Exploration retroperitoneal area 49010 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$4,175.60
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.
$6,424.00
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.
$711.33 with Freedom Health vs $7,436.52 with DEVOTED HEALTH — 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 |
|---|---|---|---|
| Freedom Health | Managed Medicaid | $711.33 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $732.67 | ↓ -82% |
| Blue Cross | BlueSelect | $742.81 | ↓ -82% |
| Blue Cross | Health Options | $742.81 | ↓ -82% |
| Sunshine Health | Managed Medicaid | $746.90 | ↓ -82% |
| Miami Childrens Health Plan | Managed Medicaid | $746.90 | ↓ -82% |
| Molina | Florida Kidcare | $746.90 | ↓ -82% |
| Molina | Managed Medicaid | $746.90 | ↓ -82% |
| Independent Living Systems | Managed Medicaid | $853.60 | ↓ -80% |
| Blue Cross | Network Blue | $895.74 | ↓ -79% |
| Blue Cross | Traditional (PPS) | $924.87 | ↓ -78% |
| Blue Cross | Perferred Patient Care | $924.87 | ↓ -78% |
| Blue Cross | Medicare Advantage HMO | $976.73 | ↓ -77% |
| United | Medicare Advantage | $976.73 | ↓ -77% |
| Avmed | Medicare Advantage | $976.73 | ↓ -77% |
| Blue Cross | Medicare Advantage PPO | $976.73 | ↓ -77% |
| Miami Childrens Health Plan | Medicare Advantage | $976.73 | ↓ -77% |
| Freedom Health | Medicare Advantage | $1,025.57 | ↓ -75% |
| Careplus | Medicare Advantage | $1,025.57 | ↓ -75% |
| Independent Living Systems | Medicare Advantage | $1,044.02 | ↓ -75% |
| Clear Spring Health | All Products | $1,054.87 | ↓ -75% |
| Aetna | Medicare Advantage PCP | $1,211.15 | ↓ -71% |
| Aetna | Medicare Advantage Specialist | $1,230.68 | ↓ -71% |
| Avmed | Exchange | $1,319.07 | ↓ -68% |
| Avmed | Select | $1,369.80 | ↓ -67% |
| Multiplan | All Products | $1,465.10 | ↓ -65% |
| Avmed | Broad | $1,471.27 | ↓ -65% |
| United | All Products | $1,919.86 | ↓ -54% |
| SUNSHINE HEALTH | Managed Medicaid | $2,410.55 | ↓ -42% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $2,410.55 | ↓ -42% |
| Simply | Managed Medicaid | $2,410.55 | ↓ -42% |
| AMERIHEALTH | Managed Medicaid | $2,482.87 | ↓ -41% |
| MOLINA | Florida KidCare | $2,531.08 | ↓ -39% |
| MOLINA | Managed Medicaid | $2,531.08 | ↓ -39% |
| AETNA | Managed Medicaid/CHIP | $2,892.66 | ↓ -31% |
| The Legacy Companies | All Products | $4,175.60 | ↑ +0% |
| Clarity Health | All Products | $4,175.60 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $4,818.00 | ↑ +15% |
| Aetna | All Products First Health | $5,781.60 | ↑ +38% |
| Cigna | Surefit Mid-Level | $6,424.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $6,424.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $6,424.00 | ↑ +54% |
| Cigna | All Products Physician | $6,424.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $6,424.00 | ↑ +54% |
| Cigna | Surefit Physician | $6,424.00 | ↑ +54% |
| Wellcare | MEDICARE ADVANTAGE | $6,760.47 | ↑ +62% |
| AETNA | MEDICARE ADVANTAGE | $6,760.47 | ↑ +62% |
| DEVOTED HEALTH | Medicare Advantage HMO | $7,436.52 | ↑ +78% |
| 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 retroperitoneal area 49010 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $634.29 – $647.64 |
| cleveland clinic florida weston hospital | Weston | $4,175.60 | $522.95 – $7,436.52 |
| indian river hospital | Vero Beach | $4,175.60 | $522.95 – $7,436.52 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $6,422.45 – $11,283.23 |
| Adventhealth Lake Wales | Lake Wales | not published | $6,760.47 – $15,008.25 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $6,422.45 – $14,439.70 |
| Adventhealth Tampa | Tampa | not published | $6,760.47 – $15,008.25 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $6,422.45 – $14,768.26 |