Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$3,026.40
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.
$4,656.00
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.
$676.26 with Blue Cross vs $7,069.16 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 | BlueSelect | $676.26 | ↓ -78% |
| Blue Cross | Health Options | $676.26 | ↓ -78% |
| Blue Cross | Medicare Advantage PPO | $770.61 | ↓ -75% |
| Blue Cross | Medicare Advantage HMO | $770.61 | ↓ -75% |
| Miami Childrens Health Plan | Medicare Advantage | $770.61 | ↓ -75% |
| Avmed | Medicare Advantage | $770.61 | ↓ -75% |
| United | Medicare Advantage | $770.61 | ↓ -75% |
| Freedom Health | Managed Medicaid | $771.85 | ↓ -74% |
| AmeriHealth | Managed Medicaid | $795.01 | ↓ -74% |
| Careplus | Medicare Advantage | $809.14 | ↓ -73% |
| Freedom Health | Medicare Advantage | $809.14 | ↓ -73% |
| Molina | Managed Medicaid | $810.44 | ↓ -73% |
| Molina | Florida Kidcare | $810.44 | ↓ -73% |
| Sunshine Health | Managed Medicaid | $810.44 | ↓ -73% |
| Miami Childrens Health Plan | Managed Medicaid | $810.44 | ↓ -73% |
| Blue Cross | Network Blue | $815.49 | ↓ -73% |
| Clear Spring Health | All Products | $832.26 | ↓ -73% |
| Blue Cross | Perferred Patient Care | $842.01 | ↓ -72% |
| Blue Cross | Traditional (PPS) | $842.01 | ↓ -72% |
| Independent Living Systems | Medicare Advantage | $904.03 | ↓ -70% |
| Independent Living Systems | Managed Medicaid | $926.22 | ↓ -69% |
| Aetna | Medicare Advantage PCP | $955.56 | ↓ -68% |
| Aetna | Medicare Advantage Specialist | $970.97 | ↓ -68% |
| Cigna | Individual Family Plan Mid-Level | $1,127.12 | ↓ -63% |
| Avmed | Exchange | $1,142.25 | ↓ -62% |
| Cigna | Surefit Mid-Level | $1,148.66 | ↓ -62% |
| Multiplan | All Products | $1,155.92 | ↓ -62% |
| Avmed | Select | $1,186.18 | ↓ -61% |
| Cigna | All Products Mid-Level | $1,240.67 | ↓ -59% |
| Simply | Managed Medicaid | $1,243.75 | ↓ -59% |
| SUNSHINE HEALTH | Managed Medicaid | $1,243.75 | ↓ -59% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,243.75 | ↓ -59% |
| Avmed | Broad | $1,274.04 | ↓ -58% |
| AMERIHEALTH | Managed Medicaid | $1,281.06 | ↓ -58% |
| MOLINA | Managed Medicaid | $1,305.94 | ↓ -57% |
| MOLINA | Florida KidCare | $1,305.94 | ↓ -57% |
| Cigna | Individual Family Plan Physician | $1,326.07 | ↓ -56% |
| Cigna | Surefit Physician | $1,351.51 | ↓ -55% |
| Cigna | All Products Physician | $1,459.54 | ↓ -52% |
| AETNA | Managed Medicaid/CHIP | $1,492.50 | ↓ -51% |
| United | All Products | $1,662.49 | ↓ -45% |
| BLUE CROSS | Medicare Advantage PPO | $1,836.14 | ↓ -39% |
| UNITED | MEDICARE ADVANTAGE | $1,836.14 | ↓ -39% |
| BLUE CROSS | Medicare Advantage HMO | $1,836.14 | ↓ -39% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $1,836.14 | ↓ -39% |
| HUMANA | Medicare Advantage HMO | $1,836.14 | ↓ -39% |
| AVMED | MEDICARE ADVANTAGE | $1,909.59 | ↓ -37% |
| Careplus | MEDICARE ADVANTAGE | $1,927.95 | ↓ -36% |
| Freedom Health | MEDICARE ADVANTAGE | $1,927.95 | ↓ -36% |
| AETNA | MEDICARE ADVANTAGE | $2,154.64 | ↓ -29% |
| Wellcare | MEDICARE ADVANTAGE | $2,154.64 | ↓ -29% |
| DEVOTED HEALTH | Medicare Advantage HMO | $2,370.10 | ↓ -22% |
| The Legacy Companies | All Products | $3,026.40 | ↑ +0% |
| Clarity Health | All Products | $3,026.40 | ↑ +0% |
| AVMED | EXCHANGE | $3,213.25 | ↑ +6% |
| Consociate Health | ALL PRODUCTS | $3,492.00 | ↑ +15% |
| Aetna | All Products First Health | $4,190.40 | ↑ +38% |
| AVMED | Select | $5,416.63 | ↑ +79% |
| AVMED | BROAD | $7,069.16 | ↑ +134% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $847.38 – $865.22 |
| cleveland clinic florida weston hospital | Weston | $4,459.00 | $405.19 – $5,831.00 |
| indian river hospital | Vero Beach | $4,459.00 | $405.19 – $5,488.00 |
| Baptist Hospital | MIAMI | $5,120.05 | $173.17 – $7,089.30 |
| Bethesda Hospital East | BOYNTON BEACH | $5,120.05 | $1,228.20 – $7,089.30 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $5,120.05 | $1,190.61 – $7,089.30 |
| AdventHealth Orlando | Orlando | $5,499.00 | $2,154.64 – $5,709.80 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $2,046.91 – $3,596.09 |