Bx pancreas pq ndl at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$6,055.40
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.
$9,316.00
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.
$288.88 with MULTIPLAN vs $14,047.00 with BLUE CROSS — 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 | $288.88 | ↓ -95% |
| Clear Spring Health | ALL PRODUCTS | $297.13 | ↓ -95% |
| Freedom Health | Managed Medicaid | $478.90 | ↓ -92% |
| SUNSHINE HEALTH | Managed Medicaid | $478.90 | ↓ -92% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $478.90 | ↓ -92% |
| Simply | Managed Medicaid | $478.90 | ↓ -92% |
| AMERIHEALTH | Managed Medicaid | $493.27 | ↓ -92% |
| MOLINA | Managed Medicaid | $502.85 | ↓ -92% |
| MOLINA | Florida KidCare | $502.85 | ↓ -92% |
| Miami Childrens Health Plan | Managed Medicaid | $502.85 | ↓ -92% |
| AETNA | Managed Medicaid/CHIP | $574.68 | ↓ -91% |
| Independent Living Systems | Managed Medicaid | $574.68 | ↓ -91% |
| BLUE CROSS | Medicare Advantage PPO | $1,626.36 | ↓ -73% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $1,626.36 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $1,626.36 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $1,626.36 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $1,626.36 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $1,691.42 | ↓ -72% |
| Careplus | MEDICARE ADVANTAGE | $1,707.68 | ↓ -72% |
| Freedom Health | MEDICARE ADVANTAGE | $1,707.68 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $1,724.73 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $1,724.73 | ↓ -72% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,897.20 | ↓ -69% |
| UNITED | NHP | $2,500.00 | ↓ -59% |
| CIGNA | Individual Family Plan | $2,636.43 | ↓ -56% |
| AVMED | EXCHANGE | $2,846.14 | ↓ -53% |
| UNITED | ALL PRODUCTS | $2,994.00 | ↓ -51% |
| UNITED | International | $3,287.00 | ↓ -46% |
| AETNA | QHP | $3,289.00 | ↓ -46% |
| AETNA | All Products New Business | $3,800.00 | ↓ -37% |
| CIGNA | SUREFIT | $3,810.24 | ↓ -37% |
| AETNA | ALL PRODUCTS | $4,270.00 | ↓ -29% |
| BMI | ALL PRODUCTS | $4,658.00 | ↓ -23% |
| AVMED | Select | $4,797.78 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $4,918.85 | ↓ -19% |
| BLUE CROSS | MBN | $5,736.00 | ↓ -5% |
| Clarity Health | ALL PRODUCTS | $6,055.40 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $6,055.40 | ↑ +0% |
| BLUE CROSS | BSL | $6,260.00 | ↑ +3% |
| AVMED | BROAD | $6,261.50 | ↑ +3% |
| Consociate Health | ALL PRODUCTS | $6,987.00 | ↑ +15% |
| BLUE CROSS | HMO | $7,574.00 | ↑ +25% |
| AETNA | All Products First Health | $8,384.40 | ↑ +38% |
| BLUE CROSS | PPO | $8,450.00 | ↑ +40% |
| BLUE CROSS | NWB | $10,615.00 | ↑ +75% |
| BLUE CROSS | NWBI | $10,615.00 | ↑ +75% |
| BLUE CROSS | PHS | $14,047.00 | ↑ +132% |
| Consociate Health | Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Bx pancreas pq ndl at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $697.71 | $1,638.49 – $2,878.57 |
| Adventhealth Tampa | Tampa | $5,341.20 | $401.00 – $3,828.90 |
| cleveland clinic florida weston hospital | Weston | $6,055.40 | $199.06 – $7,918.60 |
| indian river hospital | Vero Beach | $6,055.40 | $199.06 – $7,452.80 |
| Baptist Hospital | MIAMI | $1,398.15 | $173.17 – $1,935.90 |
| Bethesda Hospital East | BOYNTON BEACH | $1,398.15 | $466.77 – $1,935.90 |
| Boca Raton Regional Hospital | BOCA RATON | $1,240.85 | $687.24 – $1,909.00 |
| Doctors Hospital | CORAL GABLES | $1,398.15 | $376.43 – $1,935.90 |