Biliary endo perq dx w/speci at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$23,321.35
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.
$35,879.00
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.
$210.39 with Freedom Health vs $32,291.10 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 |
|---|---|---|---|
| Freedom Health | Managed Medicaid | $210.39 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $216.70 | ↓ -99% |
| Sunshine Health | Managed Medicaid | $220.91 | ↓ -99% |
| Miami Childrens Health Plan | Managed Medicaid | $220.91 | ↓ -99% |
| Molina | Florida Kidcare | $220.91 | ↓ -99% |
| Molina | Managed Medicaid | $220.91 | ↓ -99% |
| Blue Cross | BlueSelect | $245.30 | ↓ -99% |
| Blue Cross | Health Options | $245.30 | ↓ -99% |
| Independent Living Systems | Managed Medicaid | $252.47 | ↓ -99% |
| United | Medicare Advantage | $277.70 | ↓ -99% |
| Blue Cross | Medicare Advantage HMO | $277.70 | ↓ -99% |
| Avmed | Medicare Advantage | $277.70 | ↓ -99% |
| Blue Cross | Medicare Advantage PPO | $277.70 | ↓ -99% |
| Miami Childrens Health Plan | Medicare Advantage | $277.70 | ↓ -99% |
| Freedom Health | Medicare Advantage | $291.59 | ↓ -99% |
| Careplus | Medicare Advantage | $291.59 | ↓ -99% |
| Blue Cross | Network Blue | $295.80 | ↓ -99% |
| Independent Living Systems | Medicare Advantage | $298.85 | ↓ -99% |
| Clear Spring Health | All Products | $299.92 | ↓ -99% |
| Blue Cross | Perferred Patient Care | $305.42 | ↓ -99% |
| Blue Cross | Traditional (PPS) | $305.42 | ↓ -99% |
| Aetna | Medicare Advantage PCP | $344.35 | ↓ -99% |
| Aetna | Medicare Advantage Specialist | $349.90 | ↓ -98% |
| MULTIPLAN | ALL PRODUCTS | $360.63 | ↓ -98% |
| Clear Spring Health | ALL PRODUCTS | $370.94 | ↓ -98% |
| Avmed | Exchange | $376.79 | ↓ -98% |
| Avmed | Select | $391.28 | ↓ -98% |
| Multiplan | All Products | $416.55 | ↓ -98% |
| Avmed | Broad | $420.27 | ↓ -98% |
| United | All Products | $548.41 | ↓ -98% |
| Clarity Health | All Products | $1,567.80 | ↓ -93% |
| The Legacy Companies | All Products | $1,567.80 | ↓ -93% |
| Consociate Health | ALL PRODUCTS | $1,809.00 | ↓ -92% |
| Aetna | All Products First Health | $2,170.80 | ↓ -91% |
| Cigna | All Products Physician | $2,412.00 | ↓ -90% |
| Cigna | Surefit Physician | $2,412.00 | ↓ -90% |
| Cigna | Surefit Mid-Level | $2,412.00 | ↓ -90% |
| Cigna | Individual Family Plan Physician | $2,412.00 | ↓ -90% |
| Cigna | Individual Family Plan Mid-Level | $2,412.00 | ↓ -90% |
| Cigna | All Products Mid-Level | $2,412.00 | ↓ -90% |
| Simply | Managed Medicaid | $2,863.91 | ↓ -88% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $2,863.91 | ↓ -88% |
| SUNSHINE HEALTH | Managed Medicaid | $2,863.91 | ↓ -88% |
| AMERIHEALTH | Managed Medicaid | $2,949.83 | ↓ -87% |
| MOLINA | Managed Medicaid | $3,007.11 | ↓ -87% |
| MOLINA | Florida KidCare | $3,007.11 | ↓ -87% |
| AETNA | Managed Medicaid/CHIP | $3,436.69 | ↓ -85% |
| AETNA | QHP | $3,806.00 | ↓ -84% |
| AETNA | All Products New Business | $4,025.00 | ↓ -83% |
| AETNA | ALL PRODUCTS | $4,523.00 | ↓ -81% |
| UNITED | MEDICARE ADVANTAGE | $6,263.34 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $6,263.34 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $6,263.34 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $6,263.34 | ↓ -73% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $6,263.34 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $6,513.87 | ↓ -72% |
| Careplus | MEDICARE ADVANTAGE | $6,576.50 | ↓ -72% |
| Freedom Health | MEDICARE ADVANTAGE | $6,576.50 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $6,760.47 | ↓ -71% |
| Wellcare | MEDICARE ADVANTAGE | $6,760.47 | ↓ -71% |
| DEVOTED HEALTH | Medicare Advantage HMO | $7,436.52 | ↓ -68% |
| BLUE CROSS | BSL | $7,992.00 | ↓ -66% |
| CIGNA | Individual Family Plan | $10,153.76 | ↓ -56% |
| AVMED | EXCHANGE | $10,960.84 | ↓ -53% |
| CIGNA | SUREFIT | $14,674.51 | ↓ -37% |
| BMI | ALL PRODUCTS | $17,939.50 | ↓ -23% |
| AVMED | Select | $18,476.84 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $18,944.11 | ↓ -19% |
| Clarity Health | ALL PRODUCTS | $23,321.35 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $23,321.35 | ↑ +0% |
| AVMED | BROAD | $24,113.84 | ↑ +3% |
| AETNA | All Products First Health | $32,291.10 | ↑ +38% |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| BLUE CROSS | MBN | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Biliary endo perq dx w/speci at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $245.11 – $250.27 |
| cleveland clinic florida weston hospital | Weston | $23,321.35 | $200.46 – $30,497.15 |
| indian river hospital | Vero Beach | $23,321.35 | $370.94 – $28,703.20 |
| Baptist Hospital | MIAMI | $4,655.95 | $173.17 – $7,571.73 |
| Bethesda Hospital East | BOYNTON BEACH | $4,655.95 | $2,019.97 – $7,030.89 |
| Boca Raton Regional Hospital | BOCA RATON | $4,778.80 | $2,646.72 – $6,904.60 |
| Doctors Hospital | CORAL GABLES | $4,655.95 | $1,253.53 – $7,571.73 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $4,655.95 | $1,246.36 – $7,436.52 |