Explor not followed by surg repair artery; low extrem 35703 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$8,130.85
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.
$12,509.00
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.
$315.58 with Freedom Health 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 |
|---|---|---|---|
| Freedom Health | Managed Medicaid | $315.58 | ↓ -96% |
| AmeriHealth | Managed Medicaid | $325.05 | ↓ -96% |
| Molina | Managed Medicaid | $331.36 | ↓ -96% |
| Sunshine Health | Managed Medicaid | $331.36 | ↓ -96% |
| Miami Childrens Health Plan | Managed Medicaid | $331.36 | ↓ -96% |
| Molina | Florida Kidcare | $331.36 | ↓ -96% |
| Independent Living Systems | Managed Medicaid | $378.70 | ↓ -95% |
| Blue Cross | Medicare Advantage HMO | $430.40 | ↓ -95% |
| United | Medicare Advantage | $430.40 | ↓ -95% |
| Miami Childrens Health Plan | Medicare Advantage | $430.40 | ↓ -95% |
| Avmed | Medicare Advantage | $430.40 | ↓ -95% |
| Blue Cross | Medicare Advantage PPO | $430.40 | ↓ -95% |
| Careplus | Medicare Advantage | $451.92 | ↓ -94% |
| Freedom Health | Medicare Advantage | $451.92 | ↓ -94% |
| Clear Spring Health | All Products | $464.83 | ↓ -94% |
| Independent Living Systems | Medicare Advantage | $466.14 | ↓ -94% |
| MULTIPLAN | ALL PRODUCTS | $504.47 | ↓ -94% |
| Clear Spring Health | ALL PRODUCTS | $518.89 | ↓ -94% |
| Aetna | Medicare Advantage PCP | $533.70 | ↓ -93% |
| Aetna | Medicare Advantage Specialist | $542.30 | ↓ -93% |
| Avmed | Exchange | $589.06 | ↓ -93% |
| Avmed | Select | $611.71 | ↓ -92% |
| Multiplan | All Products | $645.60 | ↓ -92% |
| Avmed | Broad | $657.02 | ↓ -92% |
| United | All Products | $857.35 | ↓ -89% |
| The Legacy Companies | All Products | $1,950.00 | ↓ -76% |
| Clarity Health | All Products | $1,950.00 | ↓ -76% |
| Consociate Health | ALL PRODUCTS | $2,250.00 | ↓ -72% |
| SUNSHINE HEALTH | Managed Medicaid | $2,481.51 | ↓ -69% |
| Simply | Managed Medicaid | $2,481.51 | ↓ -69% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $2,481.51 | ↓ -69% |
| UNITED | NHP | $2,500.00 | ↓ -69% |
| AMERIHEALTH | Managed Medicaid | $2,555.96 | ↓ -69% |
| AETNA | MEDICARE ADVANTAGE | $2,601.87 | ↓ -68% |
| MOLINA | Florida KidCare | $2,605.59 | ↓ -68% |
| MOLINA | Managed Medicaid | $2,605.59 | ↓ -68% |
| Aetna | All Products First Health | $2,700.00 | ↓ -67% |
| AETNA | Managed Medicaid/CHIP | $2,977.81 | ↓ -63% |
| UNITED | ALL PRODUCTS | $2,994.00 | ↓ -63% |
| Cigna | All Products Mid-Level | $3,000.00 | ↓ -63% |
| Cigna | Surefit Physician | $3,000.00 | ↓ -63% |
| Cigna | All Products Physician | $3,000.00 | ↓ -63% |
| Cigna | Individual Family Plan Mid-Level | $3,000.00 | ↓ -63% |
| Cigna | Individual Family Plan Physician | $3,000.00 | ↓ -63% |
| Cigna | Surefit Mid-Level | $3,000.00 | ↓ -63% |
| UNITED | International | $3,287.00 | ↓ -60% |
| CIGNA | Individual Family Plan | $3,540.05 | ↓ -56% |
| AVMED | Select | $3,752.70 | ↓ -54% |
| AVMED | EXCHANGE | $3,752.70 | ↓ -54% |
| AETNA | QHP | $3,806.00 | ↓ -53% |
| AETNA | All Products New Business | $4,025.00 | ↓ -50% |
| AETNA | ALL PRODUCTS | $4,523.00 | ↓ -44% |
| AVMED | BROAD | $4,753.42 | ↓ -42% |
| CIGNA | SUREFIT | $5,116.18 | ↓ -37% |
| BMI | ALL PRODUCTS | $6,254.50 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $6,604.75 | ↓ -19% |
| The Legacy Companies | ALL PRODUCTS | $8,130.85 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $8,130.85 | ↑ +0% |
| AETNA | All Products First Health | $11,258.10 | ↑ +38% |
| BLUE CROSS | BSL | $15,852.00 | ↑ +95% |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | BlueSelect | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| BLUE CROSS | MBN | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Explor not followed by surg repair artery; low extrem 35703 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $2,640.17 – $2,695.76 |
| cleveland clinic florida weston hospital | Weston | $1,950.00 | $315.58 – $3,000.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $2,533.88 – $2,587.22 |
| indian river hospital | Vero Beach | not published | $2,357.43 – $2,977.81 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $2,572.23 – $2,626.38 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $2,660.48 – $2,716.49 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $2,762.77 – $2,820.93 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | not published | $2,357.38 – $2,481.45 |