Rev/rmv prph sac/gstr npg/r at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$985.40
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.
$1,516.00
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.
$100.48 with Blue Cross vs $13,290.24 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 |
|---|---|---|---|
| Blue Cross | Health Options | $100.48 | ↓ -90% |
| Blue Cross | BlueSelect | $100.48 | ↓ -90% |
| Blue Cross | Network Blue | $121.17 | ↓ -88% |
| Blue Cross | Traditional (PPS) | $125.11 | ↓ -87% |
| Blue Cross | Perferred Patient Care | $125.11 | ↓ -87% |
| Freedom Health | Managed Medicaid | $213.19 | ↓ -78% |
| AmeriHealth | Managed Medicaid | $219.59 | ↓ -78% |
| Sunshine Health | Managed Medicaid | $223.85 | ↓ -77% |
| Miami Childrens Health Plan | Managed Medicaid | $223.85 | ↓ -77% |
| Molina | Managed Medicaid | $223.85 | ↓ -77% |
| Molina | Florida Kidcare | $223.85 | ↓ -77% |
| United | Medicare Advantage | $226.61 | ↓ -77% |
| Avmed | Medicare Advantage | $226.61 | ↓ -77% |
| Miami Childrens Health Plan | Medicare Advantage | $226.61 | ↓ -77% |
| Blue Cross | Medicare Advantage HMO | $226.61 | ↓ -77% |
| Blue Cross | Medicare Advantage PPO | $226.61 | ↓ -77% |
| Careplus | Medicare Advantage | $237.94 | ↓ -76% |
| Freedom Health | Medicare Advantage | $237.94 | ↓ -76% |
| Clear Spring Health | All Products | $244.74 | ↓ -75% |
| Independent Living Systems | Medicare Advantage | $249.92 | ↓ -75% |
| Independent Living Systems | Managed Medicaid | $255.83 | ↓ -74% |
| Aetna | Medicare Advantage PCP | $281.00 | ↓ -71% |
| Aetna | Medicare Advantage Specialist | $285.53 | ↓ -71% |
| Avmed | Exchange | $316.60 | ↓ -68% |
| Cigna | Individual Family Plan Mid-Level | $318.35 | ↓ -68% |
| Cigna | Surefit Mid-Level | $324.44 | ↓ -67% |
| Avmed | Select | $328.78 | ↓ -67% |
| Multiplan | All Products | $339.92 | ↓ -66% |
| Cigna | All Products Mid-Level | $350.40 | ↓ -64% |
| Avmed | Broad | $353.13 | ↓ -64% |
| Cigna | Individual Family Plan Physician | $374.55 | ↓ -62% |
| Cigna | Surefit Physician | $381.71 | ↓ -61% |
| Cigna | All Products Physician | $412.24 | ↓ -58% |
| United | All Products | $460.80 | ↓ -53% |
| The Legacy Companies | All Products | $985.40 | ↑ +0% |
| Clarity Health | All Products | $985.40 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $1,137.00 | ↑ +15% |
| Aetna | All Products First Health | $1,364.40 | ↑ +38% |
| Simply | Managed Medicaid | $2,053.60 | ↑ +108% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $2,053.60 | ↑ +108% |
| SUNSHINE HEALTH | Managed Medicaid | $2,053.60 | ↑ +108% |
| AMERIHEALTH | Managed Medicaid | $2,115.21 | ↑ +115% |
| MOLINA | Managed Medicaid | $2,156.28 | ↑ +119% |
| MOLINA | Florida KidCare | $2,156.28 | ↑ +119% |
| AETNA | Managed Medicaid/CHIP | $2,464.32 | ↑ +150% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $3,452.01 | ↑ +250% |
| UNITED | MEDICARE ADVANTAGE | $3,452.01 | ↑ +250% |
| HUMANA | Medicare Advantage HMO | $3,452.01 | ↑ +250% |
| BLUE CROSS | Medicare Advantage PPO | $3,452.01 | ↑ +250% |
| BLUE CROSS | Medicare Advantage HMO | $3,452.01 | ↑ +250% |
| AVMED | MEDICARE ADVANTAGE | $3,590.09 | ↑ +264% |
| Freedom Health | MEDICARE ADVANTAGE | $3,624.61 | ↑ +268% |
| Careplus | MEDICARE ADVANTAGE | $3,624.61 | ↑ +268% |
| Wellcare | MEDICARE ADVANTAGE | $3,650.91 | ↑ +271% |
| AETNA | MEDICARE ADVANTAGE | $3,650.91 | ↑ +271% |
| DEVOTED HEALTH | Medicare Advantage HMO | $4,016.00 | ↑ +308% |
| AVMED | EXCHANGE | $6,041.02 | ↑ +513% |
| AVMED | Select | $10,183.43 | ↑ +933% |
| AVMED | BROAD | $13,290.24 | ↑ +1249% |
| 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
Rev/rmv prph sac/gstr npg/r at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $1,654.74 – $1,689.58 |
| cleveland clinic florida weston hospital | Weston | $985.40 | $61.31 – $4,016.00 |
| indian river hospital | Vero Beach | $19,279.65 | $61.31 – $23,728.80 |
| Adventhealth Tampa | Tampa | not published | $401.00 – $8,105.02 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $1,588.12 – $1,621.55 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $3,650.91 – $6,666.56 |
| Baptist Hospital | MIAMI | not published | not published |
| Bethesda Hospital East | BOYNTON BEACH | not published | not published |