Pt init/spiromet rec/review/interp 94016 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$135.20
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.
$208.00
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.
$17.91 with Blue Cross vs $208.00 with Cigna — 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 |
|---|---|---|---|
| Blue Cross | BlueSelect | $17.91 | ↓ -87% |
| Blue Cross | Health Options | $17.91 | ↓ -87% |
| Freedom Health | Managed Medicaid | $18.38 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $18.93 | ↓ -86% |
| Miami Childrens Health Plan | Managed Medicaid | $19.30 | ↓ -86% |
| Sunshine Health | Managed Medicaid | $19.30 | ↓ -86% |
| Molina | Florida Kidcare | $19.30 | ↓ -86% |
| Molina | Managed Medicaid | $19.30 | ↓ -86% |
| Blue Cross | Network Blue | $21.60 | ↓ -84% |
| Independent Living Systems | Managed Medicaid | $22.06 | ↓ -84% |
| Blue Cross | Traditional (PPS) | $22.30 | ↓ -84% |
| Blue Cross | Perferred Patient Care | $22.30 | ↓ -84% |
| Independent Living Systems | Medicare Advantage | $24.97 | ↓ -82% |
| Blue Cross | Medicare Advantage HMO | $25.47 | ↓ -81% |
| United | Medicare Advantage | $25.47 | ↓ -81% |
| Avmed | Medicare Advantage | $25.47 | ↓ -81% |
| Miami Childrens Health Plan | Medicare Advantage | $25.47 | ↓ -81% |
| Blue Cross | Medicare Advantage PPO | $25.47 | ↓ -81% |
| Freedom Health | Medicare Advantage | $26.74 | ↓ -80% |
| Careplus | Medicare Advantage | $26.74 | ↓ -80% |
| Clear Spring Health | All Products | $27.51 | ↓ -80% |
| Aetna | Medicare Advantage PCP | $31.58 | ↓ -77% |
| Avmed | Exchange | $31.81 | ↓ -76% |
| BLUE CROSS | Medicare Advantage HMO | $31.91 | ↓ -76% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $31.91 | ↓ -76% |
| AETNA | QHP | $31.91 | ↓ -76% |
| UNITED | MEDICARE ADVANTAGE | $31.91 | ↓ -76% |
| HUMANA | Medicare Advantage HMO | $31.91 | ↓ -76% |
| BLUE CROSS | Medicare Advantage PPO | $31.91 | ↓ -76% |
| Aetna | Medicare Advantage Specialist | $32.09 | ↓ -76% |
| Avmed | Select | $33.03 | ↓ -76% |
| AVMED | MEDICARE ADVANTAGE | $33.19 | ↓ -75% |
| AETNA | ALL PRODUCTS | $33.39 | ↓ -75% |
| Wellcare | MEDICARE ADVANTAGE | $33.39 | ↓ -75% |
| AETNA | MEDICARE ADVANTAGE | $33.39 | ↓ -75% |
| AETNA | NAP | $33.39 | ↓ -75% |
| CIGNA | Individual Family Plan | $33.48 | ↓ -75% |
| Freedom Health | MEDICARE ADVANTAGE | $33.51 | ↓ -75% |
| Careplus | MEDICARE ADVANTAGE | $33.51 | ↓ -75% |
| MULTIPLAN | ALL PRODUCTS | $35.06 | ↓ -74% |
| Avmed | Broad | $35.48 | ↓ -74% |
| Clear Spring Health | ALL PRODUCTS | $36.06 | ↓ -73% |
| DEVOTED HEALTH | Medicare Advantage HMO | $36.73 | ↓ -73% |
| Multiplan | All Products | $38.21 | ↓ -72% |
| Simply | Managed Medicaid | $40.87 | ↓ -70% |
| SUNSHINE HEALTH | Managed Medicaid | $40.87 | ↓ -70% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $40.87 | ↓ -70% |
| AMERIHEALTH | Managed Medicaid | $42.10 | ↓ -69% |
| United | All Products | $42.54 | ↓ -69% |
| MOLINA | Florida KidCare | $42.91 | ↓ -68% |
| MOLINA | Managed Medicaid | $42.91 | ↓ -68% |
| CIGNA | SUREFIT | $44.30 | ↓ -67% |
| AETNA | All Products New Business | $47.80 | ↓ -65% |
| AETNA | Managed Medicaid/CHIP | $49.04 | ↓ -64% |
| CIGNA | ALL PRODUCTS | $58.94 | ↓ -56% |
| The Legacy Companies | All Products | $135.20 | ↑ +0% |
| Clarity Health | All Products | $135.20 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $156.00 | ↑ +15% |
| Aetna | All Products First Health | $187.20 | ↑ +38% |
| Cigna | All Products Physician | $208.00 | ↑ +54% |
| Cigna | Surefit Physician | $208.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $208.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $208.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $208.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $208.00 | ↑ +54% |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Pt init/spiromet rec/review/interp 94016 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $19.60 – $28.13 |
| cleveland clinic florida weston hospital | Weston | $135.20 | $15.15 – $208.00 |
| indian river hospital | Vero Beach | $135.20 | $15.15 – $208.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $19.76 – $28.13 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $19.17 – $28.13 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $19.60 – $28.13 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $22.31 – $58.10 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | not published | $23.24 – $42.99 |