Endoscopic pancreatoscopy at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$3,929.90
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.
$6,046.00
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.
$89.62 with Freedom Health vs $25,757.00 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 |
|---|---|---|---|
| Freedom Health | Managed Medicaid | $89.62 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $92.31 | ↓ -98% |
| Miami Childrens Health Plan | Managed Medicaid | $94.10 | ↓ -98% |
| Molina | Managed Medicaid | $94.10 | ↓ -98% |
| Sunshine Health | Managed Medicaid | $94.10 | ↓ -98% |
| Molina | Florida Kidcare | $94.10 | ↓ -98% |
| Blue Cross | Health Options | $100.65 | ↓ -97% |
| Blue Cross | BlueSelect | $100.65 | ↓ -97% |
| Independent Living Systems | Managed Medicaid | $107.54 | ↓ -97% |
| Miami Childrens Health Plan | Medicare Advantage | $108.90 | ↓ -97% |
| United | Medicare Advantage | $108.90 | ↓ -97% |
| Blue Cross | Medicare Advantage PPO | $108.90 | ↓ -97% |
| Blue Cross | Medicare Advantage HMO | $108.90 | ↓ -97% |
| Avmed | Medicare Advantage | $108.90 | ↓ -97% |
| Careplus | Medicare Advantage | $114.35 | ↓ -97% |
| Freedom Health | Medicare Advantage | $114.35 | ↓ -97% |
| Clear Spring Health | All Products | $117.61 | ↓ -97% |
| Blue Cross | Network Blue | $121.38 | ↓ -97% |
| Blue Cross | Traditional (PPS) | $125.32 | ↓ -97% |
| Blue Cross | Perferred Patient Care | $125.32 | ↓ -97% |
| Independent Living Systems | Medicare Advantage | $126.21 | ↓ -97% |
| Aetna | Medicare Advantage PCP | $135.04 | ↓ -97% |
| Aetna | Medicare Advantage Specialist | $137.21 | ↓ -97% |
| MULTIPLAN | ALL PRODUCTS | $143.03 | ↓ -96% |
| Clear Spring Health | ALL PRODUCTS | $147.12 | ↓ -96% |
| Avmed | Exchange | $160.03 | ↓ -96% |
| Multiplan | All Products | $163.35 | ↓ -96% |
| Avmed | Select | $166.19 | ↓ -96% |
| Avmed | Broad | $178.50 | ↓ -95% |
| United | All Products | $232.92 | ↓ -94% |
| UNITED | NHP | $474.00 | ↓ -88% |
| UNITED | ALL PRODUCTS | $568.00 | ↓ -86% |
| The Legacy Companies | All Products | $582.40 | ↓ -85% |
| Clarity Health | All Products | $582.40 | ↓ -85% |
| UNITED | International | $625.00 | ↓ -84% |
| Consociate Health | ALL PRODUCTS | $672.00 | ↓ -83% |
| Aetna | All Products First Health | $806.40 | ↓ -79% |
| Cigna | Surefit Mid-Level | $896.00 | ↓ -77% |
| Cigna | Surefit Physician | $896.00 | ↓ -77% |
| Cigna | Individual Family Plan Physician | $896.00 | ↓ -77% |
| Cigna | Individual Family Plan Mid-Level | $896.00 | ↓ -77% |
| Cigna | All Products Physician | $896.00 | ↓ -77% |
| Cigna | All Products Mid-Level | $896.00 | ↓ -77% |
| AETNA | MEDICARE ADVANTAGE | $1,257.57 | ↓ -68% |
| CIGNA | Individual Family Plan | $1,711.02 | ↓ -56% |
| AVMED | Select | $1,813.80 | ↓ -54% |
| AVMED | EXCHANGE | $1,813.80 | ↓ -54% |
| AVMED | BROAD | $2,297.48 | ↓ -42% |
| CIGNA | SUREFIT | $2,472.81 | ↓ -37% |
| Simply | Managed Medicaid | $2,863.91 | ↓ -27% |
| SUNSHINE HEALTH | Managed Medicaid | $2,863.91 | ↓ -27% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $2,863.91 | ↓ -27% |
| AMERIHEALTH | Managed Medicaid | $2,949.83 | ↓ -25% |
| MOLINA | Florida KidCare | $3,007.11 | ↓ -23% |
| MOLINA | Managed Medicaid | $3,007.11 | ↓ -23% |
| BMI | ALL PRODUCTS | $3,023.00 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $3,192.29 | ↓ -19% |
| AETNA | Managed Medicaid/CHIP | $3,436.69 | ↓ -13% |
| AETNA | QHP | $3,806.00 | ↓ -3% |
| Clarity Health | ALL PRODUCTS | $3,929.90 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $3,929.90 | ↑ +0% |
| AETNA | All Products New Business | $4,025.00 | ↑ +2% |
| AETNA | ALL PRODUCTS | $4,523.00 | ↑ +15% |
| AETNA | All Products First Health | $5,441.40 | ↑ +38% |
| BLUE CROSS | MBN | $14,520.00 | ↑ +269% |
| BLUE CROSS | PPO | $18,486.00 | ↑ +370% |
| BLUE CROSS | HMO | $19,092.00 | ↑ +386% |
| BLUE CROSS | NWBI | $23,045.00 | ↑ +486% |
| BLUE CROSS | NWB | $23,045.00 | ↑ +486% |
| BLUE CROSS | PHS | $25,757.00 | ↑ +555% |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Endoscopic pancreatoscopy at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $1,821.31 – $1,859.65 |
| cleveland clinic florida weston hospital | Weston | $3,929.90 | $89.62 – $14,834.00 |
| indian river hospital | Vero Beach | $582.40 | $89.62 – $3,150.30 |
| Baptist Hospital | MIAMI | $2,044.25 | $173.17 – $3,026.36 |
| Bethesda Hospital East | BOYNTON BEACH | $2,044.25 | $886.89 – $3,145.00 |
| Doctors Hospital | CORAL GABLES | $2,044.25 | $366.00 – $2,989.09 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $2,044.25 | $366.00 – $2,989.09 |
| Homestead Hospital | HOMESTEAD | $2,044.25 | $167.89 – $2,933.74 |