Breast reconstruction 19357 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
not published by hospital
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.
not published by hospital
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.
$4,867.98 with Freedom Health vs $67,236.85 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 |
|---|---|---|---|
| Freedom Health | Managed Medicaid | $4,867.98 | — |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $4,867.98 | — |
| SUNSHINE HEALTH | Managed Medicaid | $4,867.98 | — |
| Simply | Managed Medicaid | $4,867.98 | — |
| AMERIHEALTH | Managed Medicaid | $5,014.02 | — |
| Miami Childrens Health Plan | Managed Medicaid | $5,111.38 | — |
| MOLINA | Managed Medicaid | $5,111.38 | — |
| MOLINA | Florida KidCare | $5,111.38 | — |
| AETNA | Managed Medicaid/CHIP | $5,841.58 | — |
| Independent Living Systems | Managed Medicaid | $5,841.58 | — |
| Wellcare | MEDICARE ADVANTAGE | $14,391.16 | — |
| AETNA | MEDICARE ADVANTAGE | $14,391.16 | — |
| DEVOTED HEALTH | Medicare Advantage HMO | $15,830.27 | — |
| UNITED | ALL PRODUCTS | $17,125.00 | — |
| BLUE CROSS | Medicare Advantage PPO | $17,464.12 | — |
| BLUE CROSS | Medicare Advantage HMO | $17,464.12 | — |
| HUMANA | Medicare Advantage HMO | $17,464.12 | — |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $17,464.12 | — |
| UNITED | MEDICARE ADVANTAGE | $17,464.12 | — |
| AVMED | MEDICARE ADVANTAGE | $18,162.68 | — |
| Freedom Health | MEDICARE ADVANTAGE | $18,337.32 | — |
| Careplus | MEDICARE ADVANTAGE | $18,337.32 | — |
| AVMED | EXCHANGE | $30,562.20 | — |
| AVMED | Select | $51,519.14 | — |
| AVMED | BROAD | $67,236.85 | — |
Visitor-reported prices
Comments
Breast reconstruction 19357 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $4,277.91 – $4,367.97 |
| cleveland clinic florida weston hospital | Weston | $4,244.50 | $833.32 – $18,162.68 |
| indian river hospital | Vero Beach | $4,244.50 | $833.32 – $18,162.68 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $13,671.60 – $24,018.84 |
| Adventhealth Tampa | Tampa | not published | $863.00 – $31,948.37 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $4,105.66 – $4,192.10 |
| Baptist Hospital | MIAMI | not published | not published |
| Bethesda Hospital East | BOYNTON BEACH | not published | not published |