Complx repair trunk addl 5cm/< 13102 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$322.40
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.
$496.00
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.
$59.45 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 | BlueSelect | $59.45 | ↓ -82% |
| Blue Cross | Health Options | $59.45 | ↓ -82% |
| Blue Cross | Medicare Advantage HMO | $65.68 | ↓ -80% |
| United | Medicare Advantage | $65.68 | ↓ -80% |
| Miami Childrens Health Plan | Medicare Advantage | $65.68 | ↓ -80% |
| Avmed | Medicare Advantage | $65.68 | ↓ -80% |
| Blue Cross | Medicare Advantage PPO | $65.68 | ↓ -80% |
| Careplus | Medicare Advantage | $68.96 | ↓ -79% |
| Freedom Health | Medicare Advantage | $68.96 | ↓ -79% |
| Clear Spring Health | All Products | $70.93 | ↓ -78% |
| Blue Cross | Network Blue | $71.68 | ↓ -78% |
| Blue Cross | Perferred Patient Care | $74.02 | ↓ -77% |
| Blue Cross | Traditional (PPS) | $74.02 | ↓ -77% |
| Independent Living Systems | Medicare Advantage | $77.87 | ↓ -76% |
| Aetna | Medicare Advantage PCP | $81.44 | ↓ -75% |
| MULTIPLAN | ALL PRODUCTS | $81.71 | ↓ -75% |
| AETNA | MEDICARE ADVANTAGE | $81.74 | ↓ -75% |
| Aetna | Medicare Advantage Specialist | $82.76 | ↓ -74% |
| Clear Spring Health | ALL PRODUCTS | $84.05 | ↓ -74% |
| Freedom Health | Managed Medicaid | $88.60 | ↓ -73% |
| AmeriHealth | Managed Medicaid | $91.26 | ↓ -72% |
| Sunshine Health | Managed Medicaid | $93.03 | ↓ -71% |
| Miami Childrens Health Plan | Managed Medicaid | $93.03 | ↓ -71% |
| Molina | Managed Medicaid | $93.03 | ↓ -71% |
| Molina | Florida Kidcare | $93.03 | ↓ -71% |
| Multiplan | All Products | $98.52 | ↓ -69% |
| Avmed | Exchange | $98.77 | ↓ -69% |
| Avmed | Select | $102.57 | ↓ -68% |
| Independent Living Systems | Managed Medicaid | $106.32 | ↓ -67% |
| Avmed | Broad | $110.17 | ↓ -66% |
| CIGNA | Individual Family Plan | $111.22 | ↓ -66% |
| AETNA | QHP | $115.15 | ↓ -64% |
| AVMED | EXCHANGE | $117.90 | ↓ -63% |
| AVMED | Select | $117.90 | ↓ -63% |
| AETNA | ALL PRODUCTS | $122.62 | ↓ -62% |
| AETNA | All Products New Business | $128.51 | ↓ -60% |
| United | All Products | $143.76 | ↓ -55% |
| AVMED | BROAD | $149.34 | ↓ -54% |
| Cigna | Individual Family Plan Mid-Level | $159.31 | ↓ -51% |
| CIGNA | SUREFIT | $160.74 | ↓ -50% |
| Cigna | Surefit Mid-Level | $162.35 | ↓ -50% |
| Cigna | All Products Mid-Level | $175.32 | ↓ -46% |
| Cigna | Individual Family Plan Physician | $187.42 | ↓ -42% |
| Cigna | Surefit Physician | $191.00 | ↓ -41% |
| BMI | ALL PRODUCTS | $196.50 | ↓ -39% |
| Cigna | All Products Physician | $206.26 | ↓ -36% |
| CIGNA | ALL PRODUCTS | $207.50 | ↓ -36% |
| The Legacy Companies | ALL PRODUCTS | $255.45 | ↓ -21% |
| Clarity Health | ALL PRODUCTS | $255.45 | ↓ -21% |
| Simply | Managed Medicaid | $268.07 | ↓ -17% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $268.07 | ↓ -17% |
| SUNSHINE HEALTH | Managed Medicaid | $268.07 | ↓ -17% |
| AMERIHEALTH | Managed Medicaid | $276.11 | ↓ -14% |
| MOLINA | Florida KidCare | $281.47 | ↓ -13% |
| MOLINA | Managed Medicaid | $281.47 | ↓ -13% |
| Consociate Health | ALL PRODUCTS | $294.75 | ↓ -9% |
| AETNA | Managed Medicaid/CHIP | $321.68 | ↓ -0% |
| Clarity Health | All Products | $322.40 | ↑ +0% |
| The Legacy Companies | All Products | $322.40 | ↑ +0% |
| AETNA | All Products First Health | $353.70 | ↑ +10% |
| Aetna | All Products First Health | $446.40 | ↑ +38% |
| BLUE CROSS | MBN | $1,719.00 | ↑ +433% |
| UNITED | NHP | $2,235.00 | ↑ +593% |
| BLUE CROSS | HMO | $2,276.00 | ↑ +606% |
| UNITED | ALL PRODUCTS | $2,667.00 | ↑ +727% |
| UNITED | International | $2,942.00 | ↑ +813% |
| BLUE CROSS | PPO | $3,381.00 | ↑ +949% |
| BLUE CROSS | NWBI | $4,249.00 | ↑ +1218% |
| BLUE CROSS | NWB | $4,249.00 | ↑ +1218% |
| BLUE CROSS | PHS | $9,364.00 | ↑ +2804% |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Complx repair trunk addl 5cm/< 13102 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $2,000.89 – $2,043.01 |
| Adventhealth Daytona Beach | Daytona Beach | $852.65 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,857.61 | not published |
| Adventhealth Tampa | Tampa | $2,405.29 | $401.00 – $401.00 |
| cleveland clinic florida weston hospital | Weston | $322.40 | $34.86 – $1,715.00 |
| indian river hospital | Vero Beach | $322.40 | $34.86 – $2,971.00 |
| Baptist Hospital | MIAMI | $595.40 | $158.47 – $824.40 |
| Bethesda Hospital East | BOYNTON BEACH | $595.40 | $184.12 – $824.40 |