Biliary endoscopy thru skin at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$13,190.45
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.
$20,293.00
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.
$555.38 with MULTIPLAN vs $40,234.71 with AVMED — 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 |
|---|---|---|---|
| MULTIPLAN | ALL PRODUCTS | $555.38 | ↓ -96% |
| Clear Spring Health | ALL PRODUCTS | $571.24 | ↓ -96% |
| Freedom Health | Managed Medicaid | $2,863.91 | ↓ -78% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $2,863.91 | ↓ -78% |
| Simply | Managed Medicaid | $2,863.91 | ↓ -78% |
| SUNSHINE HEALTH | Managed Medicaid | $2,863.91 | ↓ -78% |
| AMERIHEALTH | Managed Medicaid | $2,949.83 | ↓ -78% |
| MOLINA | Florida KidCare | $3,007.11 | ↓ -77% |
| MOLINA | Managed Medicaid | $3,007.11 | ↓ -77% |
| Miami Childrens Health Plan | Managed Medicaid | $3,007.11 | ↓ -77% |
| Independent Living Systems | Managed Medicaid | $3,436.69 | ↓ -74% |
| AETNA | Managed Medicaid/CHIP | $3,436.69 | ↓ -74% |
| AETNA | QHP | $4,966.00 | ↓ -62% |
| CIGNA | Individual Family Plan | $5,742.92 | ↓ -56% |
| AETNA | All Products New Business | $6,004.00 | ↓ -54% |
| AETNA | ALL PRODUCTS | $6,746.00 | ↓ -49% |
| BLUE CROSS | BSL | $7,992.00 | ↓ -39% |
| CIGNA | SUREFIT | $8,299.84 | ↓ -37% |
| BMI | ALL PRODUCTS | $10,146.50 | ↓ -23% |
| UNITED | MEDICARE ADVANTAGE | $10,450.57 | ↓ -21% |
| BLUE CROSS | Medicare Advantage HMO | $10,450.57 | ↓ -21% |
| BLUE CROSS | Medicare Advantage PPO | $10,450.57 | ↓ -21% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $10,450.57 | ↓ -21% |
| HUMANA | Medicare Advantage HMO | $10,450.57 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $10,714.70 | ↓ -19% |
| AVMED | MEDICARE ADVANTAGE | $10,868.60 | ↓ -18% |
| Careplus | MEDICARE ADVANTAGE | $10,973.10 | ↓ -17% |
| Freedom Health | MEDICARE ADVANTAGE | $10,973.10 | ↓ -17% |
| Wellcare | MEDICARE ADVANTAGE | $11,100.51 | ↓ -16% |
| AETNA | MEDICARE ADVANTAGE | $11,100.51 | ↓ -16% |
| DEVOTED HEALTH | Medicare Advantage HMO | $12,210.56 | ↓ -7% |
| The Legacy Companies | ALL PRODUCTS | $13,190.45 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $13,190.45 | ↑ +0% |
| UNITED | NHP | $14,291.00 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $15,219.75 | ↑ +15% |
| UNITED | ALL PRODUCTS | $17,125.00 | ↑ +30% |
| AETNA | All Products First Health | $18,263.70 | ↑ +38% |
| AVMED | EXCHANGE | $18,288.51 | ↑ +39% |
| UNITED | International | $18,801.00 | ↑ +43% |
| AVMED | Select | $30,829.19 | ↑ +134% |
| AVMED | BROAD | $40,234.71 | ↑ +205% |
| BLUE CROSS | HMO | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| BLUE CROSS | MBN | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Biliary endoscopy thru skin 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 | $13,190.45 | $329.19 – $17,249.05 |
| indian river hospital | Vero Beach | $13,190.45 | $571.24 – $16,234.40 |
| Baptist Hospital | MIAMI | $5,170.10 | $173.17 – $12,432.57 |
| Bethesda Hospital East | BOYNTON BEACH | $5,170.10 | $2,243.03 – $11,544.53 |
| Boca Raton Regional Hospital | BOCA RATON | $8,910.85 | $4,587.00 – $11,337.17 |
| Doctors Hospital | CORAL GABLES | $5,170.10 | $1,391.95 – $12,432.57 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $5,170.10 | $1,384.00 – $12,210.56 |