Bronchial valve remov addl at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$374.40
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.
?
What you pay up front if you don't use insurance.
$576.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$66.03 with Miami Childrens Health Plan vs $6,664.31 with AVMED — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Miami Childrens Health Plan | Medicare Advantage | $66.03 | ↓ -82% |
| Avmed | Medicare Advantage | $66.03 | ↓ -82% |
| Blue Cross | Medicare Advantage HMO | $66.03 | ↓ -82% |
| United | Medicare Advantage | $66.03 | ↓ -82% |
| Blue Cross | Medicare Advantage PPO | $66.03 | ↓ -82% |
| Freedom Health | Medicare Advantage | $69.33 | ↓ -81% |
| Careplus | Medicare Advantage | $69.33 | ↓ -81% |
| Clear Spring Health | All Products | $71.31 | ↓ -81% |
| Independent Living Systems | Medicare Advantage | $72.31 | ↓ -81% |
| Aetna | Medicare Advantage PCP | $81.88 | ↓ -78% |
| Aetna | Medicare Advantage Specialist | $83.20 | ↓ -78% |
| Avmed | Exchange | $88.01 | ↓ -76% |
| Avmed | Select | $91.40 | ↓ -76% |
| Avmed | Broad | $98.17 | ↓ -74% |
| Multiplan | All Products | $99.05 | ↓ -74% |
| United | All Products | $128.10 | ↓ -66% |
| The Legacy Companies | All Products | $374.40 | ↑ +0% |
| Clarity Health | All Products | $374.40 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $432.00 | ↑ +15% |
| Aetna | All Products First Health | $518.40 | ↑ +38% |
| Cigna | Surefit Mid-Level | $576.00 | ↑ +54% |
| Cigna | Surefit Physician | $576.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $576.00 | ↑ +54% |
| Cigna | All Products Physician | $576.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $576.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $576.00 | ↑ +54% |
| BLUE CROSS | Medicare Advantage HMO | $1,730.99 | ↑ +362% |
| BLUE CROSS | Medicare Advantage PPO | $1,730.99 | ↑ +362% |
| UNITED | MEDICARE ADVANTAGE | $1,730.99 | ↑ +362% |
| HUMANA | Medicare Advantage HMO | $1,730.99 | ↑ +362% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $1,730.99 | ↑ +362% |
| AVMED | MEDICARE ADVANTAGE | $1,800.23 | ↑ +381% |
| Careplus | MEDICARE ADVANTAGE | $1,817.54 | ↑ +385% |
| Freedom Health | MEDICARE ADVANTAGE | $1,817.54 | ↑ +385% |
| Wellcare | MEDICARE ADVANTAGE | $1,858.71 | ↑ +396% |
| AETNA | MEDICARE ADVANTAGE | $1,858.71 | ↑ +396% |
| DEVOTED HEALTH | Medicare Advantage HMO | $2,044.58 | ↑ +446% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $2,656.40 | ↑ +610% |
| Simply | Managed Medicaid | $2,656.40 | ↑ +610% |
| SUNSHINE HEALTH | Managed Medicaid | $2,656.40 | ↑ +610% |
| Freedom Health | Managed Medicaid | $2,656.40 | ↑ +610% |
| AMERIHEALTH | Managed Medicaid | $2,736.09 | ↑ +631% |
| Miami Childrens Health Plan | Managed Medicaid | $2,789.22 | ↑ +645% |
| MOLINA | Managed Medicaid | $2,789.22 | ↑ +645% |
| MOLINA | Florida KidCare | $2,789.22 | ↑ +645% |
| AVMED | EXCHANGE | $3,029.23 | ↑ +709% |
| Independent Living Systems | Managed Medicaid | $3,187.68 | ↑ +751% |
| AETNA | Managed Medicaid/CHIP | $3,187.68 | ↑ +751% |
| AVMED | Select | $5,106.42 | ↑ +1264% |
| AVMED | BROAD | $6,664.31 | ↑ +1680% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Blue Cross | BlueSelect | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
Visitor-reported prices
Comments
Bronchial valve remov addl at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $2,642.18 – $2,697.80 |
| cleveland clinic florida weston hospital | Weston | $6,445.40 | $48.61 – $8,428.60 |
| indian river hospital | Vero Beach | $6,445.40 | $48.61 – $7,932.80 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $5,125.60 | $5,792.00 – $5,792.00 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $1,765.77 – $3,102.19 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $1,765.77 – $3,970.02 |
| Adventhealth Tampa | Tampa | not published | $1,858.71 – $4,126.34 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $1,765.77 – $4,060.35 |