Complx repair enel addl 5cm/< 13153 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$618.80
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.
$952.00
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.
$112.53 with Blue Cross vs $9,364.00 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 |
|---|---|---|---|
| Blue Cross | Health Options | $112.53 | ↓ -82% |
| Blue Cross | BlueSelect | $112.53 | ↓ -82% |
| United | Medicare Advantage | $124.21 | ↓ -80% |
| Blue Cross | Medicare Advantage PPO | $124.21 | ↓ -80% |
| Blue Cross | Medicare Advantage HMO | $124.21 | ↓ -80% |
| Miami Childrens Health Plan | Medicare Advantage | $124.21 | ↓ -80% |
| Avmed | Medicare Advantage | $124.21 | ↓ -80% |
| Freedom Health | Medicare Advantage | $130.42 | ↓ -79% |
| Careplus | Medicare Advantage | $130.42 | ↓ -79% |
| Clear Spring Health | All Products | $134.15 | ↓ -78% |
| Blue Cross | Network Blue | $135.70 | ↓ -78% |
| Blue Cross | Traditional (PPS) | $140.11 | ↓ -77% |
| Blue Cross | Perferred Patient Care | $140.11 | ↓ -77% |
| Freedom Health | Managed Medicaid | $141.96 | ↓ -77% |
| AmeriHealth | Managed Medicaid | $146.22 | ↓ -76% |
| Molina | Managed Medicaid | $149.06 | ↓ -76% |
| Molina | Florida Kidcare | $149.06 | ↓ -76% |
| Sunshine Health | Managed Medicaid | $149.06 | ↓ -76% |
| Miami Childrens Health Plan | Managed Medicaid | $149.06 | ↓ -76% |
| Independent Living Systems | Medicare Advantage | $149.10 | ↓ -76% |
| Aetna | Medicare Advantage PCP | $154.02 | ↓ -75% |
| MULTIPLAN | ALL PRODUCTS | $155.89 | ↓ -75% |
| Aetna | Medicare Advantage Specialist | $156.50 | ↓ -75% |
| AETNA | MEDICARE ADVANTAGE | $156.83 | ↓ -75% |
| Clear Spring Health | ALL PRODUCTS | $160.35 | ↓ -74% |
| Independent Living Systems | Managed Medicaid | $170.35 | ↓ -72% |
| Multiplan | All Products | $186.32 | ↓ -70% |
| Avmed | Exchange | $187.47 | ↓ -70% |
| Avmed | Select | $194.68 | ↓ -69% |
| Avmed | Broad | $209.10 | ↓ -66% |
| CIGNA | Individual Family Plan | $213.38 | ↓ -66% |
| AVMED | Select | $226.20 | ↓ -63% |
| AVMED | EXCHANGE | $226.20 | ↓ -63% |
| Cigna | Individual Family Plan Mid-Level | $254.19 | ↓ -59% |
| Cigna | Surefit Mid-Level | $259.06 | ↓ -58% |
| United | All Products | $272.86 | ↓ -56% |
| Cigna | All Products Mid-Level | $279.75 | ↓ -55% |
| AVMED | BROAD | $286.52 | ↓ -54% |
| Cigna | Individual Family Plan Physician | $299.04 | ↓ -52% |
| Cigna | Surefit Physician | $304.76 | ↓ -51% |
| CIGNA | SUREFIT | $308.39 | ↓ -50% |
| Cigna | All Products Physician | $329.11 | ↓ -47% |
| BMI | ALL PRODUCTS | $377.00 | ↓ -39% |
| CIGNA | ALL PRODUCTS | $398.11 | ↓ -36% |
| Clarity Health | ALL PRODUCTS | $490.10 | ↓ -21% |
| The Legacy Companies | ALL PRODUCTS | $490.10 | ↓ -21% |
| Consociate Health | ALL PRODUCTS | $565.50 | ↓ -9% |
| The Legacy Companies | All Products | $618.80 | ↑ +0% |
| Clarity Health | All Products | $618.80 | ↑ +0% |
| AETNA | All Products First Health | $678.60 | ↑ +10% |
| Simply | Managed Medicaid | $779.30 | ↑ +26% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $779.30 | ↑ +26% |
| SUNSHINE HEALTH | Managed Medicaid | $779.30 | ↑ +26% |
| AMERIHEALTH | Managed Medicaid | $802.68 | ↑ +30% |
| MOLINA | Florida KidCare | $818.27 | ↑ +32% |
| MOLINA | Managed Medicaid | $818.27 | ↑ +32% |
| Aetna | All Products First Health | $856.80 | ↑ +38% |
| AETNA | Managed Medicaid/CHIP | $935.16 | ↑ +51% |
| BLUE CROSS | MBN | $1,719.00 | ↑ +178% |
| AETNA | QHP | $2,001.00 | ↑ +223% |
| AETNA | All Products New Business | $2,200.00 | ↑ +256% |
| UNITED | NHP | $2,235.00 | ↑ +261% |
| BLUE CROSS | HMO | $2,276.00 | ↑ +268% |
| AETNA | ALL PRODUCTS | $2,472.00 | ↑ +299% |
| UNITED | ALL PRODUCTS | $2,667.00 | ↑ +331% |
| UNITED | International | $2,942.00 | ↑ +375% |
| BLUE CROSS | PPO | $3,381.00 | ↑ +446% |
| BLUE CROSS | NWB | $4,249.00 | ↑ +587% |
| BLUE CROSS | NWBI | $4,249.00 | ↑ +587% |
| BLUE CROSS | PHS | $9,364.00 | ↑ +1413% |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Complx repair enel addl 5cm/< 13153 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $1,201.53 – $1,226.83 |
| Adventhealth Daytona Beach | Daytona Beach | $1,857.61 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,857.61 | not published |
| Adventhealth Tampa | Tampa | $1,653.72 | not published |
| cleveland clinic florida weston hospital | Weston | $618.80 | $67.89 – $1,715.00 |
| indian river hospital | Vero Beach | $618.80 | $67.89 – $2,971.00 |
| Baptist Hospital | MIAMI | $486.20 | $129.40 – $825.55 |
| Bethesda Hospital East | BOYNTON BEACH | $486.20 | $150.35 – $825.55 |