Aspiration peritonsillar abscess at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$676.00
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.
$1,040.00
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.
$233.10 with BLUE CROSS vs $1,632.20 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 | Medicare Advantage HMO | $233.10 | ↓ -66% |
| BLUE CROSS | Medicare Advantage PPO | $233.10 | ↓ -66% |
| UNITED | MEDICARE ADVANTAGE | $233.10 | ↓ -66% |
| HUMANA | Medicare Advantage HMO | $233.10 | ↓ -66% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $233.10 | ↓ -66% |
| Freedom Health | Managed Medicaid | $239.34 | ↓ -65% |
| AVMED | MEDICARE ADVANTAGE | $242.42 | ↓ -64% |
| Freedom Health | MEDICARE ADVANTAGE | $244.75 | ↓ -64% |
| Careplus | MEDICARE ADVANTAGE | $244.75 | ↓ -64% |
| AmeriHealth | Managed Medicaid | $246.52 | ↓ -64% |
| AETNA | MEDICARE ADVANTAGE | $247.34 | ↓ -63% |
| Wellcare | MEDICARE ADVANTAGE | $247.34 | ↓ -63% |
| Clarity Health | All Products | $247.65 | ↓ -63% |
| The Legacy Companies | All Products | $247.65 | ↓ -63% |
| Miami Childrens Health Plan | Managed Medicaid | $251.31 | ↓ -63% |
| Molina | Florida Kidcare | $251.31 | ↓ -63% |
| Sunshine Health | Managed Medicaid | $251.31 | ↓ -63% |
| Molina | Managed Medicaid | $251.31 | ↓ -63% |
| DEVOTED HEALTH | Medicare Advantage HMO | $272.07 | ↓ -60% |
| Consociate Health | ALL PRODUCTS | $285.75 | ↓ -58% |
| Independent Living Systems | Managed Medicaid | $287.21 | ↓ -58% |
| Aetna | All Products First Health | $342.90 | ↓ -49% |
| Cigna | All Products Physician | $381.00 | ↓ -44% |
| Cigna | Individual Family Plan Mid-Level | $381.00 | ↓ -44% |
| Cigna | Surefit Physician | $381.00 | ↓ -44% |
| Cigna | Surefit Mid-Level | $381.00 | ↓ -44% |
| Cigna | Individual Family Plan Physician | $381.00 | ↓ -44% |
| Cigna | All Products Mid-Level | $381.00 | ↓ -44% |
| AVMED | EXCHANGE | $407.92 | ↓ -40% |
| AVMED | Select | $687.64 | ↑ +2% |
| AVMED | BROAD | $897.43 | ↑ +33% |
| Simply | Managed Medicaid | $1,360.17 | ↑ +101% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,360.17 | ↑ +101% |
| SUNSHINE HEALTH | Managed Medicaid | $1,360.17 | ↑ +101% |
| AMERIHEALTH | Managed Medicaid | $1,400.98 | ↑ +107% |
| MOLINA | Florida KidCare | $1,428.18 | ↑ +111% |
| MOLINA | Managed Medicaid | $1,428.18 | ↑ +111% |
| AETNA | Managed Medicaid/CHIP | $1,632.20 | ↑ +141% |
| Blue Cross | Medicare Advantage PPO | not published by hospital | — |
| Blue Cross | Medicare Advantage HMO | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Freedom Health | Medicare Advantage | not published by hospital | — |
| Blue Cross | BlueSelect | not published by hospital | — |
| Avmed | Select | not published by hospital | — |
| Avmed | Medicare Advantage | not published by hospital | — |
| Independent Living Systems | Medicare Advantage | not published by hospital | — |
| Avmed | Exchange | not published by hospital | — |
| Miami Childrens Health Plan | Medicare Advantage | not published by hospital | — |
| Avmed | Broad | not published by hospital | — |
| Multiplan | All Products | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | Medicare Advantage Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | Medicare Advantage PCP | not published by hospital | — |
| United | All Products | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Careplus | Medicare Advantage | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Clear Spring Health | All Products | not published by hospital | — |
Visitor-reported prices
Comments
Aspiration peritonsillar abscess at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $676.00 | $163.82 – $3,160.00 |
| indian river hospital | Vero Beach | $676.00 | $233.10 – $1,360.17 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $234.97 – $528.29 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $247.34 – $451.64 |
| Baptist Hospital | MIAMI | not published | not published |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $223.78 – $477.85 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | not published | $233.10 – $431.24 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | not published | $249.65 – $461.85 |