Ercp lesion ablate w/dilate 43278 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$14,219.40
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.
$21,876.00
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.
$325.54 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 | $325.54 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $335.31 | ↓ -98% |
| Molina | Managed Medicaid | $341.82 | ↓ -98% |
| Sunshine Health | Managed Medicaid | $341.82 | ↓ -98% |
| Miami Childrens Health Plan | Managed Medicaid | $341.82 | ↓ -98% |
| Molina | Florida Kidcare | $341.82 | ↓ -98% |
| Independent Living Systems | Managed Medicaid | $390.65 | ↓ -97% |
| Avmed | Medicare Advantage | $403.07 | ↓ -97% |
| Miami Childrens Health Plan | Medicare Advantage | $403.07 | ↓ -97% |
| Blue Cross | Medicare Advantage HMO | $403.07 | ↓ -97% |
| United | Medicare Advantage | $403.07 | ↓ -97% |
| Blue Cross | Medicare Advantage PPO | $403.07 | ↓ -97% |
| Careplus | Medicare Advantage | $423.22 | ↓ -97% |
| Freedom Health | Medicare Advantage | $423.22 | ↓ -97% |
| Clear Spring Health | All Products | $435.32 | ↓ -97% |
| Independent Living Systems | Medicare Advantage | $457.36 | ↓ -97% |
| Aetna | Medicare Advantage PCP | $499.81 | ↓ -96% |
| Aetna | Medicare Advantage Specialist | $507.87 | ↓ -96% |
| MULTIPLAN | ALL PRODUCTS | $523.04 | ↓ -96% |
| Clear Spring Health | ALL PRODUCTS | $537.98 | ↓ -96% |
| Avmed | Exchange | $582.62 | ↓ -96% |
| Multiplan | All Products | $604.61 | ↓ -96% |
| Avmed | Select | $605.03 | ↓ -96% |
| Avmed | Broad | $649.85 | ↓ -95% |
| United | All Products | $847.98 | ↓ -94% |
| Clarity Health | All Products | $2,059.20 | ↓ -86% |
| The Legacy Companies | All Products | $2,059.20 | ↓ -86% |
| Consociate Health | ALL PRODUCTS | $2,376.00 | ↓ -83% |
| Aetna | All Products First Health | $2,851.20 | ↓ -80% |
| Simply | Managed Medicaid | $2,863.91 | ↓ -80% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $2,863.91 | ↓ -80% |
| SUNSHINE HEALTH | Managed Medicaid | $2,863.91 | ↓ -80% |
| AMERIHEALTH | Managed Medicaid | $2,949.83 | ↓ -79% |
| MOLINA | Florida KidCare | $3,007.11 | ↓ -79% |
| MOLINA | Managed Medicaid | $3,007.11 | ↓ -79% |
| Cigna | All Products Physician | $3,168.00 | ↓ -78% |
| Cigna | All Products Mid-Level | $3,168.00 | ↓ -78% |
| Cigna | Individual Family Plan Mid-Level | $3,168.00 | ↓ -78% |
| Cigna | Individual Family Plan Physician | $3,168.00 | ↓ -78% |
| Cigna | Surefit Mid-Level | $3,168.00 | ↓ -78% |
| Cigna | Surefit Physician | $3,168.00 | ↓ -78% |
| AETNA | Managed Medicaid/CHIP | $3,436.69 | ↓ -76% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $3,818.91 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $3,818.91 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $3,818.91 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $3,818.91 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $3,818.91 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $3,971.67 | ↓ -72% |
| Careplus | MEDICARE ADVANTAGE | $4,009.86 | ↓ -72% |
| Freedom Health | MEDICARE ADVANTAGE | $4,009.86 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $4,026.19 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $4,026.19 | ↓ -72% |
| DEVOTED HEALTH | Medicare Advantage HMO | $4,428.81 | ↓ -69% |
| AETNA | QHP | $4,966.00 | ↓ -65% |
| AETNA | All Products New Business | $6,004.00 | ↓ -58% |
| CIGNA | Individual Family Plan | $6,190.91 | ↓ -56% |
| UNITED | NHP | $6,241.00 | ↓ -56% |
| AVMED | EXCHANGE | $6,683.09 | ↓ -53% |
| AETNA | ALL PRODUCTS | $6,746.00 | ↓ -53% |
| UNITED | ALL PRODUCTS | $7,478.00 | ↓ -47% |
| BLUE CROSS | BSL | $7,992.00 | ↓ -44% |
| UNITED | International | $8,209.00 | ↓ -42% |
| CIGNA | SUREFIT | $8,947.28 | ↓ -37% |
| BMI | ALL PRODUCTS | $10,938.00 | ↓ -23% |
| AVMED | Select | $11,265.79 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $11,550.53 | ↓ -19% |
| Clarity Health | ALL PRODUCTS | $14,219.40 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $14,219.40 | ↑ +0% |
| BLUE CROSS | MBN | $14,520.00 | ↑ +2% |
| AVMED | BROAD | $14,702.81 | ↑ +3% |
| BLUE CROSS | PPO | $18,486.00 | ↑ +30% |
| BLUE CROSS | HMO | $19,092.00 | ↑ +34% |
| AETNA | All Products First Health | $19,688.40 | ↑ +38% |
| BLUE CROSS | NWB | $23,045.00 | ↑ +62% |
| BLUE CROSS | NWBI | $23,045.00 | ↑ +62% |
| BLUE CROSS | PHS | $25,757.00 | ↑ +81% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Blue Cross | BlueSelect | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
Visitor-reported prices
Comments
Ercp lesion ablate w/dilate 43278 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 | $14,219.40 | $325.54 – $18,594.60 |
| indian river hospital | Vero Beach | $14,219.40 | $325.54 – $17,500.80 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,824.88 – $6,719.71 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $3,824.88 – $8,599.54 |
| Adventhealth Tampa | Tampa | not published | $4,026.19 – $8,938.14 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $3,824.88 – $8,795.21 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $1,747.98 – $1,784.78 |