Abd exp/postop hem/throm/infec 35840 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$5,395.00
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.
?
What you pay up front if you don't use insurance.
$8,300.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$931.93 with Freedom Health vs $10,836.80 with AETNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $931.93 | ↓ -83% |
| Blue Cross | Health Options | $935.23 | ↓ -83% |
| Blue Cross | BlueSelect | $935.23 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $959.89 | ↓ -82% |
| Molina | Managed Medicaid | $978.53 | ↓ -82% |
| Miami Childrens Health Plan | Managed Medicaid | $978.53 | ↓ -82% |
| Sunshine Health | Managed Medicaid | $978.53 | ↓ -82% |
| Molina | Florida Kidcare | $978.53 | ↓ -82% |
| Independent Living Systems | Managed Medicaid | $1,118.32 | ↓ -79% |
| Blue Cross | Network Blue | $1,127.77 | ↓ -79% |
| Blue Cross | Traditional (PPS) | $1,164.45 | ↓ -78% |
| Blue Cross | Perferred Patient Care | $1,164.45 | ↓ -78% |
| United | Medicare Advantage | $1,268.69 | ↓ -76% |
| Avmed | Medicare Advantage | $1,268.69 | ↓ -76% |
| Blue Cross | Medicare Advantage HMO | $1,268.69 | ↓ -76% |
| Blue Cross | Medicare Advantage PPO | $1,268.69 | ↓ -76% |
| Miami Childrens Health Plan | Medicare Advantage | $1,268.69 | ↓ -76% |
| Freedom Health | Medicare Advantage | $1,332.12 | ↓ -75% |
| Careplus | Medicare Advantage | $1,332.12 | ↓ -75% |
| Independent Living Systems | Medicare Advantage | $1,369.98 | ↓ -75% |
| Clear Spring Health | All Products | $1,370.19 | ↓ -75% |
| Aetna | Medicare Advantage PCP | $1,573.18 | ↓ -71% |
| Aetna | Medicare Advantage Specialist | $1,598.55 | ↓ -70% |
| Avmed | Exchange | $1,733.55 | ↓ -68% |
| Avmed | Select | $1,800.23 | ↓ -67% |
| Multiplan | All Products | $1,903.04 | ↓ -65% |
| Avmed | Broad | $1,933.58 | ↓ -64% |
| United | All Products | $2,523.12 | ↓ -53% |
| Clarity Health | All Products | $5,395.00 | ↑ +0% |
| The Legacy Companies | All Products | $5,395.00 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $6,225.00 | ↑ +15% |
| Aetna | All Products First Health | $7,470.00 | ↑ +38% |
| Cigna | Surefit Mid-Level | $8,300.00 | ↑ +54% |
| Cigna | Surefit Physician | $8,300.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $8,300.00 | ↑ +54% |
| Cigna | All Products Physician | $8,300.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $8,300.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $8,300.00 | ↑ +54% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $9,030.67 | ↑ +67% |
| SUNSHINE HEALTH | Managed Medicaid | $9,030.67 | ↑ +67% |
| Simply | Managed Medicaid | $9,030.67 | ↑ +67% |
| AMERIHEALTH | Managed Medicaid | $9,301.59 | ↑ +72% |
| MOLINA | Florida KidCare | $9,482.20 | ↑ +76% |
| MOLINA | Managed Medicaid | $9,482.20 | ↑ +76% |
| AETNA | Managed Medicaid/CHIP | $10,836.80 | ↑ +101% |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Abd exp/postop hem/throm/infec 35840 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $2,640.17 – $2,695.76 |
| cleveland clinic florida weston hospital | Weston | $5,395.00 | $587.66 – $10,836.80 |
| indian river hospital | Vero Beach | $5,395.00 | $587.66 – $9,933.74 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $2,533.88 – $2,587.22 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $2,572.23 – $2,626.38 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $2,660.48 – $2,716.49 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $2,762.77 – $2,820.93 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | not published | $2,357.38 – $2,481.45 |