Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,656.20
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.
$2,548.00
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.
$396.87 with Blue Cross vs $7,069.16 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 |
|---|---|---|---|
| Blue Cross | BlueSelect | $396.87 | ↓ -76% |
| Blue Cross | Health Options | $396.87 | ↓ -76% |
| Blue Cross | Network Blue | $478.58 | ↓ -71% |
| Freedom Health | Managed Medicaid | $492.78 | ↓ -70% |
| Blue Cross | Perferred Patient Care | $494.15 | ↓ -70% |
| Blue Cross | Traditional (PPS) | $494.15 | ↓ -70% |
| United | Medicare Advantage | $500.05 | ↓ -70% |
| Avmed | Medicare Advantage | $500.05 | ↓ -70% |
| Miami Childrens Health Plan | Medicare Advantage | $500.05 | ↓ -70% |
| Blue Cross | Medicare Advantage HMO | $500.05 | ↓ -70% |
| Blue Cross | Medicare Advantage PPO | $500.05 | ↓ -70% |
| AmeriHealth | Managed Medicaid | $507.56 | ↓ -69% |
| Molina | Florida Kidcare | $517.42 | ↓ -69% |
| Molina | Managed Medicaid | $517.42 | ↓ -69% |
| Miami Childrens Health Plan | Managed Medicaid | $517.42 | ↓ -69% |
| Sunshine Health | Managed Medicaid | $517.42 | ↓ -69% |
| Careplus | Medicare Advantage | $525.05 | ↓ -68% |
| Freedom Health | Medicare Advantage | $525.05 | ↓ -68% |
| Clear Spring Health | All Products | $540.05 | ↓ -67% |
| Independent Living Systems | Medicare Advantage | $551.23 | ↓ -67% |
| Independent Living Systems | Managed Medicaid | $591.34 | ↓ -64% |
| Aetna | Medicare Advantage PCP | $620.06 | ↓ -63% |
| Aetna | Medicare Advantage Specialist | $630.06 | ↓ -62% |
| Avmed | Exchange | $695.08 | ↓ -58% |
| Cigna | Individual Family Plan Mid-Level | $695.74 | ↓ -58% |
| Cigna | Surefit Mid-Level | $709.04 | ↓ -57% |
| Avmed | Select | $721.82 | ↓ -56% |
| Multiplan | All Products | $750.08 | ↓ -55% |
| Cigna | All Products Mid-Level | $765.83 | ↓ -54% |
| Avmed | Broad | $775.29 | ↓ -53% |
| Cigna | Individual Family Plan Physician | $818.55 | ↓ -51% |
| Cigna | Surefit Physician | $834.25 | ↓ -50% |
| Cigna | All Products Physician | $900.93 | ↓ -46% |
| United | All Products | $1,011.67 | ↓ -39% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,243.75 | ↓ -25% |
| Simply | Managed Medicaid | $1,243.75 | ↓ -25% |
| SUNSHINE HEALTH | Managed Medicaid | $1,243.75 | ↓ -25% |
| AMERIHEALTH | Managed Medicaid | $1,281.06 | ↓ -23% |
| MOLINA | Managed Medicaid | $1,305.94 | ↓ -21% |
| MOLINA | Florida KidCare | $1,305.94 | ↓ -21% |
| AETNA | Managed Medicaid/CHIP | $1,492.50 | ↓ -10% |
| The Legacy Companies | All Products | $1,656.20 | ↑ +0% |
| Clarity Health | All Products | $1,656.20 | ↑ +0% |
| UNITED | MEDICARE ADVANTAGE | $1,836.14 | ↑ +11% |
| BLUE CROSS | Medicare Advantage HMO | $1,836.14 | ↑ +11% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $1,836.14 | ↑ +11% |
| BLUE CROSS | Medicare Advantage PPO | $1,836.14 | ↑ +11% |
| HUMANA | Medicare Advantage HMO | $1,836.14 | ↑ +11% |
| AVMED | MEDICARE ADVANTAGE | $1,909.59 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $1,911.00 | ↑ +15% |
| Careplus | MEDICARE ADVANTAGE | $1,927.95 | ↑ +16% |
| Freedom Health | MEDICARE ADVANTAGE | $1,927.95 | ↑ +16% |
| Wellcare | MEDICARE ADVANTAGE | $2,154.64 | ↑ +30% |
| AETNA | MEDICARE ADVANTAGE | $2,154.64 | ↑ +30% |
| Aetna | All Products First Health | $2,293.20 | ↑ +38% |
| DEVOTED HEALTH | Medicare Advantage HMO | $2,370.10 | ↑ +43% |
| AVMED | EXCHANGE | $3,213.25 | ↑ +94% |
| AVMED | Select | $5,416.63 | ↑ +227% |
| AVMED | BROAD | $7,069.16 | ↑ +327% |
| 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
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $875.39 – $893.82 |
| cleveland clinic florida weston hospital | Weston | $4,459.00 | $242.63 – $5,831.00 |
| indian river hospital | Vero Beach | $4,459.00 | $242.63 – $5,488.00 |
| Baptist Hospital | MIAMI | $2,662.40 | $173.17 – $3,686.40 |
| Bethesda Hospital East | BOYNTON BEACH | $2,662.40 | $823.30 – $3,686.40 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $2,662.40 | $712.70 – $3,686.40 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $2,046.91 – $3,596.09 |
| Adventhealth Lake Wales | Lake Wales | not published | $2,154.64 – $4,783.30 |