Ghs layer closure 7.6 - 12.5 cm - 12044 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,491.75
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.
$2,295.00
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.
$167.16 with Blue Cross vs $9,364.00 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 |
|---|---|---|---|
| Blue Cross | Health Options | $167.16 | ↓ -89% |
| Blue Cross | BlueSelect | $167.16 | ↓ -89% |
| Blue Cross | Network Blue | $201.58 | ↓ -86% |
| Miami Childrens Health Plan | Medicare Advantage | $204.55 | ↓ -86% |
| United | Medicare Advantage | $204.55 | ↓ -86% |
| Blue Cross | Medicare Advantage PPO | $204.55 | ↓ -86% |
| Blue Cross | Medicare Advantage HMO | $204.55 | ↓ -86% |
| Avmed | Medicare Advantage | $204.55 | ↓ -86% |
| Blue Cross | Perferred Patient Care | $208.13 | ↓ -86% |
| Blue Cross | Traditional (PPS) | $208.13 | ↓ -86% |
| Freedom Health | Medicare Advantage | $214.78 | ↓ -86% |
| Careplus | Medicare Advantage | $214.78 | ↓ -86% |
| Clear Spring Health | All Products | $220.91 | ↓ -85% |
| Independent Living Systems | Medicare Advantage | $232.79 | ↓ -84% |
| MULTIPLAN | ALL PRODUCTS | $252.79 | ↓ -83% |
| Aetna | Medicare Advantage PCP | $253.64 | ↓ -83% |
| SUNSHINE HEALTH | Managed Medicaid | $254.05 | ↓ -83% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $254.05 | ↓ -83% |
| Freedom Health | Managed Medicaid | $254.05 | ↓ -83% |
| Simply | Managed Medicaid | $254.05 | ↓ -83% |
| Aetna | Medicare Advantage Specialist | $257.73 | ↓ -83% |
| Clear Spring Health | ALL PRODUCTS | $260.01 | ↓ -83% |
| AMERIHEALTH | Managed Medicaid | $261.67 | ↓ -82% |
| MOLINA | Managed Medicaid | $266.75 | ↓ -82% |
| Miami Childrens Health Plan | Managed Medicaid | $266.75 | ↓ -82% |
| MOLINA | Florida KidCare | $266.75 | ↓ -82% |
| Avmed | Exchange | $292.57 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $301.12 | ↓ -80% |
| Avmed | Select | $303.82 | ↓ -80% |
| Independent Living Systems | Managed Medicaid | $304.86 | ↓ -80% |
| AETNA | Managed Medicaid/CHIP | $304.86 | ↓ -80% |
| Multiplan | All Products | $306.83 | ↓ -79% |
| Molina | Florida Kidcare | $306.97 | ↓ -79% |
| Molina | Managed Medicaid | $306.97 | ↓ -79% |
| Sunshine Health | Managed Medicaid | $306.97 | ↓ -79% |
| Avmed | Broad | $326.32 | ↓ -78% |
| United | All Products | $425.82 | ↓ -71% |
| Cigna | Individual Family Plan Mid-Level | $464.87 | ↓ -69% |
| Cigna | Surefit Mid-Level | $473.77 | ↓ -68% |
| Cigna | All Products Mid-Level | $511.61 | ↓ -66% |
| Cigna | Individual Family Plan Physician | $546.90 | ↓ -63% |
| Cigna | Surefit Physician | $557.36 | ↓ -63% |
| Cigna | All Products Physician | $601.89 | ↓ -60% |
| BLUE CROSS | Medicare Advantage PPO | $614.44 | ↓ -59% |
| HUMANA | Medicare Advantage HMO | $614.44 | ↓ -59% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $614.44 | ↓ -59% |
| UNITED | MEDICARE ADVANTAGE | $614.44 | ↓ -59% |
| BLUE CROSS | Medicare Advantage HMO | $614.44 | ↓ -59% |
| AVMED | MEDICARE ADVANTAGE | $639.02 | ↓ -57% |
| Freedom Health | MEDICARE ADVANTAGE | $645.17 | ↓ -57% |
| Careplus | MEDICARE ADVANTAGE | $645.17 | ↓ -57% |
| CIGNA | Individual Family Plan | $649.49 | ↓ -56% |
| AETNA | MEDICARE ADVANTAGE | $771.80 | ↓ -48% |
| Wellcare | MEDICARE ADVANTAGE | $771.80 | ↓ -48% |
| DEVOTED HEALTH | Medicare Advantage HMO | $848.98 | ↓ -43% |
| The Legacy Companies | All Products | $912.60 | ↓ -39% |
| Clarity Health | All Products | $912.60 | ↓ -39% |
| CIGNA | SUREFIT | $938.66 | ↓ -37% |
| Consociate Health | ALL PRODUCTS | $1,053.00 | ↓ -29% |
| AVMED | EXCHANGE | $1,075.28 | ↓ -28% |
| BMI | ALL PRODUCTS | $1,147.50 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $1,211.76 | ↓ -19% |
| Aetna | All Products First Health | $1,263.60 | ↓ -15% |
| Clarity Health | ALL PRODUCTS | $1,491.75 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $1,491.75 | ↑ +0% |
| BLUE CROSS | MBN | $1,719.00 | ↑ +15% |
| AVMED | Select | $1,812.61 | ↑ +22% |
| AETNA | QHP | $2,038.00 | ↑ +37% |
| AETNA | All Products First Health | $2,065.50 | ↑ +38% |
| UNITED | NHP | $2,235.00 | ↑ +50% |
| BLUE CROSS | HMO | $2,276.00 | ↑ +53% |
| AVMED | BROAD | $2,365.61 | ↑ +59% |
| AETNA | ALL PRODUCTS | $2,472.00 | ↑ +66% |
| UNITED | ALL PRODUCTS | $2,667.00 | ↑ +79% |
| UNITED | International | $2,942.00 | ↑ +97% |
| BLUE CROSS | PPO | $3,381.00 | ↑ +127% |
| AETNA | All Products New Business | $4,025.00 | ↑ +170% |
| BLUE CROSS | NWBI | $4,249.00 | ↑ +185% |
| BLUE CROSS | NWB | $4,249.00 | ↑ +185% |
| BLUE CROSS | PHS | $9,364.00 | ↑ +528% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
Visitor-reported prices
Comments
Ghs layer closure 7.6 - 12.5 cm - 12044 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $863.39 – $881.57 |
| Adventhealth Daytona Beach | Daytona Beach | $1,857.61 | $733.21 – $1,288.13 |
| Adventhealth Lake Wales | Lake Wales | $1,857.61 | $771.80 – $1,713.39 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,857.61 | $733.21 – $1,648.48 |
| Adventhealth Tampa | Tampa | $6,289.69 | $537.00 – $1,713.39 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $2,034.52 | $733.21 – $1,685.99 |
| Adventhealth Port Charlotte | Port Charlotte | $2,092.66 | $771.80 – $1,409.30 |
| cleveland clinic florida weston hospital | Weston | $1,491.75 | $102.57 – $1,950.75 |