Egd guide wire insertion at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$832.00
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.
$1,280.00
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.
$149.09 with Blue Cross vs $10,615.00 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 | BlueSelect | $149.09 | ↓ -82% |
| Blue Cross | Health Options | $149.09 | ↓ -82% |
| Blue Cross | Medicare Advantage PPO | $158.47 | ↓ -81% |
| Miami Childrens Health Plan | Medicare Advantage | $158.47 | ↓ -81% |
| Blue Cross | Medicare Advantage HMO | $158.47 | ↓ -81% |
| Avmed | Medicare Advantage | $158.47 | ↓ -81% |
| United | Medicare Advantage | $158.47 | ↓ -81% |
| Freedom Health | Medicare Advantage | $166.39 | ↓ -80% |
| Careplus | Medicare Advantage | $166.39 | ↓ -80% |
| Clear Spring Health | All Products | $171.15 | ↓ -79% |
| Independent Living Systems | Medicare Advantage | $176.40 | ↓ -79% |
| Blue Cross | Network Blue | $179.78 | ↓ -78% |
| Blue Cross | Traditional (PPS) | $185.63 | ↓ -78% |
| Blue Cross | Perferred Patient Care | $185.63 | ↓ -78% |
| Aetna | Medicare Advantage PCP | $196.50 | ↓ -76% |
| Aetna | Medicare Advantage Specialist | $199.67 | ↓ -76% |
| Avmed | Exchange | $224.33 | ↓ -73% |
| Avmed | Select | $232.96 | ↓ -72% |
| Freedom Health | Managed Medicaid | $236.86 | ↓ -72% |
| Multiplan | All Products | $237.71 | ↓ -71% |
| AmeriHealth | Managed Medicaid | $243.97 | ↓ -71% |
| Sunshine Health | Managed Medicaid | $248.70 | ↓ -70% |
| Molina | Florida Kidcare | $248.70 | ↓ -70% |
| Molina | Managed Medicaid | $248.70 | ↓ -70% |
| Miami Childrens Health Plan | Managed Medicaid | $248.70 | ↓ -70% |
| Avmed | Broad | $250.21 | ↓ -70% |
| Independent Living Systems | Managed Medicaid | $284.23 | ↓ -66% |
| United | All Products | $326.50 | ↓ -61% |
| Cigna | Individual Family Plan Mid-Level | $539.53 | ↓ -35% |
| Cigna | Surefit Mid-Level | $549.85 | ↓ -34% |
| Cigna | All Products Mid-Level | $593.78 | ↓ -29% |
| Cigna | Individual Family Plan Physician | $634.73 | ↓ -24% |
| Cigna | Surefit Physician | $646.87 | ↓ -22% |
| Simply | Managed Medicaid | $648.98 | ↓ -22% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $648.98 | ↓ -22% |
| SUNSHINE HEALTH | Managed Medicaid | $648.98 | ↓ -22% |
| AMERIHEALTH | Managed Medicaid | $668.45 | ↓ -20% |
| MOLINA | Managed Medicaid | $681.43 | ↓ -18% |
| MOLINA | Florida KidCare | $681.43 | ↓ -18% |
| Cigna | All Products Physician | $698.55 | ↓ -16% |
| AETNA | Managed Medicaid/CHIP | $778.78 | ↓ -6% |
| Clarity Health | All Products | $832.00 | ↑ +0% |
| The Legacy Companies | All Products | $832.00 | ↑ +0% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $941.10 | ↑ +13% |
| BLUE CROSS | Medicare Advantage PPO | $941.10 | ↑ +13% |
| BLUE CROSS | Medicare Advantage HMO | $941.10 | ↑ +13% |
| HUMANA | Medicare Advantage HMO | $941.10 | ↑ +13% |
| UNITED | MEDICARE ADVANTAGE | $941.10 | ↑ +13% |
| Wellcare | MEDICARE ADVANTAGE | $947.15 | ↑ +14% |
| AETNA | MEDICARE ADVANTAGE | $947.15 | ↑ +14% |
| Consociate Health | ALL PRODUCTS | $960.00 | ↑ +15% |
| AVMED | MEDICARE ADVANTAGE | $978.75 | ↑ +18% |
| Freedom Health | MEDICARE ADVANTAGE | $988.16 | ↑ +19% |
| Careplus | MEDICARE ADVANTAGE | $988.16 | ↑ +19% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,041.86 | ↑ +25% |
| Aetna | All Products First Health | $1,152.00 | ↑ +38% |
| AVMED | EXCHANGE | $1,646.93 | ↑ +98% |
| BLUE CROSS | BSL | $2,091.00 | ↑ +151% |
| AVMED | Select | $2,776.26 | ↑ +234% |
| UNITED | ALL PRODUCTS | $2,994.00 | ↑ +260% |
| AVMED | BROAD | $3,623.25 | ↑ +335% |
| AETNA | ALL PRODUCTS | $4,523.00 | ↑ +444% |
| BLUE CROSS | NWBI | $10,615.00 | ↑ +1176% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Egd guide wire insertion at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $1,634.73 – $1,669.15 |
| cleveland clinic florida weston hospital | Weston | $3,504.15 | $154.19 – $4,582.35 |
| indian river hospital | Vero Beach | $832.00 | $154.19 – $1,088.00 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $899.79 – $1,580.79 |
| Adventhealth Lake Wales | Lake Wales | not published | $947.15 – $2,102.66 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $899.79 – $2,023.01 |
| Adventhealth Tampa | Tampa | not published | $537.00 – $2,102.66 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $899.79 – $2,069.04 |