Decompression of lower leg at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$12,126.40
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.
$18,656.00
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.
$311.24 with Freedom Health vs $16,790.40 with AETNA — 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 | $311.24 | ↓ -97% |
| AmeriHealth | Managed Medicaid | $320.58 | ↓ -97% |
| Miami Childrens Health Plan | Managed Medicaid | $326.80 | ↓ -97% |
| Sunshine Health | Managed Medicaid | $326.80 | ↓ -97% |
| Molina | Managed Medicaid | $326.80 | ↓ -97% |
| Molina | Florida Kidcare | $326.80 | ↓ -97% |
| Blue Cross | BlueSelect | $332.97 | ↓ -97% |
| Blue Cross | Health Options | $332.97 | ↓ -97% |
| Independent Living Systems | Managed Medicaid | $373.49 | ↓ -97% |
| Blue Cross | Network Blue | $401.52 | ↓ -97% |
| Blue Cross | Medicare Advantage HMO | $412.53 | ↓ -97% |
| Avmed | Medicare Advantage | $412.53 | ↓ -97% |
| United | Medicare Advantage | $412.53 | ↓ -97% |
| Blue Cross | Medicare Advantage PPO | $412.53 | ↓ -97% |
| Miami Childrens Health Plan | Medicare Advantage | $412.53 | ↓ -97% |
| Blue Cross | Perferred Patient Care | $414.58 | ↓ -97% |
| Blue Cross | Traditional (PPS) | $414.58 | ↓ -97% |
| Careplus | Medicare Advantage | $433.16 | ↓ -96% |
| Freedom Health | Medicare Advantage | $433.16 | ↓ -96% |
| Clear Spring Health | All Products | $445.53 | ↓ -96% |
| Independent Living Systems | Medicare Advantage | $446.11 | ↓ -96% |
| MULTIPLAN | ALL PRODUCTS | $487.90 | ↓ -96% |
| Clear Spring Health | ALL PRODUCTS | $501.84 | ↓ -96% |
| Aetna | Medicare Advantage PCP | $511.54 | ↓ -96% |
| Aetna | Medicare Advantage Specialist | $519.79 | ↓ -96% |
| Avmed | Exchange | $562.78 | ↓ -95% |
| Avmed | Select | $584.43 | ↓ -95% |
| Multiplan | All Products | $618.80 | ↓ -95% |
| Avmed | Broad | $627.72 | ↓ -95% |
| United | All Products | $819.11 | ↓ -93% |
| Clarity Health | All Products | $1,567.80 | ↓ -87% |
| The Legacy Companies | All Products | $1,567.80 | ↓ -87% |
| Consociate Health | ALL PRODUCTS | $1,809.00 | ↓ -85% |
| Simply | Managed Medicaid | $2,096.86 | ↓ -83% |
| SUNSHINE HEALTH | Managed Medicaid | $2,096.86 | ↓ -83% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $2,096.86 | ↓ -83% |
| AMERIHEALTH | Managed Medicaid | $2,159.77 | ↓ -82% |
| Aetna | All Products First Health | $2,170.80 | ↓ -82% |
| MOLINA | Managed Medicaid | $2,201.70 | ↓ -82% |
| MOLINA | Florida KidCare | $2,201.70 | ↓ -82% |
| Cigna | All Products Physician | $2,412.00 | ↓ -80% |
| Cigna | All Products Mid-Level | $2,412.00 | ↓ -80% |
| Cigna | Individual Family Plan Mid-Level | $2,412.00 | ↓ -80% |
| Cigna | Individual Family Plan Physician | $2,412.00 | ↓ -80% |
| Cigna | Surefit Mid-Level | $2,412.00 | ↓ -80% |
| Cigna | Surefit Physician | $2,412.00 | ↓ -80% |
| AETNA | Managed Medicaid/CHIP | $2,516.23 | ↓ -79% |
| UNITED | MEDICARE ADVANTAGE | $3,256.87 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $3,256.87 | ↓ -73% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $3,256.87 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $3,256.87 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $3,256.87 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $3,387.15 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $3,416.88 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $3,416.88 | ↓ -72% |
| Freedom Health | MEDICARE ADVANTAGE | $3,419.72 | ↓ -72% |
| Careplus | MEDICARE ADVANTAGE | $3,419.72 | ↓ -72% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,758.57 | ↓ -69% |
| AETNA | QHP | $4,966.00 | ↓ -59% |
| CIGNA | Individual Family Plan | $5,279.65 | ↓ -56% |
| AVMED | EXCHANGE | $5,699.53 | ↓ -53% |
| AETNA | All Products New Business | $6,004.00 | ↓ -50% |
| UNITED | NHP | $6,241.00 | ↓ -49% |
| AETNA | ALL PRODUCTS | $6,746.00 | ↓ -44% |
| BLUE CROSS | MBN | $7,368.00 | ↓ -39% |
| UNITED | ALL PRODUCTS | $7,478.00 | ↓ -38% |
| CIGNA | SUREFIT | $7,630.30 | ↓ -37% |
| BLUE CROSS | BSL | $7,992.00 | ↓ -34% |
| UNITED | International | $8,209.00 | ↓ -32% |
| BMI | ALL PRODUCTS | $9,328.00 | ↓ -23% |
| AVMED | Select | $9,607.78 | ↓ -21% |
| BLUE CROSS | PPO | $9,687.00 | ↓ -20% |
| BLUE CROSS | HMO | $9,701.00 | ↓ -20% |
| CIGNA | ALL PRODUCTS | $9,850.37 | ↓ -19% |
| Clarity Health | ALL PRODUCTS | $12,126.40 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $12,126.40 | ↑ +0% |
| BLUE CROSS | NWB | $12,317.00 | ↑ +2% |
| BLUE CROSS | NWBI | $12,317.00 | ↑ +2% |
| AVMED | BROAD | $12,538.97 | ↑ +3% |
| BLUE CROSS | PHS | $15,508.00 | ↑ +28% |
| AETNA | All Products First Health | $16,790.40 | ↑ +38% |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Decompression of lower leg at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $3,221.43 – $3,289.25 |
| cleveland clinic florida weston hospital | Weston | $1,567.80 | $258.30 – $3,758.57 |
| Baptist Hospital | MIAMI | $18,983.25 | $173.17 – $13,142.70 |
| Bethesda Hospital East | BOYNTON BEACH | $18,983.25 | $2,082.15 – $13,142.70 |
| Doctors Hospital | CORAL GABLES | $18,983.25 | $1,954.00 – $13,142.70 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $18,983.25 | $1,954.00 – $13,142.70 |
| Homestead Hospital | HOMESTEAD | $18,983.25 | $167.89 – $13,142.70 |
| West Kendall Baptist Hospital | MIAMI | $18,983.25 | $1,954.00 – $13,142.70 |