Drain shoulder lesion at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$902.20
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.
$1,388.00
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.
$199.38 with Blue Cross vs $11,060.54 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 |
|---|---|---|---|
| Blue Cross | BlueSelect | $199.38 | ↓ -78% |
| Blue Cross | Health Options | $199.38 | ↓ -78% |
| Blue Cross | Network Blue | $240.43 | ↓ -73% |
| Blue Cross | Traditional (PPS) | $248.25 | ↓ -72% |
| Blue Cross | Perferred Patient Care | $248.25 | ↓ -72% |
| Miami Childrens Health Plan | Medicare Advantage | $265.43 | ↓ -71% |
| Blue Cross | Medicare Advantage PPO | $265.43 | ↓ -71% |
| United | Medicare Advantage | $265.43 | ↓ -71% |
| Blue Cross | Medicare Advantage HMO | $265.43 | ↓ -71% |
| Avmed | Medicare Advantage | $265.43 | ↓ -71% |
| Careplus | Medicare Advantage | $278.70 | ↓ -69% |
| Freedom Health | Medicare Advantage | $278.70 | ↓ -69% |
| Independent Living Systems | Medicare Advantage | $282.71 | ↓ -69% |
| Clear Spring Health | All Products | $286.66 | ↓ -68% |
| Aetna | Medicare Advantage PCP | $329.13 | ↓ -64% |
| Aetna | Medicare Advantage Specialist | $334.44 | ↓ -63% |
| Freedom Health | Managed Medicaid | $336.52 | ↓ -63% |
| AmeriHealth | Managed Medicaid | $346.62 | ↓ -62% |
| Sunshine Health | Managed Medicaid | $353.35 | ↓ -61% |
| Miami Childrens Health Plan | Managed Medicaid | $353.35 | ↓ -61% |
| Molina | Florida Kidcare | $353.35 | ↓ -61% |
| Molina | Managed Medicaid | $353.35 | ↓ -61% |
| Avmed | Exchange | $357.53 | ↓ -60% |
| Avmed | Select | $371.28 | ↓ -59% |
| Multiplan | All Products | $398.15 | ↓ -56% |
| Avmed | Broad | $398.78 | ↓ -56% |
| Independent Living Systems | Managed Medicaid | $403.82 | ↓ -55% |
| United | All Products | $520.37 | ↓ -42% |
| Cigna | Individual Family Plan Mid-Level | $634.48 | ↓ -30% |
| Cigna | Surefit Mid-Level | $646.64 | ↓ -28% |
| Cigna | All Products Mid-Level | $698.29 | ↓ -23% |
| Cigna | Individual Family Plan Physician | $746.49 | ↓ -17% |
| Cigna | Surefit Physician | $760.76 | ↓ -16% |
| Cigna | All Products Physician | $821.59 | ↓ -9% |
| Clarity Health | All Products | $902.20 | ↑ +0% |
| The Legacy Companies | All Products | $902.20 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $1,041.00 | ↑ +15% |
| Simply | Managed Medicaid | $1,171.53 | ↑ +30% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,171.53 | ↑ +30% |
| SUNSHINE HEALTH | Managed Medicaid | $1,171.53 | ↑ +30% |
| AMERIHEALTH | Managed Medicaid | $1,206.68 | ↑ +34% |
| MOLINA | Managed Medicaid | $1,230.11 | ↑ +36% |
| MOLINA | Florida KidCare | $1,230.11 | ↑ +36% |
| Aetna | All Products First Health | $1,249.20 | ↑ +38% |
| AETNA | Managed Medicaid/CHIP | $1,405.84 | ↑ +56% |
| UNITED | MEDICARE ADVANTAGE | $2,872.87 | ↑ +218% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $2,872.87 | ↑ +218% |
| BLUE CROSS | Medicare Advantage PPO | $2,872.87 | ↑ +218% |
| BLUE CROSS | Medicare Advantage HMO | $2,872.87 | ↑ +218% |
| HUMANA | Medicare Advantage HMO | $2,872.87 | ↑ +218% |
| AVMED | MEDICARE ADVANTAGE | $2,987.78 | ↑ +231% |
| Careplus | MEDICARE ADVANTAGE | $3,016.51 | ↑ +234% |
| Freedom Health | MEDICARE ADVANTAGE | $3,016.51 | ↑ +234% |
| Wellcare | MEDICARE ADVANTAGE | $3,033.33 | ↑ +236% |
| AETNA | MEDICARE ADVANTAGE | $3,033.33 | ↑ +236% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,336.67 | ↑ +270% |
| AVMED | EXCHANGE | $5,027.52 | ↑ +457% |
| AVMED | Select | $8,474.96 | ↑ +839% |
| AVMED | BROAD | $11,060.54 | ↑ +1126% |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Drain shoulder lesion at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $498.22 – $508.71 |
| cleveland clinic florida weston hospital | Weston | $902.20 | $124.76 – $3,336.67 |
| indian river hospital | Vero Beach | $902.20 | $124.76 – $3,336.67 |
| AdventHealth Orlando | Orlando | $25,273.00 | $3,033.33 – $8,038.33 |
| Adventhealth Carrollwood | Tampa | $27,561.20 | $401.00 – $6,734.00 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $2,881.67 – $5,062.63 |
| Adventhealth Lake Wales | Lake Wales | not published | $3,033.33 – $6,734.00 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $2,881.67 – $6,478.90 |