healthcosts.net
Shoulder MRI (with contrast) at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$4,429.10
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.
?
What you pay up front if you don't use insurance.
$6,814.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$60.50 with Blue Cross vs $6,132.60 with AETNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $60.50 | ↓ -99% |
| Blue Cross | BlueSelect | $60.50 | ↓ -99% |
| Blue Cross | Network Blue | $72.95 | ↓ -98% |
| Blue Cross | Traditional (PPS) | $75.33 | ↓ -98% |
| Blue Cross | Perferred Patient Care | $75.33 | ↓ -98% |
| United | Medicare Advantage | $77.95 | ↓ -98% |
| Avmed | Medicare Advantage | $77.95 | ↓ -98% |
| Blue Cross | Medicare Advantage PPO | $77.95 | ↓ -98% |
| Miami Childrens Health Plan | Medicare Advantage | $77.95 | ↓ -98% |
| Blue Cross | Medicare Advantage HMO | $77.95 | ↓ -98% |
| Independent Living Systems | Medicare Advantage | $79.57 | ↓ -98% |
| Freedom Health | Medicare Advantage | $81.85 | ↓ -98% |
| Careplus | Medicare Advantage | $81.85 | ↓ -98% |
| Clear Spring Health | All Products | $84.19 | ↓ -98% |
| Aetna | Medicare Advantage PCP | $96.66 | ↓ -98% |
| Aetna | Medicare Advantage Specialist | $98.22 | ↓ -98% |
| United | All Products | $100.46 | ↓ -98% |
| Avmed | Exchange | $101.71 | ↓ -98% |
| Avmed | Select | $105.62 | ↓ -98% |
| Avmed | Broad | $113.45 | ↓ -97% |
| Multiplan | All Products | $116.93 | ↓ -97% |
| Simply | Managed Medicaid | $254.63 | ↓ -94% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $254.63 | ↓ -94% |
| SUNSHINE HEALTH | Managed Medicaid | $254.63 | ↓ -94% |
| Freedom Health | Managed Medicaid | $254.63 | ↓ -94% |
| AMERIHEALTH | Managed Medicaid | $262.27 | ↓ -94% |
| Miami Childrens Health Plan | Managed Medicaid | $267.36 | ↓ -94% |
| MOLINA | Florida KidCare | $267.36 | ↓ -94% |
| MOLINA | Managed Medicaid | $267.36 | ↓ -94% |
| Aetna | All Products Anesthesia | $299.87 | ↓ -93% |
| Independent Living Systems | Managed Medicaid | $305.56 | ↓ -93% |
| AETNA | Managed Medicaid/CHIP | $305.56 | ↓ -93% |
| BLUE CROSS | MBN | $386.00 | ↓ -91% |
| Aetna | All Products PCP | $387.31 | ↓ -91% |
| BLUE CROSS | BSL | $388.00 | ↓ -91% |
| Clarity Health | All Products | $421.20 | ↓ -90% |
| The Legacy Companies | All Products | $421.20 | ↓ -90% |
| MULTIPLAN | ALL PRODUCTS | $451.47 | ↓ -90% |
| Clear Spring Health | ALL PRODUCTS | $464.37 | ↓ -90% |
| Aetna | All Products Specialist | $476.41 | ↓ -89% |
| BLUE CROSS | HMO | $486.00 | ↓ -89% |
| Consociate Health | ALL PRODUCTS | $486.00 | ↓ -89% |
| BLUE CROSS | NWBI | $521.00 | ↓ -88% |
| BLUE CROSS | NWB | $521.00 | ↓ -88% |
| Aetna | All Products First Health | $583.20 | ↓ -87% |
| BLUE CROSS | PHS | $584.00 | ↓ -87% |
| Cigna | Individual Family Plan Mid-Level | $648.00 | ↓ -85% |
| Cigna | Surefit Physician | $648.00 | ↓ -85% |
| Cigna | All Products Physician | $648.00 | ↓ -85% |
| Cigna | All Products Mid-Level | $648.00 | ↓ -85% |
| Cigna | Individual Family Plan Physician | $648.00 | ↓ -85% |
| Cigna | Surefit Mid-Level | $648.00 | ↓ -85% |
| UNITED | MEDICARE ADVANTAGE | $793.05 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $793.05 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $793.05 | ↓ -82% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $793.05 | ↓ -82% |
| BLUE CROSS | Medicare Advantage PPO | $793.05 | ↓ -82% |
| Wellcare | MEDICARE ADVANTAGE | $818.63 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $818.63 | ↓ -82% |
| AVMED | MEDICARE ADVANTAGE | $824.77 | ↓ -81% |
| Careplus | MEDICARE ADVANTAGE | $832.70 | ↓ -81% |
| Freedom Health | MEDICARE ADVANTAGE | $832.70 | ↓ -81% |
| DEVOTED HEALTH | Medicare Advantage HMO | $900.50 | ↓ -80% |
| BLUE CROSS | PPO | $1,020.00 | ↓ -77% |
| AVMED | EXCHANGE | $1,387.83 | ↓ -69% |
| UNITED | International | $1,531.85 | ↓ -65% |
| UNITED | NHP | $1,531.85 | ↓ -65% |
| UNITED | ALL PRODUCTS | $1,531.85 | ↓ -65% |
| AETNA | QHP | $1,677.00 | ↓ -62% |
| CIGNA | Individual Family Plan | $1,928.36 | ↓ -56% |
| AETNA | All Products New Business | $2,027.00 | ↓ -54% |
| AETNA | ALL PRODUCTS | $2,278.00 | ↓ -49% |
| AVMED | Select | $2,339.49 | ↓ -47% |
| CIGNA | SUREFIT | $2,786.93 | ↓ -37% |
| AVMED | BROAD | $3,053.23 | ↓ -31% |
| BMI | ALL PRODUCTS | $3,407.00 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $3,597.79 | ↓ -19% |
| The Legacy Companies | ALL PRODUCTS | $4,429.10 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $4,429.10 | ↑ +0% |
| AETNA | All Products First Health | $6,132.60 | ↑ +38% |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Shoulder MRI (with contrast) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $4,850.30 | $67.61 – $5,791.90 |
| indian river hospital | Vero Beach | $4,429.10 | $72.36 – $5,451.20 |
| Baptist Hospital | MIAMI | $3,842.80 | $173.17 – $5,320.80 |
| Bethesda Hospital East | BOYNTON BEACH | $3,842.80 | $255.55 – $5,320.80 |
| Boca Raton Regional Hospital | BOCA RATON | $3,445.00 | $726.91 – $3,460.90 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $3,842.80 | $247.73 – $5,320.80 |
| Doctors Hospital | CORAL GABLES | $3,842.80 | $247.73 – $5,320.80 |
| Fishermens Community Hospital | MARATHON | $3,842.80 | $247.73 – $5,320.80 |