Rmvl pm gen w/rplc pm gen sgl lead sys at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$17,464.85
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.
$26,869.00
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.
$256.60 with Freedom Health vs $31,982.96 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 |
|---|---|---|---|
| Freedom Health | Managed Medicaid | $256.60 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $264.30 | ↓ -98% |
| Sunshine Health | Managed Medicaid | $269.43 | ↓ -98% |
| Molina | Florida Kidcare | $269.43 | ↓ -98% |
| Molina | Managed Medicaid | $269.43 | ↓ -98% |
| Miami Childrens Health Plan | Managed Medicaid | $269.43 | ↓ -98% |
| Blue Cross | Health Options | $271.26 | ↓ -98% |
| Blue Cross | BlueSelect | $271.26 | ↓ -98% |
| Independent Living Systems | Managed Medicaid | $307.92 | ↓ -98% |
| Blue Cross | Network Blue | $327.11 | ↓ -98% |
| Avmed | Medicare Advantage | $337.45 | ↓ -98% |
| Blue Cross | Medicare Advantage HMO | $337.45 | ↓ -98% |
| Miami Childrens Health Plan | Medicare Advantage | $337.45 | ↓ -98% |
| Blue Cross | Medicare Advantage PPO | $337.45 | ↓ -98% |
| United | Medicare Advantage | $337.45 | ↓ -98% |
| Blue Cross | Perferred Patient Care | $337.75 | ↓ -98% |
| Blue Cross | Traditional (PPS) | $337.75 | ↓ -98% |
| Careplus | Medicare Advantage | $354.32 | ↓ -98% |
| Freedom Health | Medicare Advantage | $354.32 | ↓ -98% |
| Clear Spring Health | All Products | $364.45 | ↓ -98% |
| Independent Living Systems | Medicare Advantage | $371.95 | ↓ -98% |
| MULTIPLAN | ALL PRODUCTS | $393.95 | ↓ -98% |
| Clear Spring Health | ALL PRODUCTS | $405.21 | ↓ -98% |
| Aetna | Medicare Advantage PCP | $418.44 | ↓ -98% |
| Aetna | Medicare Advantage Specialist | $425.19 | ↓ -98% |
| Avmed | Exchange | $474.05 | ↓ -97% |
| Avmed | Select | $492.28 | ↓ -97% |
| Multiplan | All Products | $506.18 | ↓ -97% |
| Avmed | Broad | $528.74 | ↓ -97% |
| United | All Products | $689.95 | ↓ -96% |
| The Legacy Companies | All Products | $1,365.00 | ↓ -92% |
| Clarity Health | All Products | $1,365.00 | ↓ -92% |
| Consociate Health | ALL PRODUCTS | $1,575.00 | ↓ -91% |
| Aetna | All Products First Health | $1,890.00 | ↓ -89% |
| Cigna | Individual Family Plan Mid-Level | $2,100.00 | ↓ -88% |
| Cigna | All Products Physician | $2,100.00 | ↓ -88% |
| Cigna | All Products Mid-Level | $2,100.00 | ↓ -88% |
| Cigna | Surefit Physician | $2,100.00 | ↓ -88% |
| Cigna | Surefit Mid-Level | $2,100.00 | ↓ -88% |
| Cigna | Individual Family Plan Physician | $2,100.00 | ↓ -88% |
| SUNSHINE HEALTH | Managed Medicaid | $4,953.92 | ↓ -72% |
| Simply | Managed Medicaid | $4,953.92 | ↓ -72% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $4,953.92 | ↓ -72% |
| AETNA | QHP | $4,966.00 | ↓ -72% |
| AMERIHEALTH | Managed Medicaid | $5,102.54 | ↓ -71% |
| MOLINA | Florida KidCare | $5,201.62 | ↓ -70% |
| MOLINA | Managed Medicaid | $5,201.62 | ↓ -70% |
| AETNA | Managed Medicaid/CHIP | $5,944.70 | ↓ -66% |
| AETNA | All Products New Business | $6,004.00 | ↓ -66% |
| AETNA | ALL PRODUCTS | $6,746.00 | ↓ -61% |
| CIGNA | Individual Family Plan | $7,603.93 | ↓ -56% |
| BLUE CROSS | BSL | $7,992.00 | ↓ -54% |
| BLUE CROSS | Medicare Advantage HMO | $8,307.26 | ↓ -52% |
| BLUE CROSS | Medicare Advantage PPO | $8,307.26 | ↓ -52% |
| UNITED | MEDICARE ADVANTAGE | $8,307.26 | ↓ -52% |
| HUMANA | Medicare Advantage HMO | $8,307.26 | ↓ -52% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $8,307.26 | ↓ -52% |
| AVMED | MEDICARE ADVANTAGE | $8,639.55 | ↓ -51% |
| AETNA | MEDICARE ADVANTAGE | $8,641.82 | ↓ -51% |
| Wellcare | MEDICARE ADVANTAGE | $8,641.82 | ↓ -51% |
| Careplus | MEDICARE ADVANTAGE | $8,722.63 | ↓ -50% |
| Freedom Health | MEDICARE ADVANTAGE | $8,722.63 | ↓ -50% |
| DEVOTED HEALTH | Medicare Advantage HMO | $9,506.00 | ↓ -46% |
| CIGNA | SUREFIT | $10,989.42 | ↓ -37% |
| BMI | ALL PRODUCTS | $13,434.50 | ↓ -23% |
| BLUE CROSS | MBN | $13,738.00 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $14,186.83 | ↓ -19% |
| AVMED | EXCHANGE | $14,537.71 | ↓ -17% |
| The Legacy Companies | ALL PRODUCTS | $17,464.85 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $17,464.85 | ↑ +0% |
| BLUE CROSS | HMO | $17,967.00 | ↑ +3% |
| BLUE CROSS | PPO | $18,960.00 | ↑ +9% |
| BLUE CROSS | NWBI | $19,191.00 | ↑ +10% |
| BLUE CROSS | NWB | $19,191.00 | ↑ +10% |
| BLUE CROSS | PHS | $22,850.00 | ↑ +31% |
| UNITED | NHP | $24,126.00 | ↑ +38% |
| AETNA | All Products First Health | $24,182.10 | ↑ +38% |
| AVMED | Select | $24,506.43 | ↑ +40% |
| UNITED | ALL PRODUCTS | $28,910.00 | ↑ +66% |
| UNITED | International | $31,738.00 | ↑ +82% |
| AVMED | BROAD | $31,982.96 | ↑ +83% |
| Consociate Health | Transplant | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Rmvl pm gen w/rplc pm gen sgl lead sys at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $518.23 – $529.14 |
| Adventhealth Daytona Beach | Daytona Beach | $33,249.68 | $8,209.72 – $14,423.19 |
| Adventhealth Tampa | Tampa | $16,620.67 | $8,641.82 – $19,184.83 |
| Adventhealth Port Charlotte | Port Charlotte | $15,789.64 | $8,641.82 – $15,779.96 |
| cleveland clinic florida weston hospital | Weston | $17,464.85 | $165.37 – $22,838.65 |
| indian river hospital | Vero Beach | $17,464.85 | $165.37 – $21,495.20 |
| Baptist Hospital | MIAMI | $16,497.00 | $173.17 – $22,842.00 |
| Bethesda Hospital East | BOYNTON BEACH | $16,497.00 | $3,651.00 – $22,842.00 |