Dilation salivary duct 42650 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$5,536.70
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.
?
What you pay up front if you don't use insurance.
$8,518.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$46.44 with Blue Cross vs $9,033.00 with BLUE CROSS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $46.44 | ↓ -99% |
| Blue Cross | BlueSelect | $46.44 | ↓ -99% |
| Blue Cross | Network Blue | $56.00 | ↓ -99% |
| Miami Childrens Health Plan | Medicare Advantage | $57.01 | ↓ -99% |
| Blue Cross | Medicare Advantage PPO | $57.01 | ↓ -99% |
| Blue Cross | Medicare Advantage HMO | $57.01 | ↓ -99% |
| United | Medicare Advantage | $57.01 | ↓ -99% |
| Avmed | Medicare Advantage | $57.01 | ↓ -99% |
| Freedom Health | Managed Medicaid | $57.45 | ↓ -99% |
| Blue Cross | Perferred Patient Care | $57.82 | ↓ -99% |
| Blue Cross | Traditional (PPS) | $57.82 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $59.17 | ↓ -99% |
| Careplus | Medicare Advantage | $59.86 | ↓ -99% |
| Freedom Health | Medicare Advantage | $59.86 | ↓ -99% |
| Molina | Florida Kidcare | $60.32 | ↓ -99% |
| Miami Childrens Health Plan | Managed Medicaid | $60.32 | ↓ -99% |
| Sunshine Health | Managed Medicaid | $60.32 | ↓ -99% |
| Molina | Managed Medicaid | $60.32 | ↓ -99% |
| Clear Spring Health | All Products | $61.57 | ↓ -99% |
| Independent Living Systems | Medicare Advantage | $64.55 | ↓ -99% |
| Independent Living Systems | Managed Medicaid | $68.94 | ↓ -99% |
| MULTIPLAN | ALL PRODUCTS | $69.22 | ↓ -99% |
| Aetna | Medicare Advantage PCP | $70.69 | ↓ -99% |
| Clear Spring Health | ALL PRODUCTS | $71.19 | ↓ -99% |
| Aetna | Medicare Advantage Specialist | $71.83 | ↓ -99% |
| Avmed | Exchange | $80.61 | ↓ -99% |
| Avmed | Select | $83.71 | ↓ -98% |
| Multiplan | All Products | $85.52 | ↓ -98% |
| Avmed | Broad | $89.91 | ↓ -98% |
| Cigna | Individual Family Plan Mid-Level | $103.37 | ↓ -98% |
| Cigna | Surefit Mid-Level | $105.35 | ↓ -98% |
| Cigna | All Products Mid-Level | $113.79 | ↓ -98% |
| United | All Products | $117.33 | ↓ -98% |
| Cigna | Individual Family Plan Physician | $121.63 | ↓ -98% |
| Cigna | Surefit Physician | $123.95 | ↓ -98% |
| Cigna | All Products Physician | $133.87 | ↓ -98% |
| The Legacy Companies | All Products | $200.20 | ↓ -96% |
| Clarity Health | All Products | $200.20 | ↓ -96% |
| Consociate Health | ALL PRODUCTS | $231.00 | ↓ -96% |
| Aetna | All Products First Health | $277.20 | ↓ -95% |
| Simply | Managed Medicaid | $1,273.61 | ↓ -77% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,273.61 | ↓ -77% |
| SUNSHINE HEALTH | Managed Medicaid | $1,273.61 | ↓ -77% |
| AMERIHEALTH | Managed Medicaid | $1,311.82 | ↓ -76% |
| MOLINA | Florida KidCare | $1,337.29 | ↓ -76% |
| MOLINA | Managed Medicaid | $1,337.29 | ↓ -76% |
| HUMANA | Medicare Advantage HMO | $1,486.88 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $1,486.88 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $1,486.88 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $1,486.88 | ↓ -73% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $1,486.88 | ↓ -73% |
| AETNA | Managed Medicaid/CHIP | $1,528.33 | ↓ -72% |
| BLUE CROSS | MBN | $1,529.00 | ↓ -72% |
| AVMED | MEDICARE ADVANTAGE | $1,546.35 | ↓ -72% |
| Careplus | MEDICARE ADVANTAGE | $1,561.22 | ↓ -72% |
| Freedom Health | MEDICARE ADVANTAGE | $1,561.22 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $1,620.29 | ↓ -71% |
| AETNA | MEDICARE ADVANTAGE | $1,620.29 | ↓ -71% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,782.31 | ↓ -68% |
| BLUE CROSS | HMO | $2,046.00 | ↓ -63% |
| CIGNA | Individual Family Plan | $2,410.59 | ↓ -56% |
| AETNA | QHP | $2,495.77 | ↓ -55% |
| AVMED | EXCHANGE | $2,602.04 | ↓ -53% |
| AETNA | ALL PRODUCTS | $2,657.62 | ↓ -52% |
| AETNA | All Products New Business | $2,785.39 | ↓ -50% |
| BLUE CROSS | PPO | $3,235.00 | ↓ -42% |
| CIGNA | SUREFIT | $3,483.86 | ↓ -37% |
| BLUE CROSS | NWBI | $3,986.00 | ↓ -28% |
| BLUE CROSS | NWB | $3,986.00 | ↓ -28% |
| BMI | ALL PRODUCTS | $4,259.00 | ↓ -23% |
| AVMED | Select | $4,386.29 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $4,497.50 | ↓ -19% |
| Clarity Health | ALL PRODUCTS | $5,536.70 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $5,536.70 | ↑ +0% |
| AVMED | BROAD | $5,724.48 | ↑ +3% |
| BLUE CROSS | BSL | $6,260.00 | ↑ +13% |
| AETNA | All Products First Health | $7,666.20 | ↑ +38% |
| BLUE CROSS | PHS | $9,033.00 | ↑ +63% |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | 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 | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Dilation salivary duct 42650 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $8.00 – $8.17 |
| cleveland clinic florida weston hospital | Weston | $5,536.70 | $48.41 – $7,240.30 |
| Baptist Hospital | MIAMI | $4,017.65 | $173.17 – $5,562.90 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $1,539.27 – $2,704.26 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $1,539.27 – $3,460.77 |
| Adventhealth Tampa | Tampa | not published | $1,620.29 – $3,597.04 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $7.69 – $7.85 |
| indian river hospital | Vero Beach | not published | $1,209.93 – $1,782.31 |