Beach | Daytona Beach | $132.07 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $132.07 | $37.03 – $83.24 |
| cleveland clinic florida weston hospital | Weston | $531.70 | $21.15 – $268.00 |
| indian river hospital | Vero Beach | $357.50 | $21.15 – $550.00 |
| Baptist Hospital | MIAMI | $581.10 | $22.77 – $804.60 |
| Boca Raton Regional Hospital | BOCA RATON | $435.50 | $38.27 – $437.51 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $581.10 | $22.07 – $804.60 |