Cystourethro w/implant at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,144.00
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.
$1,760.00
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.
$198.47 with Blue Cross vs $1,978.57 with Cigna — 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 | Medicare Advantage PPO | $198.47 | ↓ -83% |
| United | Medicare Advantage | $198.47 | ↓ -83% |
| Miami Childrens Health Plan | Medicare Advantage | $198.47 | ↓ -83% |
| Avmed | Medicare Advantage | $198.47 | ↓ -83% |
| Blue Cross | Medicare Advantage HMO | $198.47 | ↓ -83% |
| Freedom Health | Medicare Advantage | $208.39 | ↓ -82% |
| Careplus | Medicare Advantage | $208.39 | ↓ -82% |
| Clear Spring Health | All Products | $214.35 | ↓ -81% |
| Independent Living Systems | Medicare Advantage | $224.89 | ↓ -80% |
| Aetna | Medicare Advantage PCP | $246.10 | ↓ -78% |
| Aetna | Medicare Advantage Specialist | $250.07 | ↓ -78% |
| Avmed | Exchange | $283.28 | ↓ -75% |
| Avmed | Select | $294.18 | ↓ -74% |
| Multiplan | All Products | $297.71 | ↓ -74% |
| Avmed | Broad | $315.97 | ↓ -72% |
| United | All Products | $412.31 | ↓ -64% |
| Freedom Health | Managed Medicaid | $916.87 | ↓ -20% |
| AmeriHealth | Managed Medicaid | $944.38 | ↓ -17% |
| Molina | Managed Medicaid | $962.71 | ↓ -16% |
| Sunshine Health | Managed Medicaid | $962.71 | ↓ -16% |
| Miami Childrens Health Plan | Managed Medicaid | $962.71 | ↓ -16% |
| Molina | Florida Kidcare | $962.71 | ↓ -16% |
| Simply | Managed Medicaid | $1,098.49 | ↓ -4% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,098.49 | ↓ -4% |
| SUNSHINE HEALTH | Managed Medicaid | $1,098.49 | ↓ -4% |
| Independent Living Systems | Managed Medicaid | $1,100.24 | ↓ -4% |
| AMERIHEALTH | Managed Medicaid | $1,131.44 | ↓ -1% |
| The Legacy Companies | All Products | $1,144.00 | ↑ +0% |
| Clarity Health | All Products | $1,144.00 | ↑ +0% |
| MOLINA | Managed Medicaid | $1,153.41 | ↑ +1% |
| MOLINA | Florida KidCare | $1,153.41 | ↑ +1% |
| AETNA | Managed Medicaid/CHIP | $1,318.19 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $1,320.00 | ↑ +15% |
| Cigna | Individual Family Plan Mid-Level | $1,528.15 | ↑ +34% |
| Cigna | Surefit Mid-Level | $1,557.38 | ↑ +36% |
| Aetna | All Products First Health | $1,584.00 | ↑ +38% |
| Cigna | All Products Mid-Level | $1,681.78 | ↑ +47% |
| Cigna | Individual Family Plan Physician | $1,797.65 | ↑ +57% |
| Cigna | Surefit Physician | $1,832.18 | ↑ +60% |
| Cigna | All Products Physician | $1,978.57 | ↑ +73% |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Blue Cross | BlueSelect | not published by hospital | — |
Visitor-reported prices
Comments
Cystourethro w/implant 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 | $1,144.00 | $179.86 – $1,528.15 |
| indian river hospital | Vero Beach | $3,562.65 | $179.86 – $4,384.80 |
| AdventHealth Orlando | Orlando | $5,841.00 | not published |
| Adventhealth Carrollwood | Tampa | $3,554.89 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $3,208.87 – $3,276.43 |
| Baptist Hospital | MIAMI | not published | not published |
| Baptist Health Hospital Doral | SOUTH MIAMI | not published | not published |