Delayed breast prosthesis 19342 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$2,997.15
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.
$4,611.00
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.
$591.08 with Freedom Health vs $36,980.10 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 | $591.08 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $608.81 | ↓ -80% |
| Molina | Florida Kidcare | $620.63 | ↓ -79% |
| Molina | Managed Medicaid | $620.63 | ↓ -79% |
| Sunshine Health | Managed Medicaid | $620.63 | ↓ -79% |
| Miami Childrens Health Plan | Managed Medicaid | $620.63 | ↓ -79% |
| Independent Living Systems | Managed Medicaid | $709.30 | ↓ -76% |
| Blue Cross | BlueSelect | $735.91 | ↓ -75% |
| Blue Cross | Health Options | $735.91 | ↓ -75% |
| Miami Childrens Health Plan | Medicare Advantage | $753.45 | ↓ -75% |
| United | Medicare Advantage | $753.45 | ↓ -75% |
| Blue Cross | Medicare Advantage PPO | $753.45 | ↓ -75% |
| Blue Cross | Medicare Advantage HMO | $753.45 | ↓ -75% |
| Avmed | Medicare Advantage | $753.45 | ↓ -75% |
| Freedom Health | Medicare Advantage | $791.12 | ↓ -74% |
| Careplus | Medicare Advantage | $791.12 | ↓ -74% |
| Clear Spring Health | All Products | $813.73 | ↓ -73% |
| Independent Living Systems | Medicare Advantage | $835.75 | ↓ -72% |
| Blue Cross | Network Blue | $887.42 | ↓ -70% |
| Blue Cross | Perferred Patient Care | $916.28 | ↓ -69% |
| Blue Cross | Traditional (PPS) | $916.28 | ↓ -69% |
| Aetna | Medicare Advantage PCP | $934.28 | ↓ -69% |
| Aetna | Medicare Advantage Specialist | $949.35 | ↓ -68% |
| Avmed | Exchange | $1,056.33 | ↓ -65% |
| Avmed | Select | $1,096.96 | ↓ -63% |
| Multiplan | All Products | $1,130.18 | ↓ -62% |
| Avmed | Broad | $1,178.21 | ↓ -61% |
| United | All Products | $1,537.44 | ↓ -49% |
| SUNSHINE HEALTH | Managed Medicaid | $2,244.79 | ↓ -25% |
| Simply | Managed Medicaid | $2,244.79 | ↓ -25% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $2,244.79 | ↓ -25% |
| AMERIHEALTH | Managed Medicaid | $2,312.13 | ↓ -23% |
| MOLINA | Florida KidCare | $2,357.03 | ↓ -21% |
| MOLINA | Managed Medicaid | $2,357.03 | ↓ -21% |
| AETNA | Managed Medicaid/CHIP | $2,693.75 | ↓ -10% |
| The Legacy Companies | All Products | $2,997.15 | ↑ +0% |
| Clarity Health | All Products | $2,997.15 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $3,458.25 | ↑ +15% |
| Aetna | All Products First Health | $4,149.90 | ↑ +38% |
| Cigna | All Products Physician | $4,611.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $4,611.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $4,611.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $4,611.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $4,611.00 | ↑ +54% |
| Cigna | Surefit Physician | $4,611.00 | ↑ +54% |
| BLUE CROSS | BSL | $7,992.00 | ↑ +167% |
| Wellcare | MEDICARE ADVANTAGE | $8,535.30 | ↑ +185% |
| AETNA | MEDICARE ADVANTAGE | $8,535.30 | ↑ +185% |
| DEVOTED HEALTH | Medicare Advantage HMO | $9,388.83 | ↑ +213% |
| HUMANA | Medicare Advantage HMO | $9,605.22 | ↑ +220% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $9,605.22 | ↑ +220% |
| BLUE CROSS | Medicare Advantage PPO | $9,605.22 | ↑ +220% |
| BLUE CROSS | Medicare Advantage HMO | $9,605.22 | ↑ +220% |
| UNITED | MEDICARE ADVANTAGE | $9,605.22 | ↑ +220% |
| AVMED | MEDICARE ADVANTAGE | $9,989.43 | ↑ +233% |
| Careplus | MEDICARE ADVANTAGE | $10,085.48 | ↑ +237% |
| Freedom Health | MEDICARE ADVANTAGE | $10,085.48 | ↑ +237% |
| AVMED | EXCHANGE | $16,809.14 | ↑ +461% |
| UNITED | ALL PRODUCTS | $17,125.00 | ↑ +471% |
| AVMED | Select | $28,335.40 | ↑ +845% |
| AVMED | BROAD | $36,980.10 | ↑ +1134% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Delayed breast prosthesis 19342 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $42,202.77 – $43,091.25 |
| cleveland clinic florida weston hospital | Weston | $2,997.15 | $562.26 – $9,989.43 |
| indian river hospital | Vero Beach | $2,997.15 | $562.26 – $9,989.43 |
| Adventhealth Tampa | Tampa | not published | $614.00 – $18,948.36 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $8,108.53 – $18,645.36 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $40,503.60 – $41,356.31 |
| Baptist Hospital | MIAMI | not published | not published |
| Bethesda Hospital East | BOYNTON BEACH | not published | not published |