Sbrt management at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$3,394.95
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.
$5,223.00
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.
$197.65 with Simply vs $4,700.70 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 |
|---|---|---|---|
| Simply | Managed Medicaid | $197.65 | ↓ -94% |
| Freedom Health | Managed Medicaid | $197.65 | ↓ -94% |
| SUNSHINE HEALTH | Managed Medicaid | $197.65 | ↓ -94% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $197.65 | ↓ -94% |
| AMERIHEALTH | Managed Medicaid | $203.58 | ↓ -94% |
| MOLINA | Florida KidCare | $207.53 | ↓ -94% |
| Miami Childrens Health Plan | Managed Medicaid | $207.53 | ↓ -94% |
| MOLINA | Managed Medicaid | $207.53 | ↓ -94% |
| AETNA | Managed Medicaid/CHIP | $237.18 | ↓ -93% |
| Independent Living Systems | Managed Medicaid | $237.18 | ↓ -93% |
| Blue Cross | BlueSelect | $460.57 | ↓ -86% |
| Blue Cross | Health Options | $460.57 | ↓ -86% |
| Blue Cross | Network Blue | $555.39 | ↓ -84% |
| Blue Cross | Perferred Patient Care | $573.46 | ↓ -83% |
| Blue Cross | Traditional (PPS) | $573.46 | ↓ -83% |
| Blue Cross | Medicare Advantage HMO | $672.38 | ↓ -80% |
| Miami Childrens Health Plan | Medicare Advantage | $672.38 | ↓ -80% |
| Blue Cross | Medicare Advantage PPO | $672.38 | ↓ -80% |
| Avmed | Medicare Advantage | $672.38 | ↓ -80% |
| United | Medicare Advantage | $672.38 | ↓ -80% |
| Independent Living Systems | Medicare Advantage | $684.55 | ↓ -80% |
| Careplus | Medicare Advantage | $706.00 | ↓ -79% |
| Freedom Health | Medicare Advantage | $706.00 | ↓ -79% |
| Clear Spring Health | All Products | $726.17 | ↓ -79% |
| Aetna | Medicare Advantage PCP | $833.75 | ↓ -75% |
| Aetna | Medicare Advantage Specialist | $847.20 | ↓ -75% |
| United | All Products | $849.65 | ↓ -75% |
| Avmed | Exchange | $860.24 | ↓ -75% |
| Cigna | Individual Family Plan Mid-Level | $866.88 | ↓ -74% |
| Cigna | Surefit Mid-Level | $883.47 | ↓ -74% |
| Avmed | Select | $893.32 | ↓ -74% |
| Cigna | All Products Mid-Level | $925.56 | ↓ -73% |
| Avmed | Broad | $959.49 | ↓ -72% |
| Multiplan | All Products | $1,008.57 | ↓ -70% |
| Cigna | Individual Family Plan Physician | $1,019.85 | ↓ -70% |
| Cigna | Surefit Physician | $1,039.35 | ↓ -69% |
| Cigna | All Products Physician | $1,088.91 | ↓ -68% |
| The Legacy Companies | All Products | $3,394.95 | ↑ +0% |
| Clarity Health | All Products | $3,394.95 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $3,917.25 | ↑ +15% |
| Aetna | All Products First Health | $4,700.70 | ↑ +38% |
| Aetna | All Products PCP | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
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Sbrt management at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $3,394.95 | $187.77 – $2,611.50 |
| indian river hospital | Vero Beach | $3,394.95 | $187.77 – $4,439.55 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $2,004.56 – $2,004.56 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | not published | $2,143.95 – $2,143.95 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | not published | $2,190.41 – $2,190.41 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City | not published | $2,190.41 – $2,190.41 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns | not published | $2,004.56 – $2,004.56 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville | not published | $2,004.56 – $2,004.56 |