Closure laceration vestibule mouth > 2.5 cm cmplx at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,903.85
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.
$2,929.00
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.
$252.79 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 | $252.79 | ↓ -87% |
| Clear Spring Health | ALL PRODUCTS | $260.01 | ↓ -86% |
| UNITED | MEDICARE ADVANTAGE | $511.18 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $511.18 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $511.18 | ↓ -73% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $511.18 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $511.18 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $531.62 | ↓ -72% |
| Careplus | MEDICARE ADVANTAGE | $536.73 | ↓ -72% |
| Freedom Health | MEDICARE ADVANTAGE | $536.73 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $563.21 | ↓ -70% |
| AETNA | MEDICARE ADVANTAGE | $563.21 | ↓ -70% |
| DEVOTED HEALTH | Medicare Advantage HMO | $619.53 | ↓ -67% |
| CIGNA | Individual Family Plan | $828.91 | ↓ -56% |
| SUNSHINE HEALTH | Managed Medicaid | $889.35 | ↓ -53% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $889.35 | ↓ -53% |
| Freedom Health | Managed Medicaid | $889.35 | ↓ -53% |
| Simply | Managed Medicaid | $889.35 | ↓ -53% |
| AVMED | EXCHANGE | $894.56 | ↓ -53% |
| AMERIHEALTH | Managed Medicaid | $916.03 | ↓ -52% |
| MOLINA | Florida KidCare | $933.82 | ↓ -51% |
| MOLINA | Managed Medicaid | $933.82 | ↓ -51% |
| Miami Childrens Health Plan | Managed Medicaid | $933.82 | ↓ -51% |
| Independent Living Systems | Managed Medicaid | $1,067.22 | ↓ -44% |
| AETNA | Managed Medicaid/CHIP | $1,067.22 | ↓ -44% |
| CIGNA | SUREFIT | $1,197.96 | ↓ -37% |
| BMI | ALL PRODUCTS | $1,464.50 | ↓ -23% |
| AVMED | Select | $1,507.97 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $1,546.51 | ↓ -19% |
| The Legacy Companies | ALL PRODUCTS | $1,903.85 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $1,903.85 | ↑ +0% |
| AVMED | BROAD | $1,968.02 | ↑ +3% |
| AETNA | QHP | $2,001.00 | ↑ +5% |
| Consociate Health | ALL PRODUCTS | $2,196.75 | ↑ +15% |
| AETNA | All Products New Business | $2,200.00 | ↑ +16% |
| UNITED | NHP | $2,235.00 | ↑ +17% |
| AETNA | ALL PRODUCTS | $2,472.00 | ↑ +30% |
| AETNA | All Products First Health | $2,636.10 | ↑ +38% |
| UNITED | ALL PRODUCTS | $2,667.00 | ↑ +40% |
| UNITED | International | $2,942.00 | ↑ +55% |
| BLUE CROSS | MBN | $5,736.00 | ↑ +201% |
| BLUE CROSS | HMO | $7,574.00 | ↑ +298% |
| BLUE CROSS | PPO | $8,450.00 | ↑ +344% |
| BLUE CROSS | NWB | $10,615.00 | ↑ +458% |
| BLUE CROSS | NWBI | $10,615.00 | ↑ +458% |
| BLUE CROSS | PHS | $14,047.00 | ↑ +638% |
| AETNA | NAP | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
Visitor-reported prices
Comments
Closure laceration vestibule mouth > 2.5 cm cmplx at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $141.07 – $144.04 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,604.13 | $535.05 – $1,202.96 |
| cleveland clinic florida weston hospital | Weston | $1,903.85 | $120.70 – $2,489.65 |
| Boca Raton Regional Hospital | BOCA RATON | $1,641.25 | $476.00 – $1,896.00 |
| Adventhealth Palm Coast | Palm Coast | $1,604.13 | not published |
| AdventHealth Orlando | Orlando | $1,707.00 | $563.21 – $1,492.50 |
| Adventhealth Carrollwood | Tampa | $5,519.35 | $401.00 – $1,250.32 |
| Adventhealth Wauchula | Wauchula | $7,902.70 | not published |