Exploration maxillary sinus at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$889.20
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.
$1,368.00
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.
$138.64 with Freedom Health vs $14,248.41 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 |
|---|---|---|---|
| Freedom Health | Managed Medicaid | $138.64 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $142.80 | ↓ -84% |
| Molina | Managed Medicaid | $145.57 | ↓ -84% |
| Sunshine Health | Managed Medicaid | $145.57 | ↓ -84% |
| Miami Childrens Health Plan | Managed Medicaid | $145.57 | ↓ -84% |
| Molina | Florida Kidcare | $145.57 | ↓ -84% |
| Blue Cross | BlueSelect | $155.98 | ↓ -82% |
| Blue Cross | Health Options | $155.98 | ↓ -82% |
| Avmed | Medicare Advantage | $165.55 | ↓ -81% |
| United | Medicare Advantage | $165.55 | ↓ -81% |
| Miami Childrens Health Plan | Medicare Advantage | $165.55 | ↓ -81% |
| Blue Cross | Medicare Advantage PPO | $165.55 | ↓ -81% |
| Blue Cross | Medicare Advantage HMO | $165.55 | ↓ -81% |
| Independent Living Systems | Managed Medicaid | $166.37 | ↓ -81% |
| Freedom Health | Medicare Advantage | $173.83 | ↓ -80% |
| Careplus | Medicare Advantage | $173.83 | ↓ -80% |
| Clear Spring Health | All Products | $178.79 | ↓ -80% |
| Blue Cross | Network Blue | $188.10 | ↓ -79% |
| Blue Cross | Traditional (PPS) | $194.21 | ↓ -78% |
| Blue Cross | Perferred Patient Care | $194.21 | ↓ -78% |
| Independent Living Systems | Medicare Advantage | $196.85 | ↓ -78% |
| Aetna | Medicare Advantage PCP | $205.28 | ↓ -77% |
| Aetna | Medicare Advantage Specialist | $208.59 | ↓ -77% |
| Avmed | Exchange | $246.88 | ↓ -72% |
| Multiplan | All Products | $248.33 | ↓ -72% |
| Avmed | Select | $256.38 | ↓ -71% |
| Avmed | Broad | $275.37 | ↓ -69% |
| United | All Products | $359.33 | ↓ -60% |
| Clarity Health | All Products | $889.20 | ↑ +0% |
| The Legacy Companies | All Products | $889.20 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $1,026.00 | ↑ +15% |
| Aetna | All Products First Health | $1,231.20 | ↑ +38% |
| Cigna | Individual Family Plan Mid-Level | $1,368.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $1,368.00 | ↑ +54% |
| Cigna | All Products Physician | $1,368.00 | ↑ +54% |
| Cigna | Surefit Physician | $1,368.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $1,368.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $1,368.00 | ↑ +54% |
| Simply | Managed Medicaid | $1,720.08 | ↑ +93% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,720.08 | ↑ +93% |
| SUNSHINE HEALTH | Managed Medicaid | $1,720.08 | ↑ +93% |
| AMERIHEALTH | Managed Medicaid | $1,771.68 | ↑ +99% |
| MOLINA | Managed Medicaid | $1,806.08 | ↑ +103% |
| MOLINA | Florida KidCare | $1,806.08 | ↑ +103% |
| AETNA | Managed Medicaid/CHIP | $2,064.10 | ↑ +132% |
| HUMANA | Medicare Advantage HMO | $3,700.89 | ↑ +316% |
| BLUE CROSS | Medicare Advantage HMO | $3,700.89 | ↑ +316% |
| UNITED | MEDICARE ADVANTAGE | $3,700.89 | ↑ +316% |
| BLUE CROSS | Medicare Advantage PPO | $3,700.89 | ↑ +316% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $3,700.89 | ↑ +316% |
| AVMED | MEDICARE ADVANTAGE | $3,848.92 | ↑ +333% |
| Careplus | MEDICARE ADVANTAGE | $3,885.93 | ↑ +337% |
| Freedom Health | MEDICARE ADVANTAGE | $3,885.93 | ↑ +337% |
| Wellcare | MEDICARE ADVANTAGE | $3,893.43 | ↑ +338% |
| AETNA | MEDICARE ADVANTAGE | $3,893.43 | ↑ +338% |
| DEVOTED HEALTH | Medicare Advantage HMO | $4,282.78 | ↑ +382% |
| AVMED | EXCHANGE | $6,476.55 | ↑ +628% |
| AVMED | Select | $10,917.62 | ↑ +1128% |
| AVMED | BROAD | $14,248.41 | ↑ +1502% |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Exploration maxillary sinus at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $465.21 – $475.00 |
| cleveland clinic florida weston hospital | Weston | $889.20 | $138.64 – $4,282.78 |
| AdventHealth Orlando | Orlando | $7,067.00 | $3,893.43 – $10,317.60 |
| Adventhealth Carrollwood | Tampa | $35,270.29 | $614.00 – $8,643.42 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,698.76 – $6,498.14 |
| Adventhealth Tampa | Tampa | not published | $614.00 – $8,643.42 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $446.48 – $455.88 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $3,893.43 – $7,109.41 |