Expl lap celiotomy w/wo bx 49000 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$3,260.40
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.
$5,016.00
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.
$408.30 with AETNA vs $15,852.00 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 |
|---|---|---|---|
| AETNA | MEDICARE ADVANTAGE | $408.30 | ↓ -87% |
| CIGNA | Individual Family Plan | $555.53 | ↓ -83% |
| AVMED | Select | $588.90 | ↓ -82% |
| AVMED | EXCHANGE | $588.90 | ↓ -82% |
| Freedom Health | Managed Medicaid | $593.88 | ↓ -82% |
| Blue Cross | BlueSelect | $605.74 | ↓ -81% |
| Blue Cross | Health Options | $605.74 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $611.70 | ↓ -81% |
| Miami Childrens Health Plan | Managed Medicaid | $623.57 | ↓ -81% |
| Molina | Managed Medicaid | $623.57 | ↓ -81% |
| Molina | Florida Kidcare | $623.57 | ↓ -81% |
| Sunshine Health | Managed Medicaid | $623.57 | ↓ -81% |
| Independent Living Systems | Managed Medicaid | $712.66 | ↓ -78% |
| Blue Cross | Network Blue | $730.46 | ↓ -78% |
| AVMED | BROAD | $745.94 | ↓ -77% |
| Blue Cross | Perferred Patient Care | $754.21 | ↓ -77% |
| Blue Cross | Traditional (PPS) | $754.21 | ↓ -77% |
| CIGNA | SUREFIT | $802.87 | ↓ -75% |
| Blue Cross | Medicare Advantage PPO | $816.95 | ↓ -75% |
| United | Medicare Advantage | $816.95 | ↓ -75% |
| Miami Childrens Health Plan | Medicare Advantage | $816.95 | ↓ -75% |
| Avmed | Medicare Advantage | $816.95 | ↓ -75% |
| Blue Cross | Medicare Advantage HMO | $816.95 | ↓ -75% |
| Careplus | Medicare Advantage | $857.80 | ↓ -74% |
| Freedom Health | Medicare Advantage | $857.80 | ↓ -74% |
| Independent Living Systems | Medicare Advantage | $866.36 | ↓ -73% |
| Clear Spring Health | All Products | $882.31 | ↓ -73% |
| MULTIPLAN | ALL PRODUCTS | $947.31 | ↓ -71% |
| Clear Spring Health | ALL PRODUCTS | $974.38 | ↓ -70% |
| BMI | ALL PRODUCTS | $981.50 | ↓ -70% |
| Aetna | Medicare Advantage PCP | $1,013.02 | ↓ -69% |
| Aetna | Medicare Advantage Specialist | $1,029.36 | ↓ -68% |
| CIGNA | ALL PRODUCTS | $1,036.46 | ↓ -68% |
| Avmed | Exchange | $1,097.27 | ↓ -66% |
| Avmed | Select | $1,139.47 | ↓ -65% |
| Avmed | Broad | $1,223.87 | ↓ -62% |
| Multiplan | All Products | $1,225.43 | ↓ -62% |
| Clarity Health | ALL PRODUCTS | $1,275.95 | ↓ -61% |
| The Legacy Companies | ALL PRODUCTS | $1,275.95 | ↓ -61% |
| Consociate Health | ALL PRODUCTS | $1,472.25 | ↓ -55% |
| United | All Products | $1,597.03 | ↓ -51% |
| AETNA | All Products First Health | $1,766.70 | ↓ -46% |
| SUNSHINE HEALTH | Managed Medicaid | $2,410.55 | ↓ -26% |
| Simply | Managed Medicaid | $2,410.55 | ↓ -26% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $2,410.55 | ↓ -26% |
| AMERIHEALTH | Managed Medicaid | $2,482.87 | ↓ -24% |
| MOLINA | Florida KidCare | $2,531.08 | ↓ -22% |
| MOLINA | Managed Medicaid | $2,531.08 | ↓ -22% |
| AETNA | Managed Medicaid/CHIP | $2,892.66 | ↓ -11% |
| The Legacy Companies | All Products | $3,260.40 | ↑ +0% |
| Clarity Health | All Products | $3,260.40 | ↑ +0% |
| Aetna | All Products First Health | $4,514.40 | ↑ +38% |
| Cigna | Surefit Physician | $5,016.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $5,016.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $5,016.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $5,016.00 | ↑ +54% |
| Cigna | All Products Physician | $5,016.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $5,016.00 | ↑ +54% |
| BLUE CROSS | MBN | $5,924.00 | ↑ +82% |
| AETNA | QHP | $6,289.00 | ↑ +93% |
| AETNA | All Products New Business | $7,603.00 | ↑ +133% |
| BLUE CROSS | HMO | $7,828.00 | ↑ +140% |
| UNITED | NHP | $8,079.00 | ↑ +148% |
| AETNA | ALL PRODUCTS | $8,543.00 | ↑ +162% |
| BLUE CROSS | PPO | $8,632.00 | ↑ +165% |
| UNITED | ALL PRODUCTS | $9,682.00 | ↑ +197% |
| UNITED | International | $10,629.00 | ↑ +226% |
| BLUE CROSS | NWB | $10,923.00 | ↑ +235% |
| BLUE CROSS | NWBI | $10,923.00 | ↑ +235% |
| BLUE CROSS | PHS | $14,382.00 | ↑ +341% |
| BLUE CROSS | BSL | $15,852.00 | ↑ +386% |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Expl lap celiotomy w/wo bx 49000 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 | $3,260.40 | $329.78 – $5,016.00 |
| indian river hospital | Vero Beach | $3,260.40 | $461.31 – $6,386.00 |
| Baptist Hospital | MIAMI | $13,261.30 | $173.17 – $18,361.80 |
| Bethesda Hospital East | BOYNTON BEACH | $13,261.30 | $2,389.48 – $18,361.80 |
| Doctors Hospital | CORAL GABLES | $13,261.30 | $2,316.35 – $18,361.80 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $13,261.30 | $2,316.35 – $18,361.80 |
| Homestead Hospital | HOMESTEAD | $13,261.30 | $167.89 – $18,361.80 |