Dress/debride pt-tck burn/5-10% bs 16025 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$484.25
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.
$745.00
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.
$87.50 with Blue Cross vs $9,033.00 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 | $87.50 | ↓ -82% |
| Blue Cross | BlueSelect | $87.50 | ↓ -82% |
| Blue Cross | Network Blue | $105.51 | ↓ -78% |
| Blue Cross | Perferred Patient Care | $108.94 | ↓ -78% |
| Blue Cross | Traditional (PPS) | $108.94 | ↓ -78% |
| Blue Cross | Medicare Advantage PPO | $110.18 | ↓ -77% |
| United | Medicare Advantage | $110.18 | ↓ -77% |
| Avmed | Medicare Advantage | $110.18 | ↓ -77% |
| Miami Childrens Health Plan | Medicare Advantage | $110.18 | ↓ -77% |
| Blue Cross | Medicare Advantage HMO | $110.18 | ↓ -77% |
| Freedom Health | Medicare Advantage | $115.69 | ↓ -76% |
| Careplus | Medicare Advantage | $115.69 | ↓ -76% |
| Clear Spring Health | All Products | $118.99 | ↓ -75% |
| Freedom Health | Managed Medicaid | $120.00 | ↓ -75% |
| Independent Living Systems | Medicare Advantage | $120.94 | ↓ -75% |
| SUNSHINE HEALTH | Managed Medicaid | $121.99 | ↓ -75% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $121.99 | ↓ -75% |
| Simply | Managed Medicaid | $121.99 | ↓ -75% |
| AmeriHealth | Managed Medicaid | $123.60 | ↓ -74% |
| AMERIHEALTH | Managed Medicaid | $125.65 | ↓ -74% |
| Miami Childrens Health Plan | Managed Medicaid | $126.00 | ↓ -74% |
| Molina | Florida Kidcare | $126.00 | ↓ -74% |
| Sunshine Health | Managed Medicaid | $126.00 | ↓ -74% |
| Molina | Managed Medicaid | $126.00 | ↓ -74% |
| MOLINA | Managed Medicaid | $128.09 | ↓ -74% |
| MOLINA | Florida KidCare | $128.09 | ↓ -74% |
| MULTIPLAN | ALL PRODUCTS | $134.99 | ↓ -72% |
| Aetna | Medicare Advantage PCP | $136.62 | ↓ -72% |
| Aetna | Medicare Advantage Specialist | $138.83 | ↓ -71% |
| Clear Spring Health | ALL PRODUCTS | $138.84 | ↓ -71% |
| Independent Living Systems | Managed Medicaid | $144.00 | ↓ -70% |
| AETNA | Managed Medicaid/CHIP | $146.39 | ↓ -70% |
| Avmed | Exchange | $154.09 | ↓ -68% |
| Avmed | Select | $160.02 | ↓ -67% |
| Multiplan | All Products | $165.27 | ↓ -66% |
| Avmed | Broad | $171.87 | ↓ -65% |
| Cigna | Individual Family Plan Mid-Level | $194.51 | ↓ -60% |
| Cigna | Surefit Mid-Level | $198.23 | ↓ -59% |
| HUMANA | Medicare Advantage HMO | $199.45 | ↓ -59% |
| BLUE CROSS | Medicare Advantage HMO | $199.45 | ↓ -59% |
| BLUE CROSS | Medicare Advantage PPO | $199.45 | ↓ -59% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $199.45 | ↓ -59% |
| UNITED | MEDICARE ADVANTAGE | $199.45 | ↓ -59% |
| AVMED | MEDICARE ADVANTAGE | $207.43 | ↓ -57% |
| Freedom Health | MEDICARE ADVANTAGE | $209.42 | ↓ -57% |
| Careplus | MEDICARE ADVANTAGE | $209.42 | ↓ -57% |
| AETNA | MEDICARE ADVANTAGE | $209.52 | ↓ -57% |
| Wellcare | MEDICARE ADVANTAGE | $209.52 | ↓ -57% |
| CIGNA | Individual Family Plan | $210.84 | ↓ -56% |
| Cigna | All Products Mid-Level | $214.07 | ↓ -56% |
| United | All Products | $224.27 | ↓ -54% |
| Cigna | Individual Family Plan Physician | $228.83 | ↓ -53% |
| DEVOTED HEALTH | Medicare Advantage HMO | $230.47 | ↓ -52% |
| Cigna | Surefit Physician | $233.21 | ↓ -52% |
| Cigna | All Products Physician | $251.84 | ↓ -48% |
| CIGNA | SUREFIT | $304.71 | ↓ -37% |
| AVMED | EXCHANGE | $349.04 | ↓ -28% |
| BMI | ALL PRODUCTS | $372.50 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $393.36 | ↓ -19% |
| The Legacy Companies | All Products | $452.40 | ↓ -7% |
| Clarity Health | All Products | $452.40 | ↓ -7% |
| Clarity Health | ALL PRODUCTS | $484.25 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $484.25 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $522.00 | ↑ +8% |
| AVMED | Select | $588.38 | ↑ +22% |
| Aetna | All Products First Health | $626.40 | ↑ +29% |
| AETNA | All Products First Health | $670.50 | ↑ +38% |
| AVMED | BROAD | $767.89 | ↑ +59% |
| BLUE CROSS | MBN | $1,529.00 | ↑ +216% |
| BLUE CROSS | BSL | $1,669.00 | ↑ +245% |
| AETNA | QHP | $2,038.00 | ↑ +321% |
| BLUE CROSS | HMO | $2,046.00 | ↑ +323% |
| UNITED | NHP | $2,235.00 | ↑ +362% |
| AETNA | ALL PRODUCTS | $2,472.00 | ↑ +410% |
| UNITED | ALL PRODUCTS | $2,667.00 | ↑ +451% |
| UNITED | International | $2,942.00 | ↑ +508% |
| BLUE CROSS | PPO | $3,235.00 | ↑ +568% |
| BLUE CROSS | NWBI | $3,986.00 | ↑ +723% |
| BLUE CROSS | NWB | $3,986.00 | ↑ +723% |
| AETNA | All Products New Business | $4,025.00 | ↑ +731% |
| BLUE CROSS | PHS | $9,033.00 | ↑ +1765% |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Dress/debride pt-tck burn/5-10% bs 16025 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $362.16 – $369.78 |
| Adventhealth Lake Wales | Lake Wales | $1,000.15 | $209.52 – $465.13 |
| Adventhealth Tampa | Tampa | $642.62 | $209.52 – $537.00 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,245.71 | $199.04 – $457.69 |
| Adventhealth Port Charlotte | Port Charlotte | $1,230.98 | $209.52 – $382.58 |
| cleveland clinic florida weston hospital | Weston | $484.25 | $62.63 – $633.25 |
| indian river hospital | Vero Beach | $484.25 | $62.63 – $596.00 |
| Bethesda Hospital East | BOYNTON BEACH | $728.65 | $120.46 – $1,008.90 |