Drainage of mouth lesion at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$12,121.20
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.
$18,648.00
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.
$421.41 with MULTIPLAN vs $16,783.20 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 |
|---|---|---|---|
| MULTIPLAN | ALL PRODUCTS | $421.41 | ↓ -97% |
| Clear Spring Health | ALL PRODUCTS | $433.45 | ↓ -96% |
| Simply | Managed Medicaid | $1,273.61 | ↓ -89% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,273.61 | ↓ -89% |
| SUNSHINE HEALTH | Managed Medicaid | $1,273.61 | ↓ -89% |
| Freedom Health | Managed Medicaid | $1,273.61 | ↓ -89% |
| AMERIHEALTH | Managed Medicaid | $1,311.82 | ↓ -89% |
| MOLINA | Managed Medicaid | $1,337.29 | ↓ -89% |
| MOLINA | Florida KidCare | $1,337.29 | ↓ -89% |
| Miami Childrens Health Plan | Managed Medicaid | $1,337.29 | ↓ -89% |
| Independent Living Systems | Managed Medicaid | $1,528.33 | ↓ -87% |
| AETNA | Managed Medicaid/CHIP | $1,528.33 | ↓ -87% |
| AETNA | QHP | $2,001.00 | ↓ -83% |
| AETNA | All Products New Business | $2,200.00 | ↓ -82% |
| UNITED | NHP | $2,235.00 | ↓ -82% |
| AETNA | ALL PRODUCTS | $2,472.00 | ↓ -80% |
| UNITED | ALL PRODUCTS | $2,667.00 | ↓ -78% |
| UNITED | International | $2,942.00 | ↓ -76% |
| BLUE CROSS | Medicare Advantage PPO | $3,255.33 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $3,255.33 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $3,255.33 | ↓ -73% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $3,255.33 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $3,255.33 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $3,385.54 | ↓ -72% |
| Careplus | MEDICARE ADVANTAGE | $3,418.10 | ↓ -72% |
| Freedom Health | MEDICARE ADVANTAGE | $3,418.10 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $3,462.26 | ↓ -71% |
| Wellcare | MEDICARE ADVANTAGE | $3,462.26 | ↓ -71% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,808.49 | ↓ -69% |
| CIGNA | Individual Family Plan | $5,277.38 | ↓ -56% |
| AVMED | EXCHANGE | $5,696.83 | ↓ -53% |
| BLUE CROSS | MBN | $5,736.00 | ↓ -53% |
| BLUE CROSS | HMO | $7,574.00 | ↓ -38% |
| CIGNA | SUREFIT | $7,627.03 | ↓ -37% |
| BLUE CROSS | BSL | $7,992.00 | ↓ -34% |
| BLUE CROSS | PPO | $8,450.00 | ↓ -30% |
| BMI | ALL PRODUCTS | $9,324.00 | ↓ -23% |
| AVMED | Select | $9,603.22 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $9,846.14 | ↓ -19% |
| BLUE CROSS | NWB | $10,615.00 | ↓ -12% |
| BLUE CROSS | NWBI | $10,615.00 | ↓ -12% |
| The Legacy Companies | ALL PRODUCTS | $12,121.20 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $12,121.20 | ↑ +0% |
| AVMED | BROAD | $12,533.02 | ↑ +3% |
| Consociate Health | ALL PRODUCTS | $13,986.00 | ↑ +15% |
| BLUE CROSS | PHS | $14,047.00 | ↑ +16% |
| AETNA | All Products First Health | $16,783.20 | ↑ +38% |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Drainage of mouth lesion at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $1,082.48 – $1,105.27 |
| cleveland clinic florida weston hospital | Weston | $12,121.20 | $185.50 – $15,850.80 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,289.15 – $5,778.52 |
| Adventhealth Tampa | Tampa | not published | $401.00 – $7,686.23 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $1,038.90 – $1,060.77 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $3,462.26 – $6,322.09 |
| indian river hospital | Vero Beach | not published | $1,209.93 – $3,808.49 |
| West Kendall Baptist Hospital | MIAMI | not published | not published |