X-ray knee 1-2 views (both sides) at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$539.50
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.
$830.00
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.
$7.50 with Blue Cross vs $684.00 with AETNA — 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 | Health Options | $7.50 | ↓ -99% |
| Blue Cross | BlueSelect | $7.50 | ↓ -99% |
| Miami Childrens Health Plan | Medicare Advantage | $8.36 | ↓ -98% |
| United | Medicare Advantage | $8.36 | ↓ -98% |
| Blue Cross | Medicare Advantage PPO | $8.36 | ↓ -98% |
| Blue Cross | Medicare Advantage HMO | $8.36 | ↓ -98% |
| Avmed | Medicare Advantage | $8.36 | ↓ -98% |
| Independent Living Systems | Medicare Advantage | $8.41 | ↓ -98% |
| Freedom Health | Medicare Advantage | $8.78 | ↓ -98% |
| Careplus | Medicare Advantage | $8.78 | ↓ -98% |
| Clear Spring Health | All Products | $9.03 | ↓ -98% |
| Blue Cross | Network Blue | $9.05 | ↓ -98% |
| Blue Cross | Traditional (PPS) | $9.34 | ↓ -98% |
| Blue Cross | Perferred Patient Care | $9.34 | ↓ -98% |
| Aetna | Medicare Advantage PCP | $10.37 | ↓ -98% |
| Aetna | Medicare Advantage Specialist | $10.53 | ↓ -98% |
| United | All Products | $10.58 | ↓ -98% |
| Avmed | Exchange | $10.71 | ↓ -98% |
| Avmed | Select | $11.12 | ↓ -98% |
| Avmed | Broad | $11.95 | ↓ -98% |
| Multiplan | All Products | $12.54 | ↓ -98% |
| Aetna | All Products Anesthesia | $29.76 | ↓ -94% |
| Freedom Health | Managed Medicaid | $35.59 | ↓ -93% |
| Simply | Managed Medicaid | $35.59 | ↓ -93% |
| SUNSHINE HEALTH | Managed Medicaid | $35.59 | ↓ -93% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $35.59 | ↓ -93% |
| AMERIHEALTH | Managed Medicaid | $36.66 | ↓ -93% |
| MOLINA | Managed Medicaid | $37.37 | ↓ -93% |
| MOLINA | Florida KidCare | $37.37 | ↓ -93% |
| Miami Childrens Health Plan | Managed Medicaid | $37.37 | ↓ -93% |
| Aetna | All Products PCP | $38.44 | ↓ -93% |
| Independent Living Systems | Managed Medicaid | $42.71 | ↓ -92% |
| AETNA | Managed Medicaid/CHIP | $42.71 | ↓ -92% |
| The Legacy Companies | All Products | $45.50 | ↓ -92% |
| Clarity Health | All Products | $45.50 | ↓ -92% |
| Aetna | All Products Specialist | $47.28 | ↓ -91% |
| MULTIPLAN | ALL PRODUCTS | $49.59 | ↓ -91% |
| Clear Spring Health | ALL PRODUCTS | $51.01 | ↓ -91% |
| Consociate Health | ALL PRODUCTS | $52.50 | ↓ -90% |
| Aetna | All Products First Health | $63.00 | ↓ -88% |
| Cigna | All Products Physician | $70.00 | ↓ -87% |
| Cigna | All Products Mid-Level | $70.00 | ↓ -87% |
| Cigna | Individual Family Plan Mid-Level | $70.00 | ↓ -87% |
| Cigna | Individual Family Plan Physician | $70.00 | ↓ -87% |
| Cigna | Surefit Mid-Level | $70.00 | ↓ -87% |
| Cigna | Surefit Physician | $70.00 | ↓ -87% |
| BLUE CROSS | Medicare Advantage PPO | $88.38 | ↓ -84% |
| UNITED | MEDICARE ADVANTAGE | $88.38 | ↓ -84% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $88.38 | ↓ -84% |
| HUMANA | Medicare Advantage HMO | $88.38 | ↓ -84% |
| BLUE CROSS | Medicare Advantage HMO | $88.38 | ↓ -84% |
| AETNA | MEDICARE ADVANTAGE | $90.88 | ↓ -83% |
| Wellcare | MEDICARE ADVANTAGE | $90.88 | ↓ -83% |
| AVMED | MEDICARE ADVANTAGE | $91.92 | ↓ -83% |
| Freedom Health | MEDICARE ADVANTAGE | $92.80 | ↓ -83% |
| Careplus | MEDICARE ADVANTAGE | $92.80 | ↓ -83% |
| DEVOTED HEALTH | Medicare Advantage HMO | $99.97 | ↓ -81% |
| BLUE CROSS | MBN | $146.00 | ↓ -73% |
| BLUE CROSS | BSL | $146.00 | ↓ -73% |
| AVMED | EXCHANGE | $154.67 | ↓ -71% |
| UNITED | ALL PRODUCTS | $179.57 | ↓ -67% |
| UNITED | International | $179.57 | ↓ -67% |
| UNITED | NHP | $179.57 | ↓ -67% |
| BLUE CROSS | HMO | $185.00 | ↓ -66% |
| BLUE CROSS | NWB | $203.00 | ↓ -62% |
| BLUE CROSS | NWBI | $203.00 | ↓ -62% |
| CIGNA | Individual Family Plan | $215.08 | ↓ -60% |
| AETNA | QHP | $222.68 | ↓ -59% |
| AETNA | ALL PRODUCTS | $237.12 | ↓ -56% |
| AETNA | All Products New Business | $248.52 | ↓ -54% |
| AVMED | Select | $260.73 | ↓ -52% |
| BLUE CROSS | PHS | $295.00 | ↓ -45% |
| CIGNA | SUREFIT | $310.84 | ↓ -42% |
| AVMED | BROAD | $340.27 | ↓ -37% |
| BMI | ALL PRODUCTS | $380.00 | ↓ -30% |
| CIGNA | ALL PRODUCTS | $401.28 | ↓ -26% |
| Clarity Health | ALL PRODUCTS | $494.00 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $494.00 | ↓ -8% |
| BLUE CROSS | PPO | $528.00 | ↓ -2% |
| AETNA | All Products First Health | $684.00 | ↑ +27% |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
X-ray knee 1-2 views (both sides) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $182.03 – $355.49 |
| Adventhealth Daytona Beach | Daytona Beach | $796.43 | $86.33 – $151.68 |
| Adventhealth Lake Wales | Lake Wales | $1,479.89 | $77.67 – $201.75 |
| Adventhealth Palm Coast Parkway | Palm Coast | $827.94 | $85.22 – $194.11 |
| Adventhealth Tampa | Tampa | $1,233.39 | $76.59 – $201.75 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $648.27 | $86.33 – $198.52 |
| Adventhealth Port Charlotte | Port Charlotte | $951.77 | $80.04 – $165.94 |
| cleveland clinic florida weston hospital | Weston | $539.50 | $8.01 – $646.00 |