Control nose/throat bleeding w/pst nsl packs 42970 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$867.75
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.
$1,335.00
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.
$117.91 with Freedom Health 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 |
|---|---|---|---|
| Freedom Health | Managed Medicaid | $117.91 | ↓ -86% |
| SUNSHINE HEALTH | Managed Medicaid | $117.91 | ↓ -86% |
| Simply | Managed Medicaid | $117.91 | ↓ -86% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $117.91 | ↓ -86% |
| AMERIHEALTH | Managed Medicaid | $121.45 | ↓ -86% |
| MOLINA | Managed Medicaid | $123.81 | ↓ -86% |
| Miami Childrens Health Plan | Managed Medicaid | $123.81 | ↓ -86% |
| MOLINA | Florida KidCare | $123.81 | ↓ -86% |
| Independent Living Systems | Managed Medicaid | $141.49 | ↓ -84% |
| AETNA | Managed Medicaid/CHIP | $141.49 | ↓ -84% |
| HUMANA | Medicare Advantage HMO | $233.10 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $233.10 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $233.10 | ↓ -73% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $233.10 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $233.10 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $242.42 | ↓ -72% |
| Careplus | MEDICARE ADVANTAGE | $244.75 | ↓ -72% |
| Freedom Health | MEDICARE ADVANTAGE | $244.75 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $247.34 | ↓ -71% |
| AETNA | MEDICARE ADVANTAGE | $247.34 | ↓ -71% |
| DEVOTED HEALTH | Medicare Advantage HMO | $272.07 | ↓ -69% |
| CIGNA | Individual Family Plan | $377.81 | ↓ -56% |
| AVMED | EXCHANGE | $407.92 | ↓ -53% |
| MULTIPLAN | ALL PRODUCTS | $479.03 | ↓ -45% |
| Clear Spring Health | ALL PRODUCTS | $492.72 | ↓ -43% |
| CIGNA | SUREFIT | $546.02 | ↓ -37% |
| BMI | ALL PRODUCTS | $667.50 | ↓ -23% |
| AVMED | Select | $687.64 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $704.88 | ↓ -19% |
| Clarity Health | ALL PRODUCTS | $867.75 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $867.75 | ↑ +0% |
| AVMED | BROAD | $897.43 | ↑ +3% |
| Consociate Health | ALL PRODUCTS | $1,001.25 | ↑ +15% |
| AETNA | All Products First Health | $1,201.50 | ↑ +38% |
| BLUE CROSS | MBN | $1,339.00 | ↑ +54% |
| BLUE CROSS | BSL | $1,669.00 | ↑ +92% |
| BLUE CROSS | HMO | $1,789.00 | ↑ +106% |
| AETNA | QHP | $2,001.00 | ↑ +131% |
| AETNA | All Products New Business | $2,200.00 | ↑ +154% |
| UNITED | NHP | $2,235.00 | ↑ +158% |
| AETNA | ALL PRODUCTS | $2,472.00 | ↑ +185% |
| UNITED | ALL PRODUCTS | $2,667.00 | ↑ +207% |
| UNITED | International | $2,942.00 | ↑ +239% |
| BLUE CROSS | PPO | $3,029.00 | ↑ +249% |
| BLUE CROSS | NWBI | $3,680.00 | ↑ +324% |
| BLUE CROSS | NWB | $3,680.00 | ↑ +324% |
| BLUE CROSS | PHS | $8,696.00 | ↑ +902% |
| Consociate Health | Transplant | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Control nose/throat bleeding w/pst nsl packs 42970 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $867.75 | $112.01 – $1,595.00 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $234.97 – $528.29 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $247.34 – $451.64 |
| indian river hospital | Vero Beach | not published | $112.01 – $272.07 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $223.78 – $477.85 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | not published | $233.10 – $431.24 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | not published | $249.65 – $461.85 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City | not published | $233.10 – $431.24 |