Tlh w/t/o 250 g or less at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$4,290.00
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.
$6,600.00
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.
$699.08 with Freedom Health vs $40,234.71 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 | $699.08 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $720.05 | ↓ -83% |
| Molina | Florida Kidcare | $734.03 | ↓ -83% |
| Sunshine Health | Managed Medicaid | $734.03 | ↓ -83% |
| Miami Childrens Health Plan | Managed Medicaid | $734.03 | ↓ -83% |
| Molina | Managed Medicaid | $734.03 | ↓ -83% |
| Blue Cross | BlueSelect | $821.51 | ↓ -81% |
| Blue Cross | Health Options | $821.51 | ↓ -81% |
| Independent Living Systems | Managed Medicaid | $838.90 | ↓ -80% |
| Avmed | Medicare Advantage | $916.51 | ↓ -79% |
| United | Medicare Advantage | $916.51 | ↓ -79% |
| Blue Cross | Medicare Advantage PPO | $916.51 | ↓ -79% |
| Miami Childrens Health Plan | Medicare Advantage | $916.51 | ↓ -79% |
| Blue Cross | Medicare Advantage HMO | $916.51 | ↓ -79% |
| Freedom Health | Medicare Advantage | $962.34 | ↓ -78% |
| Careplus | Medicare Advantage | $962.34 | ↓ -78% |
| Clear Spring Health | All Products | $989.83 | ↓ -77% |
| Blue Cross | Network Blue | $990.65 | ↓ -77% |
| Independent Living Systems | Medicare Advantage | $994.38 | ↓ -77% |
| Blue Cross | Traditional (PPS) | $1,022.86 | ↓ -76% |
| Blue Cross | Perferred Patient Care | $1,022.86 | ↓ -76% |
| Aetna | Medicare Advantage PCP | $1,136.47 | ↓ -74% |
| Aetna | Medicare Advantage Specialist | $1,154.80 | ↓ -73% |
| Avmed | Exchange | $1,270.78 | ↓ -70% |
| Avmed | Select | $1,319.65 | ↓ -69% |
| Multiplan | All Products | $1,374.77 | ↓ -68% |
| Avmed | Broad | $1,417.40 | ↓ -67% |
| United | All Products | $1,849.57 | ↓ -57% |
| Simply | Managed Medicaid | $3,806.47 | ↓ -11% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $3,806.47 | ↓ -11% |
| SUNSHINE HEALTH | Managed Medicaid | $3,806.47 | ↓ -11% |
| AMERIHEALTH | Managed Medicaid | $3,920.66 | ↓ -9% |
| MOLINA | Managed Medicaid | $3,996.79 | ↓ -7% |
| MOLINA | Florida KidCare | $3,996.79 | ↓ -7% |
| The Legacy Companies | All Products | $4,290.00 | ↑ +0% |
| Clarity Health | All Products | $4,290.00 | ↑ +0% |
| AETNA | Managed Medicaid/CHIP | $4,567.76 | ↑ +6% |
| Consociate Health | ALL PRODUCTS | $4,950.00 | ↑ +15% |
| Aetna | All Products First Health | $5,940.00 | ↑ +38% |
| Cigna | Surefit Mid-Level | $6,600.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $6,600.00 | ↑ +54% |
| Cigna | All Products Physician | $6,600.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $6,600.00 | ↑ +54% |
| Cigna | Surefit Physician | $6,600.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $6,600.00 | ↑ +54% |
| AETNA | QHP | $6,837.00 | ↑ +59% |
| BLUE CROSS | BSL | $7,992.00 | ↑ +86% |
| AETNA | ALL PRODUCTS | $9,287.00 | ↑ +116% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $10,450.57 | ↑ +144% |
| BLUE CROSS | Medicare Advantage HMO | $10,450.57 | ↑ +144% |
| HUMANA | Medicare Advantage HMO | $10,450.57 | ↑ +144% |
| BLUE CROSS | Medicare Advantage PPO | $10,450.57 | ↑ +144% |
| UNITED | MEDICARE ADVANTAGE | $10,450.57 | ↑ +144% |
| AVMED | MEDICARE ADVANTAGE | $10,868.60 | ↑ +153% |
| Freedom Health | MEDICARE ADVANTAGE | $10,973.10 | ↑ +156% |
| Careplus | MEDICARE ADVANTAGE | $10,973.10 | ↑ +156% |
| Wellcare | MEDICARE ADVANTAGE | $11,100.51 | ↑ +159% |
| AETNA | MEDICARE ADVANTAGE | $11,100.51 | ↑ +159% |
| DEVOTED HEALTH | Medicare Advantage HMO | $12,210.56 | ↑ +185% |
| UNITED | ALL PRODUCTS | $17,125.00 | ↑ +299% |
| AVMED | EXCHANGE | $18,288.51 | ↑ +326% |
| AVMED | Select | $30,829.19 | ↑ +619% |
| AVMED | BROAD | $40,234.71 | ↑ +838% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Tlh w/t/o 250 g or less at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $4,290.00 | $606.07 – $12,210.56 |
| indian river hospital | Vero Beach | $4,290.00 | $606.07 – $12,210.56 |
| AdventHealth Orlando | Orlando | $40,638.00 | $11,100.51 – $29,416.36 |
| Adventhealth Carrollwood | Tampa | $101,345.45 | $11,100.51 – $24,643.14 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $10,545.49 – $18,526.75 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $10,545.49 – $23,709.58 |
| Adventhealth Tampa | Tampa | not published | $11,100.51 – $24,643.14 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $10,545.49 – $24,249.07 |