Ghs layered repair 20.1 - 30.0 cm -12056 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,515.80
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.
$2,332.00
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.
$254.05 with Simply 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 |
|---|---|---|---|
| Simply | Managed Medicaid | $254.05 | ↓ -83% |
| SUNSHINE HEALTH | Managed Medicaid | $254.05 | ↓ -83% |
| Freedom Health | Managed Medicaid | $254.05 | ↓ -83% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $254.05 | ↓ -83% |
| AMERIHEALTH | Managed Medicaid | $261.67 | ↓ -83% |
| MOLINA | Florida KidCare | $266.75 | ↓ -82% |
| MOLINA | Managed Medicaid | $266.75 | ↓ -82% |
| Miami Childrens Health Plan | Managed Medicaid | $266.75 | ↓ -82% |
| Blue Cross | Health Options | $286.17 | ↓ -81% |
| Blue Cross | BlueSelect | $286.17 | ↓ -81% |
| AETNA | Managed Medicaid/CHIP | $304.86 | ↓ -80% |
| Independent Living Systems | Managed Medicaid | $304.86 | ↓ -80% |
| Blue Cross | Network Blue | $345.09 | ↓ -77% |
| Blue Cross | Traditional (PPS) | $356.31 | ↓ -76% |
| Blue Cross | Perferred Patient Care | $356.31 | ↓ -76% |
| United | Medicare Advantage | $378.36 | ↓ -75% |
| Miami Childrens Health Plan | Medicare Advantage | $378.36 | ↓ -75% |
| Blue Cross | Medicare Advantage HMO | $378.36 | ↓ -75% |
| Blue Cross | Medicare Advantage PPO | $378.36 | ↓ -75% |
| Avmed | Medicare Advantage | $378.36 | ↓ -75% |
| Careplus | Medicare Advantage | $397.28 | ↓ -74% |
| Freedom Health | Medicare Advantage | $397.28 | ↓ -74% |
| BLUE CROSS | Medicare Advantage HMO | $401.04 | ↓ -74% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $401.04 | ↓ -74% |
| HUMANA | Medicare Advantage HMO | $401.04 | ↓ -74% |
| BLUE CROSS | Medicare Advantage PPO | $401.04 | ↓ -74% |
| UNITED | MEDICARE ADVANTAGE | $401.04 | ↓ -74% |
| Clear Spring Health | All Products | $408.63 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $417.08 | ↓ -72% |
| Independent Living Systems | Medicare Advantage | $420.61 | ↓ -72% |
| Freedom Health | MEDICARE ADVANTAGE | $421.09 | ↓ -72% |
| Careplus | MEDICARE ADVANTAGE | $421.09 | ↓ -72% |
| CIGNA | Individual Family Plan | $424.22 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $424.52 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $424.52 | ↓ -72% |
| MULTIPLAN | ALL PRODUCTS | $451.51 | ↓ -70% |
| AmeriHealth | Managed Medicaid | $457.06 | ↓ -70% |
| Clear Spring Health | ALL PRODUCTS | $464.41 | ↓ -69% |
| Sunshine Health | Managed Medicaid | $465.94 | ↓ -69% |
| Molina | Managed Medicaid | $465.94 | ↓ -69% |
| Molina | Florida Kidcare | $465.94 | ↓ -69% |
| DEVOTED HEALTH | Medicare Advantage HMO | $466.97 | ↓ -69% |
| Aetna | Medicare Advantage PCP | $469.17 | ↓ -69% |
| Aetna | Medicare Advantage Specialist | $476.73 | ↓ -69% |
| Avmed | Exchange | $530.71 | ↓ -65% |
| Avmed | Select | $551.12 | ↓ -64% |
| Multiplan | All Products | $567.54 | ↓ -63% |
| Avmed | Broad | $591.95 | ↓ -61% |
| CIGNA | SUREFIT | $613.09 | ↓ -60% |
| Cigna | Individual Family Plan Mid-Level | $651.87 | ↓ -57% |
| Cigna | Surefit Mid-Level | $664.34 | ↓ -56% |
| AVMED | EXCHANGE | $701.82 | ↓ -54% |
| Cigna | All Products Mid-Level | $717.41 | ↓ -53% |
| BMI | ALL PRODUCTS | $749.50 | ↓ -51% |
| Cigna | Individual Family Plan Physician | $766.89 | ↓ -49% |
| United | All Products | $772.43 | ↓ -49% |
| Cigna | Surefit Physician | $781.56 | ↓ -48% |
| CIGNA | ALL PRODUCTS | $791.47 | ↓ -48% |
| Cigna | All Products Physician | $844.00 | ↓ -44% |
| Clarity Health | ALL PRODUCTS | $974.35 | ↓ -36% |
| The Legacy Companies | ALL PRODUCTS | $974.35 | ↓ -36% |
| Consociate Health | ALL PRODUCTS | $1,124.25 | ↓ -26% |
| AVMED | Select | $1,183.07 | ↓ -22% |
| AETNA | All Products First Health | $1,349.10 | ↓ -11% |
| Clarity Health | All Products | $1,515.80 | ↑ +0% |
| The Legacy Companies | All Products | $1,515.80 | ↑ +0% |
| AVMED | BROAD | $1,544.00 | ↑ +2% |
| BLUE CROSS | MBN | $1,719.00 | ↑ +13% |
| BLUE CROSS | BSL | $1,876.00 | ↑ +24% |
| AETNA | QHP | $2,038.00 | ↑ +34% |
| Aetna | All Products First Health | $2,098.80 | ↑ +38% |
| UNITED | NHP | $2,235.00 | ↑ +47% |
| BLUE CROSS | HMO | $2,276.00 | ↑ +50% |
| AETNA | ALL PRODUCTS | $2,472.00 | ↑ +63% |
| UNITED | ALL PRODUCTS | $2,667.00 | ↑ +76% |
| UNITED | International | $2,942.00 | ↑ +94% |
| BLUE CROSS | PPO | $3,381.00 | ↑ +123% |
| AETNA | All Products New Business | $4,025.00 | ↑ +166% |
| BLUE CROSS | NWB | $4,249.00 | ↑ +180% |
| BLUE CROSS | NWBI | $4,249.00 | ↑ +180% |
| BLUE CROSS | PHS | $9,364.00 | ↑ +518% |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Ghs layered repair 20.1 - 30.0 cm -12056 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $875.39 – $893.82 |
| Adventhealth Port Charlotte | Port Charlotte | $2,092.66 | $424.52 – $775.16 |
| cleveland clinic florida weston hospital | Weston | $1,515.80 | $186.08 – $1,274.15 |
| indian river hospital | Vero Beach | $1,515.80 | $186.08 – $1,982.20 |
| Baptist Hospital | MIAMI | $559.00 | $148.78 – $774.00 |
| Bethesda Hospital East | BOYNTON BEACH | $559.00 | $172.86 – $774.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $559.00 | $149.64 – $774.00 |
| Adventhealth Waterman | Tavares | $1,225.93 | $424.52 – $856.59 |