Breast reduction at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$4,584.45
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.
$7,053.00
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.
$846.40 with Freedom Health vs $25,202.53 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 | $846.40 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $871.79 | ↓ -81% |
| Blue Cross | Health Options | $887.25 | ↓ -81% |
| Blue Cross | BlueSelect | $887.25 | ↓ -81% |
| Miami Childrens Health Plan | Managed Medicaid | $888.72 | ↓ -81% |
| Sunshine Health | Managed Medicaid | $888.72 | ↓ -81% |
| Molina | Managed Medicaid | $888.72 | ↓ -81% |
| Molina | Florida Kidcare | $888.72 | ↓ -81% |
| Independent Living Systems | Managed Medicaid | $1,015.68 | ↓ -78% |
| Blue Cross | Network Blue | $1,069.92 | ↓ -77% |
| Miami Childrens Health Plan | Medicare Advantage | $1,070.18 | ↓ -77% |
| Blue Cross | Medicare Advantage PPO | $1,070.18 | ↓ -77% |
| Avmed | Medicare Advantage | $1,070.18 | ↓ -77% |
| Blue Cross | Medicare Advantage HMO | $1,070.18 | ↓ -77% |
| United | Medicare Advantage | $1,070.18 | ↓ -77% |
| Blue Cross | Traditional (PPS) | $1,104.71 | ↓ -76% |
| Blue Cross | Perferred Patient Care | $1,104.71 | ↓ -76% |
| Careplus | Medicare Advantage | $1,123.69 | ↓ -75% |
| Freedom Health | Medicare Advantage | $1,123.69 | ↓ -75% |
| Clear Spring Health | All Products | $1,155.79 | ↓ -75% |
| The Legacy Companies | All Products | $1,183.00 | ↓ -74% |
| Clarity Health | All Products | $1,183.00 | ↓ -74% |
| Independent Living Systems | Medicare Advantage | $1,203.13 | ↓ -74% |
| Aetna | Medicare Advantage PCP | $1,327.02 | ↓ -71% |
| Aetna | Medicare Advantage Specialist | $1,348.43 | ↓ -71% |
| Consociate Health | ALL PRODUCTS | $1,365.00 | ↓ -70% |
| Avmed | Exchange | $1,519.44 | ↓ -67% |
| Avmed | Select | $1,577.88 | ↓ -66% |
| Multiplan | All Products | $1,605.27 | ↓ -65% |
| Aetna | All Products First Health | $1,638.00 | ↓ -64% |
| Avmed | Broad | $1,694.76 | ↓ -63% |
| Cigna | Surefit Mid-Level | $1,820.00 | ↓ -60% |
| Cigna | Individual Family Plan Mid-Level | $1,820.00 | ↓ -60% |
| Cigna | Individual Family Plan Physician | $1,820.00 | ↓ -60% |
| Cigna | All Products Physician | $1,820.00 | ↓ -60% |
| Cigna | Surefit Physician | $1,820.00 | ↓ -60% |
| Cigna | All Products Mid-Level | $1,820.00 | ↓ -60% |
| United | All Products | $2,211.49 | ↓ -52% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $4,867.98 | ↑ +6% |
| Simply | Managed Medicaid | $4,867.98 | ↑ +6% |
| SUNSHINE HEALTH | Managed Medicaid | $4,867.98 | ↑ +6% |
| AMERIHEALTH | Managed Medicaid | $5,014.02 | ↑ +9% |
| MOLINA | Managed Medicaid | $5,111.38 | ↑ +11% |
| MOLINA | Florida KidCare | $5,111.38 | ↑ +11% |
| AETNA | Managed Medicaid/CHIP | $5,841.58 | ↑ +27% |
| BLUE CROSS | Medicare Advantage PPO | $6,546.11 | ↑ +43% |
| HUMANA | Medicare Advantage HMO | $6,546.11 | ↑ +43% |
| BLUE CROSS | Medicare Advantage HMO | $6,546.11 | ↑ +43% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $6,546.11 | ↑ +43% |
| UNITED | MEDICARE ADVANTAGE | $6,546.11 | ↑ +43% |
| AVMED | MEDICARE ADVANTAGE | $6,807.96 | ↑ +49% |
| Freedom Health | MEDICARE ADVANTAGE | $6,873.42 | ↑ +50% |
| Careplus | MEDICARE ADVANTAGE | $6,873.42 | ↑ +50% |
| AETNA | MEDICARE ADVANTAGE | $6,934.19 | ↑ +51% |
| Wellcare | MEDICARE ADVANTAGE | $6,934.19 | ↑ +51% |
| DEVOTED HEALTH | Medicare Advantage HMO | $7,627.61 | ↑ +66% |
| UNITED | ALL PRODUCTS | $10,498.00 | ↑ +129% |
| AVMED | EXCHANGE | $11,455.69 | ↑ +150% |
| AVMED | Select | $19,311.03 | ↑ +321% |
| AVMED | BROAD | $25,202.53 | ↑ +450% |
| 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
Breast reduction 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 | $4,584.45 | $727.46 – $7,627.61 |
| indian river hospital | Vero Beach | $4,584.45 | $727.46 – $7,627.61 |
| Baptist Hospital | MIAMI | $36,893.35 | $173.17 – $25,541.10 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $6,587.48 – $11,573.16 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $6,587.48 – $14,810.73 |
| Adventhealth Tampa | Tampa | not published | $758.00 – $15,393.90 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $6,587.48 – $15,147.73 |