Excise lip or cheek fold at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$652.60
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.
$1,004.00
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.
$183.29 with Blue Cross vs $5,724.48 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 | $183.29 | ↓ -72% |
| Blue Cross | BlueSelect | $183.29 | ↓ -72% |
| Blue Cross | Medicare Advantage HMO | $198.26 | ↓ -70% |
| Avmed | Medicare Advantage | $198.26 | ↓ -70% |
| United | Medicare Advantage | $198.26 | ↓ -70% |
| Miami Childrens Health Plan | Medicare Advantage | $198.26 | ↓ -70% |
| Blue Cross | Medicare Advantage PPO | $198.26 | ↓ -70% |
| Freedom Health | Medicare Advantage | $208.17 | ↓ -68% |
| Careplus | Medicare Advantage | $208.17 | ↓ -68% |
| Freedom Health | Managed Medicaid | $209.37 | ↓ -68% |
| Independent Living Systems | Medicare Advantage | $213.98 | ↓ -67% |
| Clear Spring Health | All Products | $214.12 | ↓ -67% |
| AmeriHealth | Managed Medicaid | $215.65 | ↓ -67% |
| Sunshine Health | Managed Medicaid | $219.84 | ↓ -66% |
| Molina | Florida Kidcare | $219.84 | ↓ -66% |
| Miami Childrens Health Plan | Managed Medicaid | $219.84 | ↓ -66% |
| Molina | Managed Medicaid | $219.84 | ↓ -66% |
| Blue Cross | Network Blue | $221.03 | ↓ -66% |
| Blue Cross | Traditional (PPS) | $228.22 | ↓ -65% |
| Blue Cross | Perferred Patient Care | $228.22 | ↓ -65% |
| Aetna | Medicare Advantage PCP | $245.84 | ↓ -62% |
| Aetna | Medicare Advantage Specialist | $249.81 | ↓ -62% |
| Independent Living Systems | Managed Medicaid | $251.24 | ↓ -62% |
| Avmed | Exchange | $267.79 | ↓ -59% |
| Avmed | Select | $278.09 | ↓ -57% |
| Multiplan | All Products | $297.39 | ↓ -54% |
| Avmed | Broad | $298.69 | ↓ -54% |
| United | All Products | $389.75 | ↓ -40% |
| Cigna | Individual Family Plan Mid-Level | $392.02 | ↓ -40% |
| Cigna | Surefit Mid-Level | $399.51 | ↓ -39% |
| Cigna | All Products Mid-Level | $431.53 | ↓ -34% |
| Cigna | Individual Family Plan Physician | $461.24 | ↓ -29% |
| Cigna | Surefit Physician | $470.04 | ↓ -28% |
| Cigna | All Products Physician | $507.68 | ↓ -22% |
| Clarity Health | All Products | $652.60 | ↑ +0% |
| The Legacy Companies | All Products | $652.60 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $753.00 | ↑ +15% |
| SUNSHINE HEALTH | Managed Medicaid | $883.92 | ↑ +35% |
| Simply | Managed Medicaid | $883.92 | ↑ +35% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $883.92 | ↑ +35% |
| Aetna | All Products First Health | $903.60 | ↑ +38% |
| AMERIHEALTH | Managed Medicaid | $910.44 | ↑ +40% |
| MOLINA | Managed Medicaid | $928.12 | ↑ +42% |
| MOLINA | Florida KidCare | $928.12 | ↑ +42% |
| AETNA | Managed Medicaid/CHIP | $1,060.70 | ↑ +63% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $1,486.88 | ↑ +128% |
| UNITED | MEDICARE ADVANTAGE | $1,486.88 | ↑ +128% |
| HUMANA | Medicare Advantage HMO | $1,486.88 | ↑ +128% |
| BLUE CROSS | Medicare Advantage PPO | $1,486.88 | ↑ +128% |
| BLUE CROSS | Medicare Advantage HMO | $1,486.88 | ↑ +128% |
| AVMED | MEDICARE ADVANTAGE | $1,546.35 | ↑ +137% |
| Freedom Health | MEDICARE ADVANTAGE | $1,561.22 | ↑ +139% |
| Careplus | MEDICARE ADVANTAGE | $1,561.22 | ↑ +139% |
| Wellcare | MEDICARE ADVANTAGE | $1,620.29 | ↑ +148% |
| AETNA | MEDICARE ADVANTAGE | $1,620.29 | ↑ +148% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,782.31 | ↑ +173% |
| AVMED | EXCHANGE | $2,602.04 | ↑ +299% |
| AVMED | Select | $4,386.29 | ↑ +572% |
| AVMED | BROAD | $5,724.48 | ↑ +777% |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Excise lip or cheek fold at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $651.29 – $665.00 |
| cleveland clinic florida weston hospital | Weston | $652.60 | $121.68 – $1,782.31 |
| Baptist Hospital | MIAMI | $4,004.65 | $173.17 – $5,544.90 |
| Boca Raton Regional Hospital | BOCA RATON | $3,890.90 | $476.00 – $3,908.86 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $1,539.27 – $2,704.26 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $1,539.27 – $3,460.77 |
| Adventhealth Tampa | Tampa | not published | $401.00 – $3,597.04 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $625.07 – $638.23 |