Frenotomy 40806 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$80.60
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.
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What you pay up front if you don't use insurance.
$124.00
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.
$29.42 with Blue Cross vs $1,968.02 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 |
|---|---|---|---|
| Blue Cross | Health Options | $29.42 | ↓ -63% |
| Blue Cross | BlueSelect | $29.42 | ↓ -63% |
| Avmed | Medicare Advantage | $30.71 | ↓ -62% |
| Miami Childrens Health Plan | Medicare Advantage | $30.71 | ↓ -62% |
| Blue Cross | Medicare Advantage HMO | $30.71 | ↓ -62% |
| Blue Cross | Medicare Advantage PPO | $30.71 | ↓ -62% |
| United | Medicare Advantage | $30.71 | ↓ -62% |
| Independent Living Systems | Medicare Advantage | $31.92 | ↓ -60% |
| Freedom Health | Medicare Advantage | $32.25 | ↓ -60% |
| Careplus | Medicare Advantage | $32.25 | ↓ -60% |
| Clear Spring Health | All Products | $33.17 | ↓ -59% |
| Blue Cross | Network Blue | $35.47 | ↓ -56% |
| Blue Cross | Perferred Patient Care | $36.63 | ↓ -55% |
| Blue Cross | Traditional (PPS) | $36.63 | ↓ -55% |
| Aetna | Medicare Advantage PCP | $38.08 | ↓ -53% |
| Aetna | Medicare Advantage Specialist | $38.69 | ↓ -52% |
| Avmed | Exchange | $40.13 | ↓ -50% |
| Avmed | Select | $41.67 | ↓ -48% |
| Avmed | Broad | $44.76 | ↓ -44% |
| Multiplan | All Products | $46.07 | ↓ -43% |
| United | All Products | $58.41 | ↓ -28% |
| The Legacy Companies | All Products | $80.60 | ↑ +0% |
| Clarity Health | All Products | $80.60 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $93.00 | ↑ +15% |
| Aetna | All Products First Health | $111.60 | ↑ +38% |
| Cigna | Individual Family Plan Mid-Level | $131.97 | ↑ +64% |
| Cigna | Surefit Mid-Level | $134.49 | ↑ +67% |
| Cigna | All Products Mid-Level | $145.27 | ↑ +80% |
| Cigna | Individual Family Plan Physician | $155.27 | ↑ +93% |
| Cigna | Surefit Physician | $158.24 | ↑ +96% |
| Cigna | All Products Physician | $170.91 | ↑ +112% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $511.18 | ↑ +534% |
| UNITED | MEDICARE ADVANTAGE | $511.18 | ↑ +534% |
| HUMANA | Medicare Advantage HMO | $511.18 | ↑ +534% |
| BLUE CROSS | Medicare Advantage PPO | $511.18 | ↑ +534% |
| BLUE CROSS | Medicare Advantage HMO | $511.18 | ↑ +534% |
| AVMED | MEDICARE ADVANTAGE | $531.62 | ↑ +560% |
| Careplus | MEDICARE ADVANTAGE | $536.73 | ↑ +566% |
| Freedom Health | MEDICARE ADVANTAGE | $536.73 | ↑ +566% |
| AETNA | MEDICARE ADVANTAGE | $563.21 | ↑ +599% |
| Wellcare | MEDICARE ADVANTAGE | $563.21 | ↑ +599% |
| DEVOTED HEALTH | Medicare Advantage HMO | $619.53 | ↑ +669% |
| Freedom Health | Managed Medicaid | $883.92 | ↑ +997% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $883.92 | ↑ +997% |
| SUNSHINE HEALTH | Managed Medicaid | $883.92 | ↑ +997% |
| Simply | Managed Medicaid | $883.92 | ↑ +997% |
| AVMED | EXCHANGE | $894.56 | ↑ +1010% |
| AMERIHEALTH | Managed Medicaid | $910.44 | ↑ +1030% |
| MOLINA | Florida KidCare | $928.12 | ↑ +1052% |
| MOLINA | Managed Medicaid | $928.12 | ↑ +1052% |
| Miami Childrens Health Plan | Managed Medicaid | $928.12 | ↑ +1052% |
| AETNA | Managed Medicaid/CHIP | $1,060.70 | ↑ +1216% |
| Independent Living Systems | Managed Medicaid | $1,060.70 | ↑ +1216% |
| AVMED | Select | $1,507.97 | ↑ +1771% |
| AVMED | BROAD | $1,968.02 | ↑ +2342% |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
Visitor-reported prices
Comments
Frenotomy 40806 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $651.29 – $665.00 |
| cleveland clinic florida weston hospital | Weston | $80.60 | $20.06 – $883.92 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $535.05 – $940.00 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $535.05 – $1,202.96 |
| Adventhealth Tampa | Tampa | not published | $563.21 – $1,250.32 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $625.07 – $638.23 |
| indian river hospital | Vero Beach | not published | $511.18 – $883.92 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $634.53 – $647.89 |