Urinary reflex study at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$286.00
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.
$440.00
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.
$59.62 with BLUE CROSS vs $525.10 with United — 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 PPO | $59.62 | ↓ -79% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $59.62 | ↓ -79% |
| UNITED | MEDICARE ADVANTAGE | $59.62 | ↓ -79% |
| HUMANA | Medicare Advantage HMO | $59.62 | ↓ -79% |
| BLUE CROSS | Medicare Advantage HMO | $59.62 | ↓ -79% |
| Wellcare | MEDICARE ADVANTAGE | $61.60 | ↓ -78% |
| AETNA | MEDICARE ADVANTAGE | $61.60 | ↓ -78% |
| AVMED | MEDICARE ADVANTAGE | $62.01 | ↓ -78% |
| Freedom Health | MEDICARE ADVANTAGE | $62.61 | ↓ -78% |
| Careplus | MEDICARE ADVANTAGE | $62.61 | ↓ -78% |
| DEVOTED HEALTH | Medicare Advantage HMO | $67.76 | ↓ -76% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $86.94 | ↓ -70% |
| SUNSHINE HEALTH | Managed Medicaid | $86.94 | ↓ -70% |
| Simply | Managed Medicaid | $86.94 | ↓ -70% |
| Freedom Health | Managed Medicaid | $86.94 | ↓ -70% |
| AMERIHEALTH | Managed Medicaid | $89.55 | ↓ -69% |
| Miami Childrens Health Plan | Managed Medicaid | $91.29 | ↓ -68% |
| MOLINA | Managed Medicaid | $91.29 | ↓ -68% |
| MOLINA | Florida KidCare | $91.29 | ↓ -68% |
| AETNA | Managed Medicaid/CHIP | $104.33 | ↓ -64% |
| Independent Living Systems | Managed Medicaid | $104.33 | ↓ -64% |
| AVMED | EXCHANGE | $104.34 | ↓ -64% |
| Blue Cross | BlueSelect | $170.81 | ↓ -40% |
| Blue Cross | Health Options | $170.81 | ↓ -40% |
| AVMED | Select | $175.89 | ↓ -39% |
| AmeriHealth | Managed Medicaid | $199.08 | ↓ -30% |
| Molina | Managed Medicaid | $202.94 | ↓ -29% |
| Molina | Florida Kidcare | $202.94 | ↓ -29% |
| Sunshine Health | Managed Medicaid | $202.94 | ↓ -29% |
| Blue Cross | Network Blue | $205.97 | ↓ -28% |
| Blue Cross | Perferred Patient Care | $212.67 | ↓ -26% |
| Blue Cross | Traditional (PPS) | $212.67 | ↓ -26% |
| AVMED | BROAD | $229.55 | ↓ -20% |
| Blue Cross | Medicare Advantage PPO | $256.23 | ↓ -10% |
| Miami Childrens Health Plan | Medicare Advantage | $256.23 | ↓ -10% |
| Avmed | Medicare Advantage | $256.23 | ↓ -10% |
| Blue Cross | Medicare Advantage HMO | $256.23 | ↓ -10% |
| United | Medicare Advantage | $256.23 | ↓ -10% |
| Independent Living Systems | Medicare Advantage | $261.65 | ↓ -9% |
| Careplus | Medicare Advantage | $269.04 | ↓ -6% |
| Freedom Health | Medicare Advantage | $269.04 | ↓ -6% |
| Clear Spring Health | All Products | $276.73 | ↓ -3% |
| Clarity Health | All Products | $286.00 | ↑ +0% |
| The Legacy Companies | All Products | $286.00 | ↑ +0% |
| Aetna | Medicare Advantage PCP | $317.73 | ↑ +11% |
| Aetna | Medicare Advantage Specialist | $322.85 | ↑ +13% |
| Consociate Health | ALL PRODUCTS | $330.00 | ↑ +15% |
| Avmed | Exchange | $360.78 | ↑ +26% |
| Avmed | Select | $374.65 | ↑ +31% |
| Multiplan | All Products | $384.35 | ↑ +34% |
| Aetna | All Products First Health | $396.00 | ↑ +38% |
| Avmed | Broad | $402.40 | ↑ +41% |
| Cigna | All Products Physician | $440.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $440.00 | ↑ +54% |
| Cigna | Surefit Physician | $440.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $440.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $440.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $440.00 | ↑ +54% |
| United | All Products | $525.10 | ↑ +84% |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Urinary reflex study at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | not published | $58.52 – $102.82 |
| Adventhealth Lake Wales | Lake Wales | not published | $61.60 – $136.76 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $58.52 – $131.58 |
| Adventhealth Tampa | Tampa | not published | $61.60 – $136.76 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $58.52 – $134.57 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $3,208.87 – $3,276.43 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $61.60 – $112.49 |
| cleveland clinic florida weston hospital | Weston | not published | $59.62 – $86.94 |