Prq card revasc mi 1 vsl drug-eluting at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$26,853.45
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.
$41,313.00
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.
$3,287.00 with UNITED vs $37,181.70 with AETNA — 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 | International | $3,287.00 | ↓ -88% |
| SUNSHINE HEALTH | Managed Medicaid | $5,577.09 | ↓ -79% |
| Freedom Health | Managed Medicaid | $5,577.09 | ↓ -79% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $5,577.09 | ↓ -79% |
| Simply | Managed Medicaid | $5,577.09 | ↓ -79% |
| AETNA | QHP | $5,607.00 | ↓ -79% |
| AMERIHEALTH | Managed Medicaid | $5,744.40 | ↓ -79% |
| MOLINA | Florida KidCare | $5,855.94 | ↓ -78% |
| Miami Childrens Health Plan | Managed Medicaid | $5,855.94 | ↓ -78% |
| MOLINA | Managed Medicaid | $5,855.94 | ↓ -78% |
| AETNA | Managed Medicaid/CHIP | $6,692.51 | ↓ -75% |
| Independent Living Systems | Managed Medicaid | $6,692.51 | ↓ -75% |
| AETNA | All Products New Business | $6,778.00 | ↓ -75% |
| AETNA | ALL PRODUCTS | $7,616.00 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $8,593.10 | ↓ -68% |
| CIGNA | Individual Family Plan | $11,691.58 | ↓ -56% |
| AVMED | EXCHANGE | $12,393.90 | ↓ -54% |
| AVMED | Select | $12,393.90 | ↓ -54% |
| AVMED | BROAD | $15,698.94 | ↓ -42% |
| BLUE CROSS | MBN | $16,407.00 | ↓ -39% |
| BLUE CROSS | BSL | $16,478.00 | ↓ -39% |
| CIGNA | SUREFIT | $16,897.02 | ↓ -37% |
| BLUE CROSS | PPO | $19,202.00 | ↓ -28% |
| BMI | ALL PRODUCTS | $20,656.50 | ↓ -23% |
| BLUE CROSS | HMO | $20,675.00 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $21,813.26 | ↓ -19% |
| UNITED | NHP | $22,625.00 | ↓ -16% |
| BLUE CROSS | NWB | $23,319.00 | ↓ -13% |
| BLUE CROSS | NWBI | $23,319.00 | ↓ -13% |
| The Legacy Companies | ALL PRODUCTS | $26,853.45 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $26,853.45 | ↑ +0% |
| BLUE CROSS | PHS | $27,165.00 | ↑ +1% |
| UNITED | ALL PRODUCTS | $27,215.00 | ↑ +1% |
| Consociate Health | ALL PRODUCTS | $30,984.75 | ↑ +15% |
| AETNA | All Products First Health | $37,181.70 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | not published by hospital | — |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Prq card revasc mi 1 vsl drug-eluting at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $34,940.46 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $34,774.87 | not published |
| Adventhealth Tampa | Tampa | $42,695.69 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $27,147.60 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $40,560.91 | not published |
| cleveland clinic florida weston hospital | Weston | $26,853.45 | $2,932.00 – $35,116.05 |
| indian river hospital | Vero Beach | $26,853.45 | $2,297.00 – $33,050.40 |
| Boca Raton Regional Hospital | BOCA RATON | $35,842.95 | $4,707.00 – $36,008.38 |