Drain lower leg lesion 27603 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$10,696.40
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.
$16,456.00
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.
$307.93 with Blue Cross vs $15,508.00 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 | $307.93 | ↓ -97% |
| Blue Cross | BlueSelect | $307.93 | ↓ -97% |
| Blue Cross | Network Blue | $371.33 | ↓ -97% |
| Blue Cross | Perferred Patient Care | $383.40 | ↓ -96% |
| Blue Cross | Traditional (PPS) | $383.40 | ↓ -96% |
| Miami Childrens Health Plan | Medicare Advantage | $400.45 | ↓ -96% |
| Avmed | Medicare Advantage | $400.45 | ↓ -96% |
| Blue Cross | Medicare Advantage PPO | $400.45 | ↓ -96% |
| Blue Cross | Medicare Advantage HMO | $400.45 | ↓ -96% |
| United | Medicare Advantage | $400.45 | ↓ -96% |
| Freedom Health | Managed Medicaid | $400.60 | ↓ -96% |
| AmeriHealth | Managed Medicaid | $412.62 | ↓ -96% |
| Careplus | Medicare Advantage | $420.47 | ↓ -96% |
| Freedom Health | Medicare Advantage | $420.47 | ↓ -96% |
| Miami Childrens Health Plan | Managed Medicaid | $420.63 | ↓ -96% |
| Molina | Managed Medicaid | $420.63 | ↓ -96% |
| Molina | Florida Kidcare | $420.63 | ↓ -96% |
| Sunshine Health | Managed Medicaid | $420.63 | ↓ -96% |
| Independent Living Systems | Medicare Advantage | $425.02 | ↓ -96% |
| Clear Spring Health | All Products | $432.49 | ↓ -96% |
| MULTIPLAN | ALL PRODUCTS | $476.56 | ↓ -96% |
| Independent Living Systems | Managed Medicaid | $480.72 | ↓ -96% |
| Clear Spring Health | ALL PRODUCTS | $490.18 | ↓ -95% |
| Aetna | Medicare Advantage PCP | $496.56 | ↓ -95% |
| Aetna | Medicare Advantage Specialist | $504.57 | ↓ -95% |
| Avmed | Exchange | $542.66 | ↓ -95% |
| Avmed | Select | $563.53 | ↓ -95% |
| Multiplan | All Products | $600.68 | ↓ -94% |
| Avmed | Broad | $605.27 | ↓ -94% |
| Cigna | Individual Family Plan Mid-Level | $766.03 | ↓ -93% |
| Cigna | Surefit Mid-Level | $780.71 | ↓ -93% |
| United | All Products | $789.82 | ↓ -93% |
| Cigna | All Products Mid-Level | $843.07 | ↓ -92% |
| Cigna | Individual Family Plan Physician | $901.27 | ↓ -92% |
| Cigna | Surefit Physician | $918.49 | ↓ -91% |
| Cigna | All Products Physician | $991.94 | ↓ -91% |
| Simply | Managed Medicaid | $1,171.53 | ↓ -89% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,171.53 | ↓ -89% |
| SUNSHINE HEALTH | Managed Medicaid | $1,171.53 | ↓ -89% |
| AMERIHEALTH | Managed Medicaid | $1,206.68 | ↓ -89% |
| MOLINA | Managed Medicaid | $1,230.11 | ↓ -88% |
| MOLINA | Florida KidCare | $1,230.11 | ↓ -88% |
| Clarity Health | All Products | $1,359.80 | ↓ -87% |
| The Legacy Companies | All Products | $1,359.80 | ↓ -87% |
| AETNA | Managed Medicaid/CHIP | $1,405.84 | ↓ -87% |
| Consociate Health | ALL PRODUCTS | $1,569.00 | ↓ -85% |
| Aetna | All Products First Health | $1,882.80 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $2,872.87 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $2,872.87 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $2,872.87 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $2,872.87 | ↓ -73% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $2,872.87 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $2,987.78 | ↓ -72% |
| Freedom Health | MEDICARE ADVANTAGE | $3,016.51 | ↓ -72% |
| Careplus | MEDICARE ADVANTAGE | $3,016.51 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $3,033.33 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $3,033.33 | ↓ -72% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,336.67 | ↓ -69% |
| AETNA | QHP | $3,806.00 | ↓ -64% |
| AETNA | All Products New Business | $4,025.00 | ↓ -62% |
| AETNA | ALL PRODUCTS | $4,523.00 | ↓ -58% |
| CIGNA | Individual Family Plan | $4,657.05 | ↓ -56% |
| AVMED | EXCHANGE | $5,027.52 | ↓ -53% |
| CIGNA | SUREFIT | $6,730.50 | ↓ -37% |
| BLUE CROSS | BSL | $6,886.00 | ↓ -36% |
| BLUE CROSS | MBN | $7,368.00 | ↓ -31% |
| BMI | ALL PRODUCTS | $8,228.00 | ↓ -23% |
| AVMED | Select | $8,474.96 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $8,688.77 | ↓ -19% |
| BLUE CROSS | PPO | $9,687.00 | ↓ -9% |
| BLUE CROSS | HMO | $9,701.00 | ↓ -9% |
| Clarity Health | ALL PRODUCTS | $10,696.40 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $10,696.40 | ↑ +0% |
| AVMED | BROAD | $11,060.54 | ↑ +3% |
| BLUE CROSS | NWB | $12,317.00 | ↑ +15% |
| BLUE CROSS | NWBI | $12,317.00 | ↑ +15% |
| AETNA | All Products First Health | $14,810.40 | ↑ +38% |
| BLUE CROSS | PHS | $15,508.00 | ↑ +45% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | 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 | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
Visitor-reported prices
Comments
Drain lower leg lesion 27603 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $3,221.43 – $3,289.25 |
| Adventhealth Tampa | Tampa | $27,561.20 | $537.00 – $6,734.00 |
| cleveland clinic florida weston hospital | Weston | $1,359.80 | $192.00 – $3,336.67 |
| indian river hospital | Vero Beach | $10,696.40 | $192.00 – $13,164.80 |
| Bethesda Hospital East | BOYNTON BEACH | $3,858.40 | $1,156.74 – $5,342.40 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $3,858.40 | $1,032.86 – $5,342.40 |
| AdventHealth Orlando | Orlando | $8,950.00 | $3,033.33 – $8,038.33 |
| Adventhealth Riverview | Riverview | $27,561.20 | not published |