Cystouretero w/lithotripsy at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,950.00
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.
$3,000.00
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.
$296.18 with Freedom Health vs $19,645.92 with AVMED — 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 | $296.18 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $305.07 | ↓ -84% |
| Sunshine Health | Managed Medicaid | $310.99 | ↓ -84% |
| Molina | Managed Medicaid | $310.99 | ↓ -84% |
| Molina | Florida Kidcare | $310.99 | ↓ -84% |
| Miami Childrens Health Plan | Managed Medicaid | $310.99 | ↓ -84% |
| Blue Cross | Health Options | $329.18 | ↓ -83% |
| Blue Cross | BlueSelect | $329.18 | ↓ -83% |
| Independent Living Systems | Managed Medicaid | $355.42 | ↓ -82% |
| Blue Cross | Medicare Advantage PPO | $371.53 | ↓ -81% |
| United | Medicare Advantage | $371.53 | ↓ -81% |
| Miami Childrens Health Plan | Medicare Advantage | $371.53 | ↓ -81% |
| Blue Cross | Medicare Advantage HMO | $371.53 | ↓ -81% |
| Avmed | Medicare Advantage | $371.53 | ↓ -81% |
| Careplus | Medicare Advantage | $390.11 | ↓ -80% |
| Freedom Health | Medicare Advantage | $390.11 | ↓ -80% |
| Blue Cross | Network Blue | $396.95 | ↓ -80% |
| Clear Spring Health | All Products | $401.25 | ↓ -79% |
| Blue Cross | Traditional (PPS) | $409.86 | ↓ -79% |
| Blue Cross | Perferred Patient Care | $409.86 | ↓ -79% |
| Independent Living Systems | Medicare Advantage | $417.04 | ↓ -79% |
| Aetna | Medicare Advantage PCP | $460.70 | ↓ -76% |
| Aetna | Medicare Advantage Specialist | $468.13 | ↓ -76% |
| Avmed | Exchange | $529.76 | ↓ -73% |
| Avmed | Select | $550.14 | ↓ -72% |
| Multiplan | All Products | $557.30 | ↓ -71% |
| Avmed | Broad | $590.89 | ↓ -70% |
| United | All Products | $771.05 | ↓ -60% |
| Simply | Managed Medicaid | $1,864.15 | ↓ -4% |
| SUNSHINE HEALTH | Managed Medicaid | $1,864.15 | ↓ -4% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,864.15 | ↓ -4% |
| AMERIHEALTH | Managed Medicaid | $1,920.07 | ↓ -2% |
| Clarity Health | All Products | $1,950.00 | ↑ +0% |
| The Legacy Companies | All Products | $1,950.00 | ↑ +0% |
| MOLINA | Managed Medicaid | $1,957.36 | ↑ +0% |
| MOLINA | Florida KidCare | $1,957.36 | ↑ +0% |
| AETNA | Managed Medicaid/CHIP | $2,236.98 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $2,250.00 | ↑ +15% |
| Aetna | All Products First Health | $2,700.00 | ↑ +38% |
| Cigna | All Products Physician | $3,000.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $3,000.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $3,000.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $3,000.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $3,000.00 | ↑ +54% |
| Cigna | Surefit Physician | $3,000.00 | ↑ +54% |
| BLUE CROSS | Medicare Advantage PPO | $5,102.84 | ↑ +162% |
| UNITED | MEDICARE ADVANTAGE | $5,102.84 | ↑ +162% |
| HUMANA | Medicare Advantage HMO | $5,102.84 | ↑ +162% |
| BLUE CROSS | Medicare Advantage HMO | $5,102.84 | ↑ +162% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $5,102.84 | ↑ +162% |
| AVMED | MEDICARE ADVANTAGE | $5,306.95 | ↑ +172% |
| Freedom Health | MEDICARE ADVANTAGE | $5,357.98 | ↑ +175% |
| Careplus | MEDICARE ADVANTAGE | $5,357.98 | ↑ +175% |
| Wellcare | MEDICARE ADVANTAGE | $5,599.21 | ↑ +187% |
| AETNA | MEDICARE ADVANTAGE | $5,599.21 | ↑ +187% |
| DEVOTED HEALTH | Medicare Advantage HMO | $6,159.13 | ↑ +216% |
| AETNA | QHP | $6,289.00 | ↑ +223% |
| AVMED | EXCHANGE | $8,929.96 | ↑ +358% |
| UNITED | ALL PRODUCTS | $10,498.00 | ↑ +438% |
| AVMED | Select | $15,053.37 | ↑ +672% |
| AVMED | BROAD | $19,645.92 | ↑ +907% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Cystouretero w/lithotripsy at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $3,343.49 – $3,413.88 |
| cleveland clinic florida weston hospital | Weston | $1,950.00 | $296.18 – $6,159.13 |
| indian river hospital | Vero Beach | $1,950.00 | $296.18 – $6,159.13 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $5,319.25 – $9,345.08 |
| Adventhealth Lake Wales | Lake Wales | not published | $5,599.21 – $12,430.25 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $5,319.25 – $11,959.36 |
| Adventhealth Tampa | Tampa | not published | $758.00 – $12,430.25 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $5,319.25 – $12,231.48 |