Exc tendon sheath or cap lesion 26160 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,021.15
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.
$1,571.00
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.
$256.78 with Blue Cross vs $11,223.00 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 | $256.78 | ↓ -75% |
| Blue Cross | BlueSelect | $256.78 | ↓ -75% |
| Blue Cross | Network Blue | $309.65 | ↓ -70% |
| Blue Cross | Traditional (PPS) | $319.72 | ↓ -69% |
| Blue Cross | Perferred Patient Care | $319.72 | ↓ -69% |
| United | Medicare Advantage | $330.29 | ↓ -68% |
| Avmed | Medicare Advantage | $330.29 | ↓ -68% |
| Blue Cross | Medicare Advantage HMO | $330.29 | ↓ -68% |
| Miami Childrens Health Plan | Medicare Advantage | $330.29 | ↓ -68% |
| Blue Cross | Medicare Advantage PPO | $330.29 | ↓ -68% |
| Careplus | Medicare Advantage | $346.80 | ↓ -66% |
| Freedom Health | Medicare Advantage | $346.80 | ↓ -66% |
| Independent Living Systems | Medicare Advantage | $351.09 | ↓ -66% |
| Clear Spring Health | All Products | $356.71 | ↓ -65% |
| Aetna | Medicare Advantage PCP | $409.56 | ↓ -60% |
| Aetna | Medicare Advantage Specialist | $416.17 | ↓ -59% |
| Avmed | Exchange | $443.66 | ↓ -57% |
| Avmed | Select | $460.73 | ↓ -55% |
| Freedom Health | Managed Medicaid | $469.80 | ↓ -54% |
| AmeriHealth | Managed Medicaid | $483.89 | ↓ -53% |
| Sunshine Health | Managed Medicaid | $493.29 | ↓ -52% |
| Miami Childrens Health Plan | Managed Medicaid | $493.29 | ↓ -52% |
| Molina | Managed Medicaid | $493.29 | ↓ -52% |
| Molina | Florida Kidcare | $493.29 | ↓ -52% |
| Avmed | Broad | $494.86 | ↓ -52% |
| Multiplan | All Products | $495.44 | ↓ -51% |
| Independent Living Systems | Managed Medicaid | $563.76 | ↓ -45% |
| United | All Products | $645.74 | ↓ -37% |
| Cigna | Individual Family Plan Mid-Level | $812.84 | ↓ -20% |
| Cigna | Surefit Mid-Level | $828.42 | ↓ -19% |
| Simply | Managed Medicaid | $858.15 | ↓ -16% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $858.15 | ↓ -16% |
| SUNSHINE HEALTH | Managed Medicaid | $858.15 | ↓ -16% |
| AMERIHEALTH | Managed Medicaid | $883.89 | ↓ -13% |
| Cigna | All Products Mid-Level | $894.59 | ↓ -12% |
| MOLINA | Managed Medicaid | $901.06 | ↓ -12% |
| MOLINA | Florida KidCare | $901.06 | ↓ -12% |
| Cigna | Individual Family Plan Physician | $956.34 | ↓ -6% |
| Cigna | Surefit Physician | $974.61 | ↓ -5% |
| The Legacy Companies | All Products | $1,021.15 | ↑ +0% |
| Clarity Health | All Products | $1,021.15 | ↑ +0% |
| AETNA | Managed Medicaid/CHIP | $1,029.78 | ↑ +1% |
| Cigna | All Products Physician | $1,052.56 | ↑ +3% |
| Consociate Health | ALL PRODUCTS | $1,178.25 | ↑ +15% |
| Aetna | All Products First Health | $1,413.90 | ↑ +38% |
| BLUE CROSS | Medicare Advantage HMO | $1,606.46 | ↑ +57% |
| BLUE CROSS | Medicare Advantage PPO | $1,606.46 | ↑ +57% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $1,606.46 | ↑ +57% |
| HUMANA | Medicare Advantage HMO | $1,606.46 | ↑ +57% |
| UNITED | MEDICARE ADVANTAGE | $1,606.46 | ↑ +57% |
| AVMED | MEDICARE ADVANTAGE | $1,670.72 | ↑ +64% |
| Wellcare | MEDICARE ADVANTAGE | $1,679.19 | ↑ +64% |
| AETNA | MEDICARE ADVANTAGE | $1,679.19 | ↑ +64% |
| Careplus | MEDICARE ADVANTAGE | $1,686.78 | ↑ +65% |
| Freedom Health | MEDICARE ADVANTAGE | $1,686.78 | ↑ +65% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,847.11 | ↑ +81% |
| AVMED | EXCHANGE | $2,811.30 | ↑ +175% |
| UNITED | ALL PRODUCTS | $2,994.00 | ↑ +193% |
| AVMED | Select | $4,739.06 | ↑ +364% |
| AVMED | BROAD | $6,184.87 | ↑ +506% |
| BLUE CROSS | NWBI | $11,223.00 | ↑ +999% |
| 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
Exc tendon sheath or cap lesion 26160 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $3,121.39 – $3,187.10 |
| cleveland clinic florida weston hospital | Weston | $5,981.95 | $154.68 – $7,822.55 |
| indian river hospital | Vero Beach | $5,981.95 | $154.68 – $7,362.40 |
| Baptist Hospital | MIAMI | $4,544.15 | $173.17 – $6,291.90 |
| AdventHealth Orlando | Orlando | $12,749.00 | $1,679.19 – $4,449.86 |
| Adventhealth Carrollwood | Tampa | $16,347.39 | $614.00 – $3,727.81 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $1,595.23 – $2,802.57 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $1,595.23 – $3,586.59 |