Excision of umbilicus 49250 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$2,342.60
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.
?
What you pay up front if you don't use insurance.
$3,604.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$457.41 with Blue Cross vs $13,638.24 with AVMED — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $457.41 | ↓ -80% |
| Blue Cross | BlueSelect | $457.41 | ↓ -80% |
| Freedom Health | Managed Medicaid | $462.65 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $476.53 | ↓ -80% |
| Molina | Managed Medicaid | $485.78 | ↓ -79% |
| Molina | Florida Kidcare | $485.78 | ↓ -79% |
| Sunshine Health | Managed Medicaid | $485.78 | ↓ -79% |
| Miami Childrens Health Plan | Managed Medicaid | $485.78 | ↓ -79% |
| Blue Cross | Network Blue | $551.59 | ↓ -76% |
| Independent Living Systems | Managed Medicaid | $555.18 | ↓ -76% |
| Blue Cross | Perferred Patient Care | $569.53 | ↓ -76% |
| Blue Cross | Traditional (PPS) | $569.53 | ↓ -76% |
| United | Medicare Advantage | $630.62 | ↓ -73% |
| Blue Cross | Medicare Advantage PPO | $630.62 | ↓ -73% |
| Avmed | Medicare Advantage | $630.62 | ↓ -73% |
| Blue Cross | Medicare Advantage HMO | $630.62 | ↓ -73% |
| Miami Childrens Health Plan | Medicare Advantage | $630.62 | ↓ -73% |
| Freedom Health | Medicare Advantage | $662.15 | ↓ -72% |
| Careplus | Medicare Advantage | $662.15 | ↓ -72% |
| Independent Living Systems | Medicare Advantage | $668.56 | ↓ -71% |
| Clear Spring Health | All Products | $681.07 | ↓ -71% |
| Aetna | Medicare Advantage PCP | $781.97 | ↓ -67% |
| Aetna | Medicare Advantage Specialist | $794.58 | ↓ -66% |
| Avmed | Exchange | $846.25 | ↓ -64% |
| Avmed | Select | $878.80 | ↓ -62% |
| Avmed | Broad | $943.89 | ↓ -60% |
| Multiplan | All Products | $945.93 | ↓ -60% |
| United | All Products | $1,231.68 | ↓ -47% |
| The Legacy Companies | All Products | $2,342.60 | ↑ +0% |
| Clarity Health | All Products | $2,342.60 | ↑ +0% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $2,501.46 | ↑ +7% |
| Simply | Managed Medicaid | $2,501.46 | ↑ +7% |
| SUNSHINE HEALTH | Managed Medicaid | $2,501.46 | ↑ +7% |
| AMERIHEALTH | Managed Medicaid | $2,576.50 | ↑ +10% |
| MOLINA | Managed Medicaid | $2,626.53 | ↑ +12% |
| MOLINA | Florida KidCare | $2,626.53 | ↑ +12% |
| Consociate Health | ALL PRODUCTS | $2,703.00 | ↑ +15% |
| AETNA | Managed Medicaid/CHIP | $3,001.75 | ↑ +28% |
| Aetna | All Products First Health | $3,243.60 | ↑ +38% |
| BLUE CROSS | Medicare Advantage HMO | $3,542.40 | ↑ +51% |
| UNITED | MEDICARE ADVANTAGE | $3,542.40 | ↑ +51% |
| HUMANA | Medicare Advantage HMO | $3,542.40 | ↑ +51% |
| BLUE CROSS | Medicare Advantage PPO | $3,542.40 | ↑ +51% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $3,542.40 | ↑ +51% |
| Cigna | Individual Family Plan Physician | $3,604.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $3,604.00 | ↑ +54% |
| Cigna | Surefit Physician | $3,604.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $3,604.00 | ↑ +54% |
| Cigna | All Products Physician | $3,604.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $3,604.00 | ↑ +54% |
| AVMED | MEDICARE ADVANTAGE | $3,684.10 | ↑ +57% |
| Freedom Health | MEDICARE ADVANTAGE | $3,719.52 | ↑ +59% |
| Careplus | MEDICARE ADVANTAGE | $3,719.52 | ↑ +59% |
| AETNA | MEDICARE ADVANTAGE | $3,738.94 | ↑ +60% |
| Wellcare | MEDICARE ADVANTAGE | $3,738.94 | ↑ +60% |
| DEVOTED HEALTH | Medicare Advantage HMO | $4,112.83 | ↑ +76% |
| AVMED | EXCHANGE | $6,199.20 | ↑ +165% |
| AVMED | Select | $10,450.08 | ↑ +346% |
| AVMED | BROAD | $13,638.24 | ↑ +482% |
| 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
Excision of umbilicus 49250 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $5,463.43 – $5,578.45 |
| cleveland clinic florida weston hospital | Weston | $2,342.60 | $353.93 – $4,112.83 |
| indian river hospital | Vero Beach | $2,342.60 | $353.93 – $4,112.83 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,551.99 – $6,240.29 |
| Adventhealth Lake Wales | Lake Wales | not published | $3,738.94 – $8,300.44 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $3,551.99 – $7,986.00 |
| Adventhealth Tampa | Tampa | not published | $758.00 – $8,300.44 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $3,551.99 – $8,167.71 |