Special physics consult at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,479.40
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.
?
What you pay up front if you don't use insurance.
$2,276.00
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.
$74.96 with Freedom Health vs $5,163.00 with UNITED — 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 |
|---|---|---|---|
| Freedom Health | Managed Medicaid | $74.96 | ↓ -95% |
| SUNSHINE HEALTH | Managed Medicaid | $74.96 | ↓ -95% |
| Simply | Managed Medicaid | $74.96 | ↓ -95% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $74.96 | ↓ -95% |
| AMERIHEALTH | Managed Medicaid | $77.21 | ↓ -95% |
| Miami Childrens Health Plan | Managed Medicaid | $78.71 | ↓ -95% |
| MOLINA | Florida KidCare | $78.71 | ↓ -95% |
| MOLINA | Managed Medicaid | $78.71 | ↓ -95% |
| Blue Cross | BlueSelect | $86.07 | ↓ -94% |
| Blue Cross | Health Options | $86.07 | ↓ -94% |
| AETNA | Managed Medicaid/CHIP | $89.95 | ↓ -94% |
| Independent Living Systems | Managed Medicaid | $89.95 | ↓ -94% |
| Blue Cross | Network Blue | $103.79 | ↓ -93% |
| Blue Cross | Traditional (PPS) | $107.17 | ↓ -93% |
| Blue Cross | Perferred Patient Care | $107.17 | ↓ -93% |
| BLUE CROSS | Medicare Advantage PPO | $133.27 | ↓ -91% |
| BLUE CROSS | Medicare Advantage HMO | $133.27 | ↓ -91% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $133.27 | ↓ -91% |
| UNITED | MEDICARE ADVANTAGE | $133.27 | ↓ -91% |
| HUMANA | Medicare Advantage HMO | $133.27 | ↓ -91% |
| AVMED | MEDICARE ADVANTAGE | $138.60 | ↓ -91% |
| Careplus | MEDICARE ADVANTAGE | $139.94 | ↓ -91% |
| Freedom Health | MEDICARE ADVANTAGE | $139.94 | ↓ -91% |
| AETNA | MEDICARE ADVANTAGE | $140.36 | ↓ -91% |
| Wellcare | MEDICARE ADVANTAGE | $140.36 | ↓ -91% |
| DEVOTED HEALTH | Medicare Advantage HMO | $154.40 | ↓ -90% |
| Independent Living Systems | Medicare Advantage | $156.72 | ↓ -89% |
| Blue Cross | Medicare Advantage PPO | $157.70 | ↓ -89% |
| Avmed | Medicare Advantage | $157.70 | ↓ -89% |
| Miami Childrens Health Plan | Medicare Advantage | $157.70 | ↓ -89% |
| United | Medicare Advantage | $157.70 | ↓ -89% |
| Blue Cross | Medicare Advantage HMO | $157.70 | ↓ -89% |
| Freedom Health | Medicare Advantage | $165.59 | ↓ -89% |
| Careplus | Medicare Advantage | $165.59 | ↓ -89% |
| Clear Spring Health | All Products | $170.32 | ↓ -88% |
| United | All Products | $190.07 | ↓ -87% |
| Avmed | Exchange | $192.44 | ↓ -87% |
| Aetna | Medicare Advantage PCP | $195.55 | ↓ -87% |
| Aetna | Medicare Advantage Specialist | $198.70 | ↓ -87% |
| Avmed | Select | $199.84 | ↓ -86% |
| Avmed | Broad | $214.64 | ↓ -85% |
| MULTIPLAN | ALL PRODUCTS | $223.82 | ↓ -85% |
| Clear Spring Health | ALL PRODUCTS | $230.21 | ↓ -84% |
| AVMED | EXCHANGE | $233.23 | ↓ -84% |
| Multiplan | All Products | $236.55 | ↓ -84% |
| CIGNA | Individual Family Plan | $324.04 | ↓ -78% |
| AETNA | QHP | $335.49 | ↓ -77% |
| AETNA | ALL PRODUCTS | $357.24 | ↓ -76% |
| AETNA | All Products New Business | $374.42 | ↓ -75% |
| AVMED | Select | $393.15 | ↓ -73% |
| CIGNA | SUREFIT | $468.31 | ↓ -68% |
| AVMED | BROAD | $513.10 | ↓ -65% |
| BMI | ALL PRODUCTS | $572.50 | ↓ -61% |
| CIGNA | ALL PRODUCTS | $604.56 | ↓ -59% |
| BLUE CROSS | MBN | $637.00 | ↓ -57% |
| BLUE CROSS | BSL | $701.00 | ↓ -53% |
| Clarity Health | All Products | $735.15 | ↓ -50% |
| The Legacy Companies | All Products | $735.15 | ↓ -50% |
| The Legacy Companies | ALL PRODUCTS | $744.25 | ↓ -50% |
| Clarity Health | ALL PRODUCTS | $744.25 | ↓ -50% |
| BLUE CROSS | HMO | $797.00 | ↓ -46% |
| Consociate Health | ALL PRODUCTS | $848.25 | ↓ -43% |
| Aetna | All Products First Health | $1,017.90 | ↓ -31% |
| BLUE CROSS | NWBI | $1,019.00 | ↓ -31% |
| BLUE CROSS | NWB | $1,019.00 | ↓ -31% |
| AETNA | All Products First Health | $1,030.50 | ↓ -30% |
| Cigna | All Products Physician | $1,131.00 | ↓ -24% |
| Cigna | All Products Mid-Level | $1,131.00 | ↓ -24% |
| Cigna | Individual Family Plan Mid-Level | $1,131.00 | ↓ -24% |
| Cigna | Surefit Physician | $1,131.00 | ↓ -24% |
| Cigna | Individual Family Plan Physician | $1,131.00 | ↓ -24% |
| Cigna | Surefit Mid-Level | $1,131.00 | ↓ -24% |
| BLUE CROSS | PHS | $1,274.00 | ↓ -14% |
| BLUE CROSS | PPO | $2,115.00 | ↑ +43% |
| UNITED | NHP | $3,921.00 | ↑ +165% |
| UNITED | ALL PRODUCTS | $4,679.00 | ↑ +216% |
| UNITED | International | $5,163.00 | ↑ +249% |
| Consociate Health | Transplant | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
Visitor-reported prices
Comments
Special physics consult at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | $5,481.00 | $1,753.78 – $1,790.70 |
| Adventhealth Daytona Beach | Daytona Beach | $1,300.75 | $133.34 – $234.26 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,345.49 | not published |
| Adventhealth Tampa | Tampa | $1,661.78 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,440.15 | $133.34 – $306.62 |
| Adventhealth Port Charlotte | Port Charlotte | $564.29 | not published |
| cleveland clinic florida weston hospital | Weston | $1,479.40 | $71.21 – $2,276.00 |
| indian river hospital | Vero Beach | $744.25 | $71.21 – $1,131.00 |