Debrid/rmv fgn bdy/open fx/skin/sq 11010 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,715.35
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.
$2,639.00
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.
$220.92 with Blue Cross vs $9,694.00 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 | Health Options | $220.92 | ↓ -87% |
| Blue Cross | BlueSelect | $220.92 | ↓ -87% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $254.05 | ↓ -85% |
| SUNSHINE HEALTH | Managed Medicaid | $254.05 | ↓ -85% |
| Simply | Managed Medicaid | $254.05 | ↓ -85% |
| Freedom Health | Managed Medicaid | $254.05 | ↓ -85% |
| AMERIHEALTH | Managed Medicaid | $261.67 | ↓ -85% |
| Blue Cross | Network Blue | $266.40 | ↓ -84% |
| Miami Childrens Health Plan | Managed Medicaid | $266.75 | ↓ -84% |
| MOLINA | Managed Medicaid | $266.75 | ↓ -84% |
| MOLINA | Florida KidCare | $266.75 | ↓ -84% |
| Blue Cross | Medicare Advantage PPO | $272.24 | ↓ -84% |
| United | Medicare Advantage | $272.24 | ↓ -84% |
| Blue Cross | Medicare Advantage HMO | $272.24 | ↓ -84% |
| Avmed | Medicare Advantage | $272.24 | ↓ -84% |
| Miami Childrens Health Plan | Medicare Advantage | $272.24 | ↓ -84% |
| Blue Cross | Traditional (PPS) | $275.06 | ↓ -84% |
| Blue Cross | Perferred Patient Care | $275.06 | ↓ -84% |
| Freedom Health | Medicare Advantage | $285.85 | ↓ -83% |
| Careplus | Medicare Advantage | $285.85 | ↓ -83% |
| Clear Spring Health | All Products | $294.02 | ↓ -83% |
| Independent Living Systems | Medicare Advantage | $302.04 | ↓ -82% |
| Independent Living Systems | Managed Medicaid | $304.86 | ↓ -82% |
| AETNA | Managed Medicaid/CHIP | $304.86 | ↓ -82% |
| MULTIPLAN | ALL PRODUCTS | $327.88 | ↓ -81% |
| Clear Spring Health | ALL PRODUCTS | $337.25 | ↓ -80% |
| Aetna | Medicare Advantage PCP | $337.58 | ↓ -80% |
| Aetna | Medicare Advantage Specialist | $343.02 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $349.24 | ↓ -80% |
| Sunshine Health | Managed Medicaid | $356.02 | ↓ -79% |
| Molina | Managed Medicaid | $356.02 | ↓ -79% |
| Molina | Florida Kidcare | $356.02 | ↓ -79% |
| Avmed | Exchange | $381.81 | ↓ -78% |
| Avmed | Select | $396.50 | ↓ -77% |
| Multiplan | All Products | $408.36 | ↓ -76% |
| Avmed | Broad | $425.87 | ↓ -75% |
| Cigna | Individual Family Plan Mid-Level | $548.77 | ↓ -68% |
| United | All Products | $555.71 | ↓ -68% |
| Cigna | Surefit Mid-Level | $559.26 | ↓ -67% |
| Cigna | All Products Mid-Level | $604.05 | ↓ -65% |
| Cigna | Individual Family Plan Physician | $645.63 | ↓ -62% |
| Cigna | Surefit Physician | $658.02 | ↓ -62% |
| BLUE CROSS | Medicare Advantage PPO | $706.25 | ↓ -59% |
| BLUE CROSS | Medicare Advantage HMO | $706.25 | ↓ -59% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $706.25 | ↓ -59% |
| HUMANA | Medicare Advantage HMO | $706.25 | ↓ -59% |
| UNITED | MEDICARE ADVANTAGE | $706.25 | ↓ -59% |
| Cigna | All Products Physician | $710.61 | ↓ -59% |
| AVMED | MEDICARE ADVANTAGE | $734.50 | ↓ -57% |
| AETNA | MEDICARE ADVANTAGE | $739.49 | ↓ -57% |
| Wellcare | MEDICARE ADVANTAGE | $739.49 | ↓ -57% |
| Careplus | MEDICARE ADVANTAGE | $741.56 | ↓ -57% |
| Freedom Health | MEDICARE ADVANTAGE | $741.56 | ↓ -57% |
| CIGNA | Individual Family Plan | $746.84 | ↓ -56% |
| DEVOTED HEALTH | Medicare Advantage HMO | $813.44 | ↓ -53% |
| CIGNA | SUREFIT | $1,079.35 | ↓ -37% |
| Clarity Health | All Products | $1,198.60 | ↓ -30% |
| The Legacy Companies | All Products | $1,198.60 | ↓ -30% |
| AVMED | EXCHANGE | $1,235.94 | ↓ -28% |
| BMI | ALL PRODUCTS | $1,319.50 | ↓ -23% |
| Consociate Health | ALL PRODUCTS | $1,383.00 | ↓ -19% |
| CIGNA | ALL PRODUCTS | $1,393.39 | ↓ -19% |
| Aetna | All Products First Health | $1,659.60 | ↓ -3% |
| The Legacy Companies | ALL PRODUCTS | $1,715.35 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $1,715.35 | ↑ +0% |
| BLUE CROSS | MBN | $1,914.00 | ↑ +12% |
| AETNA | QHP | $2,038.00 | ↑ +19% |
| AVMED | Select | $2,083.44 | ↑ +21% |
| BLUE CROSS | BSL | $2,091.00 | ↑ +22% |
| UNITED | NHP | $2,235.00 | ↑ +30% |
| AETNA | All Products First Health | $2,375.10 | ↑ +38% |
| AETNA | ALL PRODUCTS | $2,472.00 | ↑ +44% |
| BLUE CROSS | HMO | $2,552.00 | ↑ +49% |
| UNITED | ALL PRODUCTS | $2,667.00 | ↑ +55% |
| AVMED | BROAD | $2,719.06 | ↑ +59% |
| UNITED | International | $2,942.00 | ↑ +72% |
| BLUE CROSS | PPO | $3,782.00 | ↑ +120% |
| AETNA | All Products New Business | $4,025.00 | ↑ +135% |
| BLUE CROSS | NWB | $4,598.00 | ↑ +168% |
| BLUE CROSS | NWBI | $4,598.00 | ↑ +168% |
| BLUE CROSS | PHS | $9,694.00 | ↑ +465% |
| Consociate Health | Transplant | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | 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 | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Debrid/rmv fgn bdy/open fx/skin/sq 11010 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $2,783.23 – $2,841.83 |
| cleveland clinic florida weston hospital | Weston | $1,715.35 | $133.65 – $2,243.15 |
| indian river hospital | Vero Beach | $1,715.35 | $133.65 – $2,111.20 |
| Baptist Hospital | MIAMI | $1,990.95 | $173.17 – $2,756.70 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $702.51 – $1,234.20 |
| Adventhealth Lake Wales | Lake Wales | not published | $739.49 – $1,641.66 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $702.51 – $1,579.47 |
| Adventhealth Tampa | Tampa | not published | $537.00 – $1,641.66 |