Drainage of urethra abscess 53060 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$7,656.35
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.
$11,779.00
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.
$198.29 with MULTIPLAN vs $10,601.10 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 | $198.29 | ↓ -97% |
| Clear Spring Health | ALL PRODUCTS | $203.96 | ↓ -97% |
| BLUE CROSS | MBN | $1,529.00 | ↓ -80% |
| Simply | Managed Medicaid | $1,947.28 | ↓ -75% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,947.28 | ↓ -75% |
| SUNSHINE HEALTH | Managed Medicaid | $1,947.28 | ↓ -75% |
| Freedom Health | Managed Medicaid | $1,947.28 | ↓ -75% |
| AETNA | QHP | $2,001.00 | ↓ -74% |
| AMERIHEALTH | Managed Medicaid | $2,005.70 | ↓ -74% |
| MOLINA | Florida KidCare | $2,044.64 | ↓ -73% |
| Miami Childrens Health Plan | Managed Medicaid | $2,044.64 | ↓ -73% |
| MOLINA | Managed Medicaid | $2,044.64 | ↓ -73% |
| BLUE CROSS | HMO | $2,046.00 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $2,056.25 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $2,056.25 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $2,056.25 | ↓ -73% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $2,056.25 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $2,056.25 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $2,138.50 | ↓ -72% |
| Freedom Health | MEDICARE ADVANTAGE | $2,159.07 | ↓ -72% |
| Careplus | MEDICARE ADVANTAGE | $2,159.07 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $2,182.94 | ↓ -71% |
| AETNA | MEDICARE ADVANTAGE | $2,182.94 | ↓ -71% |
| AETNA | All Products New Business | $2,200.00 | ↓ -71% |
| UNITED | NHP | $2,235.00 | ↓ -71% |
| AETNA | Managed Medicaid/CHIP | $2,336.74 | ↓ -69% |
| Independent Living Systems | Managed Medicaid | $2,336.74 | ↓ -69% |
| DEVOTED HEALTH | Medicare Advantage HMO | $2,401.24 | ↓ -69% |
| AETNA | ALL PRODUCTS | $2,472.00 | ↓ -68% |
| UNITED | ALL PRODUCTS | $2,667.00 | ↓ -65% |
| UNITED | International | $2,942.00 | ↓ -62% |
| BLUE CROSS | PPO | $3,235.00 | ↓ -58% |
| CIGNA | Individual Family Plan | $3,333.46 | ↓ -56% |
| AVMED | EXCHANGE | $3,598.44 | ↓ -53% |
| BLUE CROSS | NWB | $3,986.00 | ↓ -48% |
| BLUE CROSS | NWBI | $3,986.00 | ↓ -48% |
| CIGNA | SUREFIT | $4,817.61 | ↓ -37% |
| BMI | ALL PRODUCTS | $5,889.50 | ↓ -23% |
| AVMED | Select | $6,065.95 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $6,219.31 | ↓ -19% |
| BLUE CROSS | BSL | $6,469.00 | ↓ -16% |
| Clarity Health | ALL PRODUCTS | $7,656.35 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $7,656.35 | ↑ +0% |
| AVMED | BROAD | $7,916.58 | ↑ +3% |
| Consociate Health | ALL PRODUCTS | $8,834.25 | ↑ +15% |
| BLUE CROSS | PHS | $9,033.00 | ↑ +18% |
| AETNA | All Products First Health | $10,601.10 | ↑ +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 urethra abscess 53060 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $7,901.51 – $8,067.86 |
| cleveland clinic florida weston hospital | Weston | $7,656.35 | $81.63 – $2,401.24 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $2,073.80 – $3,643.33 |
| Adventhealth Lake Wales | Lake Wales | not published | $2,182.94 – $4,846.13 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $2,073.80 – $4,662.55 |
| Adventhealth Tampa | Tampa | not published | $2,182.94 – $4,846.13 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $2,073.80 – $4,768.64 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $7,583.38 – $7,743.03 |