Revision tips at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$16,565.25
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.
$25,485.00
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.
$310.55 with Blue Cross vs $31,738.00 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 |
|---|---|---|---|
| Blue Cross | BlueSelect | $310.55 | ↓ -98% |
| Blue Cross | Health Options | $310.55 | ↓ -98% |
| United | Medicare Advantage | $347.19 | ↓ -98% |
| Miami Childrens Health Plan | Medicare Advantage | $347.19 | ↓ -98% |
| Avmed | Medicare Advantage | $347.19 | ↓ -98% |
| Blue Cross | Medicare Advantage PPO | $347.19 | ↓ -98% |
| Blue Cross | Medicare Advantage HMO | $347.19 | ↓ -98% |
| Careplus | Medicare Advantage | $364.55 | ↓ -98% |
| Freedom Health | Medicare Advantage | $364.55 | ↓ -98% |
| Blue Cross | Network Blue | $374.49 | ↓ -98% |
| Clear Spring Health | All Products | $374.97 | ↓ -98% |
| Blue Cross | Perferred Patient Care | $386.66 | ↓ -98% |
| Blue Cross | Traditional (PPS) | $386.66 | ↓ -98% |
| Independent Living Systems | Medicare Advantage | $391.90 | ↓ -98% |
| Aetna | Medicare Advantage PCP | $430.52 | ↓ -97% |
| Aetna | Medicare Advantage Specialist | $437.46 | ↓ -97% |
| MULTIPLAN | ALL PRODUCTS | $459.92 | ↓ -97% |
| Clear Spring Health | ALL PRODUCTS | $473.06 | ↓ -97% |
| Avmed | Exchange | $495.98 | ↓ -97% |
| Avmed | Select | $515.05 | ↓ -97% |
| Multiplan | All Products | $520.79 | ↓ -97% |
| Avmed | Broad | $553.20 | ↓ -97% |
| Freedom Health | Managed Medicaid | $663.51 | ↓ -96% |
| AmeriHealth | Managed Medicaid | $683.42 | ↓ -96% |
| Miami Childrens Health Plan | Managed Medicaid | $696.69 | ↓ -96% |
| Molina | Florida Kidcare | $696.69 | ↓ -96% |
| Sunshine Health | Managed Medicaid | $696.69 | ↓ -96% |
| Molina | Managed Medicaid | $696.69 | ↓ -96% |
| United | All Products | $721.87 | ↓ -96% |
| Independent Living Systems | Managed Medicaid | $796.21 | ↓ -95% |
| The Legacy Companies | All Products | $2,012.40 | ↓ -88% |
| Clarity Health | All Products | $2,012.40 | ↓ -88% |
| Consociate Health | ALL PRODUCTS | $2,322.00 | ↓ -86% |
| Aetna | All Products First Health | $2,786.40 | ↓ -83% |
| Simply | Managed Medicaid | $4,372.28 | ↓ -74% |
| SUNSHINE HEALTH | Managed Medicaid | $4,372.28 | ↓ -74% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $4,372.28 | ↓ -74% |
| AMERIHEALTH | Managed Medicaid | $4,503.45 | ↓ -73% |
| MOLINA | Managed Medicaid | $4,590.89 | ↓ -72% |
| MOLINA | Florida KidCare | $4,590.89 | ↓ -72% |
| AETNA | Managed Medicaid/CHIP | $5,246.74 | ↓ -68% |
| UNITED | MEDICARE ADVANTAGE | $5,723.07 | ↓ -65% |
| BLUE CROSS | Medicare Advantage PPO | $5,723.07 | ↓ -65% |
| BLUE CROSS | Medicare Advantage HMO | $5,723.07 | ↓ -65% |
| HUMANA | Medicare Advantage HMO | $5,723.07 | ↓ -65% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $5,723.07 | ↓ -65% |
| AETNA | MEDICARE ADVANTAGE | $5,943.58 | ↓ -64% |
| Wellcare | MEDICARE ADVANTAGE | $5,943.58 | ↓ -64% |
| AVMED | MEDICARE ADVANTAGE | $5,951.99 | ↓ -64% |
| Freedom Health | MEDICARE ADVANTAGE | $6,009.23 | ↓ -64% |
| Careplus | MEDICARE ADVANTAGE | $6,009.23 | ↓ -64% |
| DEVOTED HEALTH | Medicare Advantage HMO | $6,537.94 | ↓ -61% |
| CIGNA | Individual Family Plan | $7,212.26 | ↓ -56% |
| AETNA | QHP | $7,467.11 | ↓ -55% |
| Cigna | Individual Family Plan Mid-Level | $7,548.73 | ↓ -54% |
| Cigna | Surefit Mid-Level | $7,693.22 | ↓ -54% |
| AETNA | ALL PRODUCTS | $7,951.32 | ↓ -52% |
| BLUE CROSS | BSL | $7,992.00 | ↓ -52% |
| Cigna | All Products Mid-Level | $8,307.76 | ↓ -50% |
| AETNA | All Products New Business | $8,333.60 | ↓ -50% |
| Cigna | Individual Family Plan Physician | $8,880.75 | ↓ -46% |
| Cigna | Surefit Physician | $9,050.67 | ↓ -45% |
| Cigna | All Products Physician | $9,773.73 | ↓ -41% |
| AVMED | EXCHANGE | $10,015.38 | ↓ -40% |
| CIGNA | SUREFIT | $10,423.37 | ↓ -37% |
| BMI | ALL PRODUCTS | $12,742.50 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $13,456.08 | ↓ -19% |
| The Legacy Companies | ALL PRODUCTS | $16,565.25 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $16,565.25 | ↑ +0% |
| AVMED | Select | $16,883.06 | ↑ +2% |
| AVMED | BROAD | $22,033.83 | ↑ +33% |
| AETNA | All Products First Health | $22,936.50 | ↑ +38% |
| UNITED | NHP | $24,126.00 | ↑ +46% |
| UNITED | ALL PRODUCTS | $28,910.00 | ↑ +75% |
| UNITED | International | $31,738.00 | ↑ +92% |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| BLUE CROSS | MBN | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
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Revision tips at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $2,640.17 – $2,695.76 |
| Adventhealth Daytona Beach | Daytona Beach | $34,198.27 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $19,980.04 | $5,646.40 – $12,694.89 |
| Adventhealth Tampa | Tampa | $41,443.06 | $5,943.58 – $13,194.75 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $19,049.05 | $5,646.40 – $12,983.75 |
| Adventhealth Port Charlotte | Port Charlotte | $39,370.91 | $5,943.58 – $10,852.98 |
| cleveland clinic florida weston hospital | Weston | $16,565.25 | $231.76 – $21,662.25 |
| indian river hospital | Vero Beach | $16,565.25 | $231.76 – $20,388.00 |