Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$10,947.95
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.
$16,843.00
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.
$176.77 with Blue Cross vs $15,158.70 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 |
|---|---|---|---|
| Blue Cross | BlueSelect | $176.77 | ↓ -98% |
| Blue Cross | Health Options | $176.77 | ↓ -98% |
| Avmed | Medicare Advantage | $182.47 | ↓ -98% |
| Blue Cross | Medicare Advantage PPO | $182.47 | ↓ -98% |
| Miami Childrens Health Plan | Medicare Advantage | $182.47 | ↓ -98% |
| Blue Cross | Medicare Advantage HMO | $182.47 | ↓ -98% |
| United | Medicare Advantage | $182.47 | ↓ -98% |
| Freedom Health | Medicare Advantage | $191.59 | ↓ -98% |
| Careplus | Medicare Advantage | $191.59 | ↓ -98% |
| Clear Spring Health | All Products | $197.07 | ↓ -98% |
| Independent Living Systems | Medicare Advantage | $203.41 | ↓ -98% |
| Blue Cross | Network Blue | $213.16 | ↓ -98% |
| Blue Cross | Perferred Patient Care | $220.09 | ↓ -98% |
| Blue Cross | Traditional (PPS) | $220.09 | ↓ -98% |
| Aetna | Medicare Advantage PCP | $226.26 | ↓ -98% |
| Aetna | Medicare Advantage Specialist | $229.91 | ↓ -98% |
| MULTIPLAN | ALL PRODUCTS | $237.68 | ↓ -98% |
| Clear Spring Health | ALL PRODUCTS | $244.47 | ↓ -98% |
| Avmed | Exchange | $259.30 | ↓ -98% |
| Avmed | Select | $269.27 | ↓ -98% |
| Multiplan | All Products | $273.71 | ↓ -97% |
| Avmed | Broad | $289.22 | ↓ -97% |
| Freedom Health | Managed Medicaid | $331.92 | ↓ -97% |
| AmeriHealth | Managed Medicaid | $341.88 | ↓ -97% |
| Molina | Florida Kidcare | $348.52 | ↓ -97% |
| Miami Childrens Health Plan | Managed Medicaid | $348.52 | ↓ -97% |
| Molina | Managed Medicaid | $348.52 | ↓ -97% |
| Sunshine Health | Managed Medicaid | $348.52 | ↓ -97% |
| United | All Products | $377.40 | ↓ -97% |
| Independent Living Systems | Managed Medicaid | $398.30 | ↓ -96% |
| Cigna | Individual Family Plan Mid-Level | $531.32 | ↓ -95% |
| Cigna | Surefit Mid-Level | $541.48 | ↓ -95% |
| Cigna | All Products Mid-Level | $584.81 | ↓ -95% |
| Cigna | Individual Family Plan Physician | $625.12 | ↓ -94% |
| Cigna | Surefit Physician | $637.07 | ↓ -94% |
| Cigna | All Products Physician | $688.02 | ↓ -94% |
| Clarity Health | All Products | $949.65 | ↓ -91% |
| The Legacy Companies | All Products | $949.65 | ↓ -91% |
| Simply | Managed Medicaid | $959.54 | ↓ -91% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $959.54 | ↓ -91% |
| SUNSHINE HEALTH | Managed Medicaid | $959.54 | ↓ -91% |
| AMERIHEALTH | Managed Medicaid | $988.33 | ↓ -91% |
| MOLINA | Managed Medicaid | $1,007.52 | ↓ -91% |
| MOLINA | Florida KidCare | $1,007.52 | ↓ -91% |
| Consociate Health | ALL PRODUCTS | $1,095.75 | ↓ -90% |
| AETNA | Managed Medicaid/CHIP | $1,151.45 | ↓ -89% |
| Aetna | All Products First Health | $1,314.90 | ↓ -88% |
| HUMANA | Medicare Advantage HMO | $1,960.15 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $1,960.15 | ↓ -82% |
| BLUE CROSS | Medicare Advantage PPO | $1,960.15 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $1,960.15 | ↓ -82% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $1,960.15 | ↓ -82% |
| AVMED | MEDICARE ADVANTAGE | $2,038.56 | ↓ -81% |
| AETNA | MEDICARE ADVANTAGE | $2,039.19 | ↓ -81% |
| Wellcare | MEDICARE ADVANTAGE | $2,039.19 | ↓ -81% |
| Freedom Health | MEDICARE ADVANTAGE | $2,058.16 | ↓ -81% |
| Careplus | MEDICARE ADVANTAGE | $2,058.16 | ↓ -81% |
| DEVOTED HEALTH | Medicare Advantage HMO | $2,243.11 | ↓ -80% |
| AETNA | QHP | $3,289.00 | ↓ -70% |
| AVMED | EXCHANGE | $3,430.27 | ↓ -69% |
| AETNA | All Products New Business | $3,800.00 | ↓ -65% |
| AETNA | ALL PRODUCTS | $4,270.00 | ↓ -61% |
| CIGNA | Individual Family Plan | $4,766.57 | ↓ -56% |
| AVMED | Select | $5,782.45 | ↓ -47% |
| BLUE CROSS | MBN | $5,924.00 | ↓ -46% |
| UNITED | NHP | $6,241.00 | ↓ -43% |
| BLUE CROSS | BSL | $6,469.00 | ↓ -41% |
| CIGNA | SUREFIT | $6,888.79 | ↓ -37% |
| UNITED | ALL PRODUCTS | $7,478.00 | ↓ -32% |
| AVMED | BROAD | $7,546.58 | ↓ -31% |
| BLUE CROSS | HMO | $7,828.00 | ↓ -28% |
| UNITED | International | $8,209.00 | ↓ -25% |
| BMI | ALL PRODUCTS | $8,421.50 | ↓ -23% |
| BLUE CROSS | PPO | $8,632.00 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $8,893.10 | ↓ -19% |
| BLUE CROSS | NWBI | $10,923.00 | ↓ -0% |
| BLUE CROSS | NWB | $10,923.00 | ↓ -0% |
| The Legacy Companies | ALL PRODUCTS | $10,947.95 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $10,947.95 | ↑ +0% |
| BLUE CROSS | PHS | $14,382.00 | ↑ +31% |
| AETNA | All Products First Health | $15,158.70 | ↑ +38% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $2,716.21 – $2,773.39 |
| Adventhealth Tampa | Tampa | $22,464.50 | $2,039.19 – $4,527.00 |
| Adventhealth Port Charlotte | Port Charlotte | $22,464.50 | $2,039.19 – $3,723.56 |
| cleveland clinic florida weston hospital | Weston | $10,947.95 | $92.39 – $14,316.55 |
| indian river hospital | Vero Beach | $10,947.95 | $92.39 – $13,474.40 |
| Baptist Hospital | MIAMI | $17,531.80 | $173.17 – $8,157.60 |
| Bethesda Hospital East | BOYNTON BEACH | $17,531.80 | $930.34 – $8,157.60 |
| Boca Raton Regional Hospital | BOCA RATON | $5,283.20 | $2,002.56 – $5,307.58 |