Complx repair sal addl 5 cm/> 13122 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$590.20
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.
$908.00
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.
$67.97 with Blue Cross vs $8,696.00 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 | BlueSelect | $67.97 | ↓ -88% |
| Blue Cross | Health Options | $67.97 | ↓ -88% |
| Blue Cross | Medicare Advantage HMO | $74.02 | ↓ -87% |
| Miami Childrens Health Plan | Medicare Advantage | $74.02 | ↓ -87% |
| Blue Cross | Medicare Advantage PPO | $74.02 | ↓ -87% |
| Avmed | Medicare Advantage | $74.02 | ↓ -87% |
| United | Medicare Advantage | $74.02 | ↓ -87% |
| Freedom Health | Medicare Advantage | $77.72 | ↓ -87% |
| Careplus | Medicare Advantage | $77.72 | ↓ -87% |
| Clear Spring Health | All Products | $79.94 | ↓ -86% |
| Blue Cross | Network Blue | $81.96 | ↓ -86% |
| Blue Cross | Traditional (PPS) | $84.62 | ↓ -86% |
| Blue Cross | Perferred Patient Care | $84.62 | ↓ -86% |
| Independent Living Systems | Medicare Advantage | $88.65 | ↓ -85% |
| Aetna | Medicare Advantage PCP | $91.78 | ↓ -84% |
| Aetna | Medicare Advantage Specialist | $93.27 | ↓ -84% |
| MULTIPLAN | ALL PRODUCTS | $93.40 | ↓ -84% |
| Clear Spring Health | ALL PRODUCTS | $96.07 | ↓ -84% |
| Freedom Health | Managed Medicaid | $96.26 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $99.15 | ↓ -83% |
| Sunshine Health | Managed Medicaid | $101.07 | ↓ -83% |
| Molina | Florida Kidcare | $101.07 | ↓ -83% |
| Miami Childrens Health Plan | Managed Medicaid | $101.07 | ↓ -83% |
| Molina | Managed Medicaid | $101.07 | ↓ -83% |
| Multiplan | All Products | $111.03 | ↓ -81% |
| Avmed | Exchange | $113.28 | ↓ -81% |
| Independent Living Systems | Managed Medicaid | $115.51 | ↓ -80% |
| Avmed | Select | $117.64 | ↓ -80% |
| Avmed | Broad | $126.35 | ↓ -79% |
| United | All Products | $164.88 | ↓ -72% |
| Cigna | Individual Family Plan Mid-Level | $174.43 | ↓ -70% |
| Cigna | Surefit Mid-Level | $177.77 | ↓ -70% |
| AETNA | MEDICARE ADVANTAGE | $188.86 | ↓ -68% |
| Cigna | All Products Mid-Level | $191.97 | ↓ -67% |
| Cigna | Individual Family Plan Physician | $205.21 | ↓ -65% |
| Cigna | Surefit Physician | $209.14 | ↓ -65% |
| Cigna | All Products Physician | $225.85 | ↓ -62% |
| CIGNA | Individual Family Plan | $256.96 | ↓ -56% |
| AETNA | QHP | $266.04 | ↓ -55% |
| Simply | Managed Medicaid | $268.07 | ↓ -55% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $268.07 | ↓ -55% |
| SUNSHINE HEALTH | Managed Medicaid | $268.07 | ↓ -55% |
| AVMED | EXCHANGE | $272.40 | ↓ -54% |
| AVMED | Select | $272.40 | ↓ -54% |
| AMERIHEALTH | Managed Medicaid | $276.11 | ↓ -53% |
| MOLINA | Managed Medicaid | $281.47 | ↓ -52% |
| MOLINA | Florida KidCare | $281.47 | ↓ -52% |
| AETNA | ALL PRODUCTS | $283.30 | ↓ -52% |
| AETNA | All Products New Business | $296.92 | ↓ -50% |
| AETNA | Managed Medicaid/CHIP | $321.68 | ↓ -45% |
| AVMED | BROAD | $345.04 | ↓ -42% |
| CIGNA | SUREFIT | $371.37 | ↓ -37% |
| Clarity Health | All Products | $374.40 | ↓ -37% |
| The Legacy Companies | All Products | $374.40 | ↓ -37% |
| Consociate Health | ALL PRODUCTS | $432.00 | ↓ -27% |
| BMI | ALL PRODUCTS | $454.00 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $479.42 | ↓ -19% |
| Aetna | All Products First Health | $518.40 | ↓ -12% |
| The Legacy Companies | ALL PRODUCTS | $590.20 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $590.20 | ↑ +0% |
| AETNA | All Products First Health | $817.20 | ↑ +38% |
| BLUE CROSS | MBN | $1,339.00 | ↑ +127% |
| BLUE CROSS | HMO | $1,789.00 | ↑ +203% |
| UNITED | NHP | $2,235.00 | ↑ +279% |
| UNITED | ALL PRODUCTS | $2,667.00 | ↑ +352% |
| UNITED | International | $2,942.00 | ↑ +398% |
| BLUE CROSS | PPO | $3,029.00 | ↑ +413% |
| BLUE CROSS | NWB | $3,680.00 | ↑ +524% |
| BLUE CROSS | NWBI | $3,680.00 | ↑ +524% |
| BLUE CROSS | PHS | $8,696.00 | ↑ +1373% |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Complx repair sal addl 5 cm/> 13122 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $434.20 – $443.34 |
| Adventhealth Daytona Beach | Daytona Beach | $2,267.93 | not published |
| Adventhealth Lake Wales | Lake Wales | $278.99 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $2,134.27 | not published |
| Adventhealth Tampa | Tampa | $2,024.14 | $401.00 – $401.00 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,564.77 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $2,092.66 | not published |
| cleveland clinic florida weston hospital | Weston | $590.20 | $39.67 – $1,595.00 |