Unlisted misc path test at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$63.05
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.
$97.00
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.
$12.13 with Simply vs $206.48 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 |
|---|---|---|---|
| Simply | Managed Medicaid | $12.13 | ↓ -81% |
| SUNSHINE HEALTH | Managed Medicaid | $12.13 | ↓ -81% |
| Freedom Health | Managed Medicaid | $12.13 | ↓ -81% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $12.13 | ↓ -81% |
| AMERIHEALTH | Managed Medicaid | $12.49 | ↓ -80% |
| MOLINA | Florida KidCare | $12.74 | ↓ -80% |
| MOLINA | Managed Medicaid | $12.74 | ↓ -80% |
| Miami Childrens Health Plan | Managed Medicaid | $12.74 | ↓ -80% |
| AETNA | Managed Medicaid/CHIP | $14.56 | ↓ -77% |
| Independent Living Systems | Managed Medicaid | $14.56 | ↓ -77% |
| CIGNA | Individual Family Plan | $27.45 | ↓ -56% |
| AETNA | QHP | $28.42 | ↓ -55% |
| AETNA | ALL PRODUCTS | $30.26 | ↓ -52% |
| AETNA | All Products New Business | $31.72 | ↓ -50% |
| CIGNA | SUREFIT | $39.67 | ↓ -37% |
| BMI | ALL PRODUCTS | $48.50 | ↓ -23% |
| UNITED | NHP | $49.47 | ↓ -22% |
| CIGNA | ALL PRODUCTS | $51.22 | ↓ -19% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $53.63 | ↓ -15% |
| BLUE CROSS | Medicare Advantage PPO | $53.63 | ↓ -15% |
| HUMANA | Medicare Advantage HMO | $53.63 | ↓ -15% |
| BLUE CROSS | Medicare Advantage HMO | $53.63 | ↓ -15% |
| UNITED | MEDICARE ADVANTAGE | $53.63 | ↓ -15% |
| Wellcare | MEDICARE ADVANTAGE | $54.42 | ↓ -14% |
| AETNA | MEDICARE ADVANTAGE | $54.42 | ↓ -14% |
| AVMED | MEDICARE ADVANTAGE | $55.78 | ↓ -12% |
| Careplus | MEDICARE ADVANTAGE | $56.31 | ↓ -11% |
| Freedom Health | MEDICARE ADVANTAGE | $56.31 | ↓ -11% |
| DEVOTED HEALTH | Medicare Advantage HMO | $59.86 | ↓ -5% |
| The Legacy Companies | ALL PRODUCTS | $63.05 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $63.05 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $72.75 | ↑ +15% |
| AETNA | All Products First Health | $87.30 | ↑ +38% |
| AVMED | EXCHANGE | $93.86 | ↑ +49% |
| AVMED | Select | $158.21 | ↑ +151% |
| AVMED | BROAD | $206.48 | ↑ +227% |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| MULTIPLAN | ALL PRODUCTS | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| BLUE CROSS | MBN | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted misc path test at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $49.76 – $97.04 |
| cleveland clinic florida weston hospital | Weston | $69.55 | $11.52 – $90.95 |
| Boca Raton Regional Hospital | BOCA RATON | $5.20 | $2.88 – $55.58 |
| HCA FLORIDA LARGO HOSPITAL | LARGO | $5.00 | $49.76 – $94.55 |
| HCA FLORIDA PUTNAM HOSPITAL | Palatka | $289.25 | $49.76 – $90.35 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $51.70 – $90.82 |
| Adventhealth Lake Wales | Lake Wales | not published | $54.42 – $120.81 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $51.70 – $116.23 |