St analysis behavior qualitative voice/resonance at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$499.20
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.
$768.00
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.
$111.50 with Blue Cross vs $768.00 with Cigna — 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 | Medicare Advantage HMO | $111.50 | ↓ -78% |
| Avmed | Medicare Advantage | $111.50 | ↓ -78% |
| United | Medicare Advantage | $111.50 | ↓ -78% |
| Blue Cross | Medicare Advantage PPO | $111.50 | ↓ -78% |
| Miami Childrens Health Plan | Medicare Advantage | $111.50 | ↓ -78% |
| Independent Living Systems | Medicare Advantage | $113.30 | ↓ -77% |
| Freedom Health | Medicare Advantage | $117.08 | ↓ -77% |
| Careplus | Medicare Advantage | $117.08 | ↓ -77% |
| Clear Spring Health | All Products | $120.42 | ↓ -76% |
| CIGNA | Individual Family Plan | $130.98 | ↓ -74% |
| Aetna | Medicare Advantage PCP | $138.26 | ↓ -72% |
| Aetna | Medicare Advantage Specialist | $140.49 | ↓ -72% |
| UNITED | MEDICARE ADVANTAGE | $140.62 | ↓ -72% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $140.62 | ↓ -72% |
| BLUE CROSS | Medicare Advantage HMO | $140.62 | ↓ -72% |
| HUMANA | Medicare Advantage HMO | $140.62 | ↓ -72% |
| BLUE CROSS | Medicare Advantage PPO | $140.62 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $144.06 | ↓ -71% |
| Wellcare | MEDICARE ADVANTAGE | $144.06 | ↓ -71% |
| Avmed | Exchange | $144.59 | ↓ -71% |
| AVMED | MEDICARE ADVANTAGE | $146.24 | ↓ -71% |
| Careplus | MEDICARE ADVANTAGE | $147.65 | ↓ -70% |
| Freedom Health | MEDICARE ADVANTAGE | $147.65 | ↓ -70% |
| Avmed | Select | $150.15 | ↓ -70% |
| MULTIPLAN | ALL PRODUCTS | $151.26 | ↓ -70% |
| Clear Spring Health | ALL PRODUCTS | $155.58 | ↓ -69% |
| DEVOTED HEALTH | Medicare Advantage HMO | $158.47 | ↓ -68% |
| Avmed | Broad | $161.27 | ↓ -68% |
| Multiplan | All Products | $167.25 | ↓ -66% |
| CIGNA | SUREFIT | $175.35 | ↓ -65% |
| AETNA | QHP | $178.00 | ↓ -64% |
| Freedom Health | Managed Medicaid | $188.64 | ↓ -62% |
| Simply | Managed Medicaid | $188.64 | ↓ -62% |
| SUNSHINE HEALTH | Managed Medicaid | $188.64 | ↓ -62% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $188.64 | ↓ -62% |
| United | All Products | $193.34 | ↓ -61% |
| AMERIHEALTH | Managed Medicaid | $194.30 | ↓ -61% |
| Miami Childrens Health Plan | Managed Medicaid | $198.07 | ↓ -60% |
| MOLINA | Managed Medicaid | $198.07 | ↓ -60% |
| MOLINA | Florida KidCare | $198.07 | ↓ -60% |
| AVMED | Select | $204.00 | ↓ -59% |
| AVMED | EXCHANGE | $204.00 | ↓ -59% |
| AETNA | All Products New Business | $214.00 | ↓ -57% |
| UNITED | NHP | $219.00 | ↓ -56% |
| Independent Living Systems | Managed Medicaid | $226.37 | ↓ -55% |
| AETNA | Managed Medicaid/CHIP | $226.37 | ↓ -55% |
| AETNA | ALL PRODUCTS | $241.00 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $247.80 | ↓ -50% |
| AVMED | BROAD | $258.40 | ↓ -48% |
| UNITED | ALL PRODUCTS | $262.00 | ↓ -48% |
| UNITED | International | $287.00 | ↓ -43% |
| BLUE CROSS | MBN | $313.00 | ↓ -37% |
| BLUE CROSS | BSL | $319.00 | ↓ -36% |
| BMI | ALL PRODUCTS | $340.00 | ↓ -32% |
| BLUE CROSS | HMO | $394.00 | ↓ -21% |
| The Legacy Companies | ALL PRODUCTS | $442.00 | ↓ -11% |
| Clarity Health | ALL PRODUCTS | $442.00 | ↓ -11% |
| BLUE CROSS | NWBI | $458.00 | ↓ -8% |
| BLUE CROSS | NWB | $458.00 | ↓ -8% |
| Clarity Health | All Products | $499.20 | ↑ +0% |
| The Legacy Companies | All Products | $499.20 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $510.00 | ↑ +2% |
| BLUE CROSS | PPO | $538.00 | ↑ +8% |
| AETNA | All Products First Health | $612.00 | ↑ +23% |
| Aetna | All Products First Health | $691.20 | ↑ +38% |
| BLUE CROSS | PHS | $723.00 | ↑ +45% |
| Cigna | Individual Family Plan Mid-Level | $768.00 | ↑ +54% |
| Cigna | All Products Physician | $768.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $768.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $768.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $768.00 | ↑ +54% |
| Cigna | Surefit Physician | $768.00 | ↑ +54% |
| Independent Living Systems | MEDICARE ADVANTAGE | 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 | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Blue Cross | BlueSelect | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
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St analysis behavior qualitative voice/resonance at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | $2,076.00 | $98.80 – $160.86 |
| Adventhealth Daytona Beach | Daytona Beach | $348.64 | $105.39 – $185.16 |
| Adventhealth Lake Wales | Lake Wales | $1,046.27 | $110.94 – $246.29 |
| Adventhealth Palm Coast Parkway | Palm Coast | $364.61 | not published |
| Adventhealth Tampa | Tampa | $689.48 | $110.94 – $246.29 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $262.14 | $105.39 – $242.35 |
| Adventhealth Port Charlotte | Port Charlotte | $904.77 | not published |
| cleveland clinic florida weston hospital | Weston | $499.20 | $72.11 – $768.00 |