Cover eye w/membrane at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$3,619.85
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.
$5,569.00
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.
$37.09 with Avmed vs $14,715.00 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 |
|---|---|---|---|
| Avmed | Medicare Advantage | $37.09 | ↓ -99% |
| Blue Cross | Medicare Advantage HMO | $37.09 | ↓ -99% |
| Blue Cross | Medicare Advantage PPO | $37.09 | ↓ -99% |
| United | Medicare Advantage | $37.09 | ↓ -99% |
| Miami Childrens Health Plan | Medicare Advantage | $37.09 | ↓ -99% |
| Careplus | Medicare Advantage | $38.94 | ↓ -99% |
| Freedom Health | Medicare Advantage | $38.94 | ↓ -99% |
| Clear Spring Health | All Products | $40.06 | ↓ -99% |
| Independent Living Systems | Medicare Advantage | $45.17 | ↓ -99% |
| Aetna | Medicare Advantage PCP | $45.99 | ↓ -99% |
| Aetna | Medicare Advantage Specialist | $46.73 | ↓ -99% |
| MULTIPLAN | ALL PRODUCTS | $51.75 | ↓ -99% |
| Clear Spring Health | ALL PRODUCTS | $53.23 | ↓ -99% |
| Multiplan | All Products | $55.64 | ↓ -98% |
| Blue Cross | BlueSelect | $57.04 | ↓ -98% |
| Blue Cross | Health Options | $57.04 | ↓ -98% |
| Avmed | Exchange | $57.55 | ↓ -98% |
| Avmed | Select | $59.76 | ↓ -98% |
| Avmed | Broad | $64.19 | ↓ -98% |
| Blue Cross | Network Blue | $68.78 | ↓ -98% |
| Blue Cross | Traditional (PPS) | $71.02 | ↓ -98% |
| Blue Cross | Perferred Patient Care | $71.02 | ↓ -98% |
| United | All Products | $83.76 | ↓ -98% |
| Clarity Health | All Products | $218.40 | ↓ -94% |
| The Legacy Companies | All Products | $218.40 | ↓ -94% |
| Consociate Health | ALL PRODUCTS | $252.00 | ↓ -93% |
| Aetna | All Products First Health | $302.40 | ↓ -92% |
| Simply | Managed Medicaid | $370.27 | ↓ -90% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $370.27 | ↓ -90% |
| Freedom Health | Managed Medicaid | $370.27 | ↓ -90% |
| SUNSHINE HEALTH | Managed Medicaid | $370.27 | ↓ -90% |
| AMERIHEALTH | Managed Medicaid | $381.38 | ↓ -89% |
| MOLINA | Managed Medicaid | $388.78 | ↓ -89% |
| Miami Childrens Health Plan | Managed Medicaid | $388.78 | ↓ -89% |
| MOLINA | Florida KidCare | $388.78 | ↓ -89% |
| AETNA | Managed Medicaid/CHIP | $444.32 | ↓ -88% |
| Independent Living Systems | Managed Medicaid | $444.32 | ↓ -88% |
| BLUE CROSS | Medicare Advantage PPO | $972.20 | ↓ -73% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $972.20 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $972.20 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $972.20 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $972.20 | ↓ -73% |
| AmeriHealth | Managed Medicaid | $989.87 | ↓ -73% |
| Sunshine Health | Managed Medicaid | $1,009.09 | ↓ -72% |
| Molina | Managed Medicaid | $1,009.09 | ↓ -72% |
| Molina | Florida Kidcare | $1,009.09 | ↓ -72% |
| AVMED | MEDICARE ADVANTAGE | $1,011.09 | ↓ -72% |
| Freedom Health | MEDICARE ADVANTAGE | $1,020.81 | ↓ -72% |
| Careplus | MEDICARE ADVANTAGE | $1,020.81 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $1,041.02 | ↓ -71% |
| Wellcare | MEDICARE ADVANTAGE | $1,041.02 | ↓ -71% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,145.12 | ↓ -68% |
| Cigna | Individual Family Plan Mid-Level | $1,303.29 | ↓ -64% |
| Cigna | Surefit Mid-Level | $1,328.09 | ↓ -63% |
| Cigna | All Products Mid-Level | $1,434.19 | ↓ -60% |
| Cigna | Individual Family Plan Physician | $1,533.12 | ↓ -58% |
| Cigna | Surefit Physician | $1,562.51 | ↓ -57% |
| CIGNA | Individual Family Plan | $1,576.03 | ↓ -56% |
| AETNA | QHP | $1,631.72 | ↓ -55% |
| Cigna | All Products Physician | $1,687.39 | ↓ -53% |
| AVMED | EXCHANGE | $1,701.35 | ↓ -53% |
| AETNA | ALL PRODUCTS | $1,737.53 | ↓ -52% |
| AETNA | All Products New Business | $1,821.06 | ↓ -50% |
| BLUE CROSS | BSL | $2,091.00 | ↓ -42% |
| CIGNA | SUREFIT | $2,277.72 | ↓ -37% |
| BMI | ALL PRODUCTS | $2,784.50 | ↓ -23% |
| AVMED | Select | $2,867.99 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $2,940.43 | ↓ -19% |
| The Legacy Companies | ALL PRODUCTS | $3,619.85 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $3,619.85 | ↑ +0% |
| AVMED | BROAD | $3,742.97 | ↑ +3% |
| AETNA | All Products First Health | $5,012.10 | ↑ +38% |
| BLUE CROSS | MBN | $6,115.00 | ↑ +69% |
| BLUE CROSS | HMO | $8,083.00 | ↑ +123% |
| BLUE CROSS | PPO | $8,933.00 | ↑ +147% |
| BLUE CROSS | NWB | $11,223.00 | ↑ +210% |
| BLUE CROSS | NWBI | $11,223.00 | ↑ +210% |
| BLUE CROSS | PHS | $14,715.00 | ↑ +307% |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Cover eye w/membrane at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $4,203.87 – $4,292.38 |
| cleveland clinic florida weston hospital | Weston | $218.40 | $37.09 – $1,303.29 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $4,034.61 – $4,119.55 |
| indian river hospital | Vero Beach | not published | $351.76 – $1,145.12 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $4,095.69 – $4,181.91 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $4,236.20 – $4,325.39 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $933.31 – $1,993.01 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | not published | $972.20 – $1,798.57 |