Bx/exc xdrl spine lesn lmbr at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$5,821.40
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.
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What you pay up front if you don't use insurance.
$8,956.00
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.
$1,220.71 with Freedom Health vs $12,346.69 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 | $1,220.71 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $1,257.33 | ↓ -78% |
| Blue Cross | Health Options | $1,259.20 | ↓ -78% |
| Blue Cross | BlueSelect | $1,259.20 | ↓ -78% |
| Miami Childrens Health Plan | Managed Medicaid | $1,281.75 | ↓ -78% |
| Sunshine Health | Managed Medicaid | $1,281.75 | ↓ -78% |
| Molina | Florida Kidcare | $1,281.75 | ↓ -78% |
| Molina | Managed Medicaid | $1,281.75 | ↓ -78% |
| Independent Living Systems | Managed Medicaid | $1,464.85 | ↓ -75% |
| Blue Cross | Network Blue | $1,518.44 | ↓ -74% |
| Blue Cross | Traditional (PPS) | $1,567.82 | ↓ -73% |
| Blue Cross | Perferred Patient Care | $1,567.82 | ↓ -73% |
| Avmed | Medicare Advantage | $1,735.86 | ↓ -70% |
| Miami Childrens Health Plan | Medicare Advantage | $1,735.86 | ↓ -70% |
| United | Medicare Advantage | $1,735.86 | ↓ -70% |
| Blue Cross | Medicare Advantage HMO | $1,735.86 | ↓ -70% |
| Blue Cross | Medicare Advantage PPO | $1,735.86 | ↓ -70% |
| Freedom Health | Medicare Advantage | $1,822.65 | ↓ -69% |
| Careplus | Medicare Advantage | $1,822.65 | ↓ -69% |
| Independent Living Systems | Medicare Advantage | $1,832.37 | ↓ -69% |
| Clear Spring Health | All Products | $1,874.73 | ↓ -68% |
| Aetna | Medicare Advantage PCP | $2,152.47 | ↓ -63% |
| Aetna | Medicare Advantage Specialist | $2,187.18 | ↓ -62% |
| Avmed | Exchange | $2,321.40 | ↓ -60% |
| Avmed | Select | $2,410.68 | ↓ -59% |
| Avmed | Broad | $2,589.25 | ↓ -56% |
| Multiplan | All Products | $2,603.79 | ↓ -55% |
| United | All Products | $3,378.70 | ↓ -42% |
| Clarity Health | All Products | $5,821.40 | ↑ +0% |
| The Legacy Companies | All Products | $5,821.40 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $6,717.00 | ↑ +15% |
| Aetna | All Products First Health | $8,060.40 | ↑ +38% |
| Cigna | Surefit Mid-Level | $8,956.00 | ↑ +54% |
| Cigna | Surefit Physician | $8,956.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $8,956.00 | ↑ +54% |
| Cigna | All Products Physician | $8,956.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $8,956.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $8,956.00 | ↑ +54% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $10,288.91 | ↑ +77% |
| SUNSHINE HEALTH | Managed Medicaid | $10,288.91 | ↑ +77% |
| Simply | Managed Medicaid | $10,288.91 | ↑ +77% |
| AMERIHEALTH | Managed Medicaid | $10,597.58 | ↑ +82% |
| MOLINA | Florida KidCare | $10,803.36 | ↑ +86% |
| MOLINA | Managed Medicaid | $10,803.36 | ↑ +86% |
| AETNA | Managed Medicaid/CHIP | $12,346.69 | ↑ +112% |
| 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
Bx/exc xdrl spine lesn lmbr at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $2,265.01 – $2,312.69 |
| cleveland clinic florida weston hospital | Weston | $5,821.40 | $1,166.65 – $12,346.69 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $2,173.81 – $2,219.57 |
| indian river hospital | Vero Beach | not published | $9,774.46 – $12,346.69 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $2,206.72 – $2,253.17 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $2,282.43 – $2,330.48 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $2,370.18 – $2,420.08 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | not published | $2,022.40 – $2,128.84 |