Epidural lysis on single day 62264 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,149.20
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.
$1,768.00
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.
$183.06 with Blue Cross vs $3,440.57 with AVMED — 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 | $183.06 | ↓ -84% |
| Blue Cross | BlueSelect | $183.06 | ↓ -84% |
| Blue Cross | Network Blue | $220.75 | ↓ -81% |
| Miami Childrens Health Plan | Medicare Advantage | $227.29 | ↓ -80% |
| United | Medicare Advantage | $227.29 | ↓ -80% |
| Avmed | Medicare Advantage | $227.29 | ↓ -80% |
| Blue Cross | Medicare Advantage HMO | $227.29 | ↓ -80% |
| Blue Cross | Medicare Advantage PPO | $227.29 | ↓ -80% |
| Blue Cross | Traditional (PPS) | $227.93 | ↓ -80% |
| Blue Cross | Perferred Patient Care | $227.93 | ↓ -80% |
| Careplus | Medicare Advantage | $238.65 | ↓ -79% |
| Freedom Health | Medicare Advantage | $238.65 | ↓ -79% |
| Clear Spring Health | All Products | $245.47 | ↓ -79% |
| Independent Living Systems | Medicare Advantage | $261.75 | ↓ -77% |
| Freedom Health | Managed Medicaid | $274.47 | ↓ -76% |
| Aetna | Medicare Advantage PCP | $281.84 | ↓ -75% |
| AmeriHealth | Managed Medicaid | $282.70 | ↓ -75% |
| Aetna | Medicare Advantage Specialist | $286.39 | ↓ -75% |
| Molina | Managed Medicaid | $288.19 | ↓ -75% |
| Sunshine Health | Managed Medicaid | $288.19 | ↓ -75% |
| Miami Childrens Health Plan | Managed Medicaid | $288.19 | ↓ -75% |
| Molina | Florida Kidcare | $288.19 | ↓ -75% |
| Independent Living Systems | Managed Medicaid | $329.36 | ↓ -71% |
| Avmed | Exchange | $329.91 | ↓ -71% |
| Multiplan | All Products | $340.94 | ↓ -70% |
| Avmed | Select | $342.60 | ↓ -70% |
| Avmed | Broad | $367.98 | ↓ -68% |
| United | All Products | $480.18 | ↓ -58% |
| Simply | Managed Medicaid | $483.21 | ↓ -58% |
| SUNSHINE HEALTH | Managed Medicaid | $483.21 | ↓ -58% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $483.21 | ↓ -58% |
| AMERIHEALTH | Managed Medicaid | $497.71 | ↓ -57% |
| MOLINA | Managed Medicaid | $507.37 | ↓ -56% |
| MOLINA | Florida KidCare | $507.37 | ↓ -56% |
| Cigna | Individual Family Plan Mid-Level | $540.35 | ↓ -53% |
| Cigna | Surefit Mid-Level | $550.68 | ↓ -52% |
| AETNA | Managed Medicaid/CHIP | $579.85 | ↓ -50% |
| Cigna | All Products Mid-Level | $594.74 | ↓ -48% |
| Cigna | Individual Family Plan Physician | $635.74 | ↓ -45% |
| Cigna | Surefit Physician | $647.89 | ↓ -44% |
| Cigna | All Products Physician | $699.71 | ↓ -39% |
| HUMANA | Medicare Advantage HMO | $893.66 | ↓ -22% |
| BLUE CROSS | Medicare Advantage HMO | $893.66 | ↓ -22% |
| BLUE CROSS | Medicare Advantage PPO | $893.66 | ↓ -22% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $893.66 | ↓ -22% |
| UNITED | MEDICARE ADVANTAGE | $893.66 | ↓ -22% |
| Wellcare | MEDICARE ADVANTAGE | $923.64 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $923.64 | ↓ -20% |
| AVMED | MEDICARE ADVANTAGE | $929.40 | ↓ -19% |
| Careplus | MEDICARE ADVANTAGE | $938.34 | ↓ -18% |
| Freedom Health | MEDICARE ADVANTAGE | $938.34 | ↓ -18% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,016.00 | ↓ -12% |
| Clarity Health | All Products | $1,149.20 | ↑ +0% |
| The Legacy Companies | All Products | $1,149.20 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $1,326.00 | ↑ +15% |
| AVMED | EXCHANGE | $1,563.90 | ↑ +36% |
| Aetna | All Products First Health | $1,591.20 | ↑ +38% |
| AVMED | Select | $2,636.28 | ↑ +129% |
| AVMED | BROAD | $3,440.57 | ↑ +199% |
| 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
Epidural lysis on single day 62264 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $1,380.62 – $1,409.68 |
| cleveland clinic florida weston hospital | Weston | $1,149.20 | $155.14 – $1,326.00 |
| indian river hospital | Vero Beach | $1,149.20 | $155.14 – $1,502.80 |
| Boca Raton Regional Hospital | BOCA RATON | $2,237.95 | $907.05 – $3,443.00 |
| Doctors Hospital | CORAL GABLES | $4,244.50 | $468.92 – $5,877.00 |
| AdventHealth Orlando | Orlando | $3,343.00 | $923.64 – $2,447.64 |
| Adventhealth Carrollwood | Tampa | $9,323.14 | $401.00 – $2,050.47 |
| Adventhealth Tampa | Tampa | not published | $401.00 – $2,050.47 |