Ghs layered repair 12.6 - 20.0 cm -12055 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,287.00
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.
$1,980.00
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.
$231.47 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 | BlueSelect | $231.47 | ↓ -82% |
| Blue Cross | Health Options | $231.47 | ↓ -82% |
| Simply | Managed Medicaid | $254.05 | ↓ -80% |
| SUNSHINE HEALTH | Managed Medicaid | $254.05 | ↓ -80% |
| Freedom Health | Managed Medicaid | $254.05 | ↓ -80% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $254.05 | ↓ -80% |
| AMERIHEALTH | Managed Medicaid | $261.67 | ↓ -80% |
| Miami Childrens Health Plan | Managed Medicaid | $266.75 | ↓ -79% |
| MOLINA | Managed Medicaid | $266.75 | ↓ -79% |
| MOLINA | Florida KidCare | $266.75 | ↓ -79% |
| Blue Cross | Network Blue | $279.13 | ↓ -78% |
| Blue Cross | Perferred Patient Care | $288.20 | ↓ -78% |
| Blue Cross | Traditional (PPS) | $288.20 | ↓ -78% |
| AETNA | Managed Medicaid/CHIP | $304.86 | ↓ -76% |
| Independent Living Systems | Managed Medicaid | $304.86 | ↓ -76% |
| United | Medicare Advantage | $321.14 | ↓ -75% |
| Avmed | Medicare Advantage | $321.14 | ↓ -75% |
| Miami Childrens Health Plan | Medicare Advantage | $321.14 | ↓ -75% |
| Blue Cross | Medicare Advantage HMO | $321.14 | ↓ -75% |
| Blue Cross | Medicare Advantage PPO | $321.14 | ↓ -75% |
| Independent Living Systems | Medicare Advantage | $329.92 | ↓ -74% |
| Careplus | Medicare Advantage | $337.20 | ↓ -74% |
| Freedom Health | Medicare Advantage | $337.20 | ↓ -74% |
| Clear Spring Health | All Products | $346.83 | ↓ -73% |
| MULTIPLAN | ALL PRODUCTS | $380.17 | ↓ -70% |
| Clear Spring Health | ALL PRODUCTS | $391.04 | ↓ -70% |
| AmeriHealth | Managed Medicaid | $394.74 | ↓ -69% |
| Aetna | Medicare Advantage PCP | $398.21 | ↓ -69% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $401.04 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $401.04 | ↓ -69% |
| BLUE CROSS | Medicare Advantage HMO | $401.04 | ↓ -69% |
| BLUE CROSS | Medicare Advantage PPO | $401.04 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $401.04 | ↓ -69% |
| Sunshine Health | Managed Medicaid | $402.40 | ↓ -69% |
| Molina | Florida Kidcare | $402.40 | ↓ -69% |
| Molina | Managed Medicaid | $402.40 | ↓ -69% |
| Aetna | Medicare Advantage Specialist | $404.64 | ↓ -69% |
| AVMED | MEDICARE ADVANTAGE | $417.08 | ↓ -68% |
| Avmed | Exchange | $418.29 | ↓ -67% |
| Freedom Health | MEDICARE ADVANTAGE | $421.09 | ↓ -67% |
| Careplus | MEDICARE ADVANTAGE | $421.09 | ↓ -67% |
| CIGNA | Individual Family Plan | $424.22 | ↓ -67% |
| AETNA | MEDICARE ADVANTAGE | $424.52 | ↓ -67% |
| Wellcare | MEDICARE ADVANTAGE | $424.52 | ↓ -67% |
| Avmed | Select | $434.38 | ↓ -66% |
| Avmed | Broad | $466.55 | ↓ -64% |
| DEVOTED HEALTH | Medicare Advantage HMO | $466.97 | ↓ -64% |
| Multiplan | All Products | $481.71 | ↓ -63% |
| United | All Products | $608.80 | ↓ -53% |
| CIGNA | SUREFIT | $613.09 | ↓ -52% |
| Cigna | Individual Family Plan Mid-Level | $618.70 | ↓ -52% |
| Cigna | Surefit Mid-Level | $630.55 | ↓ -51% |
| Cigna | All Products Mid-Level | $680.91 | ↓ -47% |
| AVMED | EXCHANGE | $701.82 | ↓ -45% |
| Cigna | Individual Family Plan Physician | $727.88 | ↓ -43% |
| Cigna | Surefit Physician | $741.80 | ↓ -42% |
| BMI | ALL PRODUCTS | $749.50 | ↓ -42% |
| CIGNA | ALL PRODUCTS | $791.47 | ↓ -39% |
| Cigna | All Products Physician | $801.07 | ↓ -38% |
| The Legacy Companies | ALL PRODUCTS | $974.35 | ↓ -24% |
| Clarity Health | ALL PRODUCTS | $974.35 | ↓ -24% |
| Consociate Health | ALL PRODUCTS | $1,124.25 | ↓ -13% |
| AVMED | Select | $1,183.07 | ↓ -8% |
| Clarity Health | All Products | $1,287.00 | ↑ +0% |
| The Legacy Companies | All Products | $1,287.00 | ↑ +0% |
| AETNA | All Products First Health | $1,349.10 | ↑ +5% |
| AVMED | BROAD | $1,544.00 | ↑ +20% |
| BLUE CROSS | MBN | $1,719.00 | ↑ +34% |
| Aetna | All Products First Health | $1,782.00 | ↑ +38% |
| BLUE CROSS | BSL | $1,876.00 | ↑ +46% |
| AETNA | QHP | $2,038.00 | ↑ +58% |
| UNITED | NHP | $2,235.00 | ↑ +74% |
| BLUE CROSS | HMO | $2,276.00 | ↑ +77% |
| AETNA | ALL PRODUCTS | $2,472.00 | ↑ +92% |
| UNITED | ALL PRODUCTS | $2,667.00 | ↑ +107% |
| UNITED | International | $2,942.00 | ↑ +129% |
| BLUE CROSS | PPO | $3,381.00 | ↑ +163% |
| AETNA | All Products New Business | $4,025.00 | ↑ +213% |
| BLUE CROSS | NWB | $4,249.00 | ↑ +230% |
| BLUE CROSS | NWBI | $4,249.00 | ↑ +230% |
| BLUE CROSS | PHS | $9,364.00 | ↑ +628% |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Ghs layered repair 12.6 - 20.0 cm -12055 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $761.34 – $777.37 |
| Adventhealth Daytona Beach | Daytona Beach | $1,225.93 | $403.29 – $708.52 |
| Adventhealth Tampa | Tampa | $4,243.77 | $424.52 – $942.42 |
| Adventhealth Port Charlotte | Port Charlotte | $2,092.66 | $424.52 – $775.16 |
| cleveland clinic florida weston hospital | Weston | $1,287.00 | $144.16 – $1,274.15 |
| Baptist Hospital | MIAMI | $559.00 | $148.78 – $774.00 |
| Bethesda Hospital East | BOYNTON BEACH | $559.00 | $172.86 – $774.00 |
| Boca Raton Regional Hospital | BOCA RATON | $919.10 | $416.89 – $1,414.00 |