healthcosts.net
Cataract Surgery at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$2,102.10
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.
$3,234.00
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.
$411.84 with Freedom Health vs $8,814.00 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 | $411.84 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $424.20 | ↓ -80% |
| Miami Childrens Health Plan | Managed Medicaid | $432.43 | ↓ -79% |
| Molina | Managed Medicaid | $432.43 | ↓ -79% |
| Molina | Florida Kidcare | $432.43 | ↓ -79% |
| Sunshine Health | Managed Medicaid | $432.43 | ↓ -79% |
| United | Medicare Advantage | $482.24 | ↓ -77% |
| Avmed | Medicare Advantage | $482.24 | ↓ -77% |
| Blue Cross | Medicare Advantage PPO | $482.24 | ↓ -77% |
| Miami Childrens Health Plan | Medicare Advantage | $482.24 | ↓ -77% |
| Blue Cross | Medicare Advantage HMO | $482.24 | ↓ -77% |
| Independent Living Systems | Managed Medicaid | $494.21 | ↓ -76% |
| Freedom Health | Medicare Advantage | $506.35 | ↓ -76% |
| Careplus | Medicare Advantage | $506.35 | ↓ -76% |
| Clear Spring Health | All Products | $520.82 | ↓ -75% |
| Independent Living Systems | Medicare Advantage | $561.67 | ↓ -73% |
| Blue Cross | Health Options | $590.90 | ↓ -72% |
| Blue Cross | BlueSelect | $590.90 | ↓ -72% |
| Aetna | Medicare Advantage PCP | $597.98 | ↓ -72% |
| Aetna | Medicare Advantage Specialist | $607.62 | ↓ -71% |
| Blue Cross | Network Blue | $712.56 | ↓ -66% |
| Avmed | Exchange | $716.05 | ↓ -66% |
| Multiplan | All Products | $723.36 | ↓ -66% |
| Blue Cross | Traditional (PPS) | $735.73 | ↓ -65% |
| Blue Cross | Perferred Patient Care | $735.73 | ↓ -65% |
| Avmed | Select | $743.59 | ↓ -65% |
| Avmed | Broad | $798.67 | ↓ -62% |
| United | All Products | $1,042.19 | ↓ -50% |
| Simply | Managed Medicaid | $1,112.36 | ↓ -47% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,112.36 | ↓ -47% |
| SUNSHINE HEALTH | Managed Medicaid | $1,112.36 | ↓ -47% |
| AMERIHEALTH | Managed Medicaid | $1,145.73 | ↓ -45% |
| MOLINA | Florida KidCare | $1,167.98 | ↓ -44% |
| MOLINA | Managed Medicaid | $1,167.98 | ↓ -44% |
| AETNA | Managed Medicaid/CHIP | $1,334.83 | ↓ -37% |
| Clarity Health | All Products | $2,102.10 | ↑ +0% |
| The Legacy Companies | All Products | $2,102.10 | ↑ +0% |
| UNITED | MEDICARE ADVANTAGE | $2,289.35 | ↑ +9% |
| BLUE CROSS | Medicare Advantage HMO | $2,289.35 | ↑ +9% |
| HUMANA | Medicare Advantage HMO | $2,289.35 | ↑ +9% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $2,289.35 | ↑ +9% |
| BLUE CROSS | Medicare Advantage PPO | $2,289.35 | ↑ +9% |
| AVMED | MEDICARE ADVANTAGE | $2,380.93 | ↑ +13% |
| Careplus | MEDICARE ADVANTAGE | $2,403.82 | ↑ +14% |
| Freedom Health | MEDICARE ADVANTAGE | $2,403.82 | ↑ +14% |
| Wellcare | MEDICARE ADVANTAGE | $2,410.01 | ↑ +15% |
| AETNA | MEDICARE ADVANTAGE | $2,410.01 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $2,425.50 | ↑ +15% |
| DEVOTED HEALTH | Medicare Advantage HMO | $2,651.01 | ↑ +26% |
| Aetna | All Products First Health | $2,910.60 | ↑ +38% |
| Cigna | Individual Family Plan Mid-Level | $3,234.00 | ↑ +54% |
| Cigna | Surefit Physician | $3,234.00 | ↑ +54% |
| Cigna | All Products Physician | $3,234.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $3,234.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $3,234.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $3,234.00 | ↑ +54% |
| AVMED | EXCHANGE | $4,006.36 | ↑ +91% |
| AVMED | Select | $6,753.59 | ↑ +221% |
| AVMED | BROAD | $8,814.00 | ↑ +319% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
Visitor-reported prices
Comments
Cataract Surgery at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $2,102.10 | $411.84 – $3,234.00 |
| indian river hospital | Vero Beach | not published | $1,056.74 – $2,651.01 |