Ghs layered repair over 30.0 cm -12047 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$4,459.00
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.
$6,860.00
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 Freedom Health 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 |
|---|---|---|---|
| Freedom Health | Managed Medicaid | $254.05 | ↓ -94% |
| SUNSHINE HEALTH | Managed Medicaid | $254.05 | ↓ -94% |
| Simply | Managed Medicaid | $254.05 | ↓ -94% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $254.05 | ↓ -94% |
| AMERIHEALTH | Managed Medicaid | $261.67 | ↓ -94% |
| Blue Cross | Health Options | $266.55 | ↓ -94% |
| Blue Cross | BlueSelect | $266.55 | ↓ -94% |
| MOLINA | Florida KidCare | $266.75 | ↓ -94% |
| MOLINA | Managed Medicaid | $266.75 | ↓ -94% |
| Miami Childrens Health Plan | Managed Medicaid | $266.75 | ↓ -94% |
| Independent Living Systems | Managed Medicaid | $304.86 | ↓ -93% |
| AETNA | Managed Medicaid/CHIP | $304.86 | ↓ -93% |
| Blue Cross | Network Blue | $321.43 | ↓ -93% |
| Blue Cross | Perferred Patient Care | $331.88 | ↓ -93% |
| Blue Cross | Traditional (PPS) | $331.88 | ↓ -93% |
| United | Medicare Advantage | $384.26 | ↓ -91% |
| Avmed | Medicare Advantage | $384.26 | ↓ -91% |
| Miami Childrens Health Plan | Medicare Advantage | $384.26 | ↓ -91% |
| Blue Cross | Medicare Advantage PPO | $384.26 | ↓ -91% |
| Blue Cross | Medicare Advantage HMO | $384.26 | ↓ -91% |
| Independent Living Systems | Medicare Advantage | $395.38 | ↓ -91% |
| Careplus | Medicare Advantage | $403.47 | ↓ -91% |
| Freedom Health | Medicare Advantage | $403.47 | ↓ -91% |
| Clear Spring Health | All Products | $415.00 | ↓ -91% |
| AmeriHealth | Managed Medicaid | $433.39 | ↓ -90% |
| MULTIPLAN | ALL PRODUCTS | $440.63 | ↓ -90% |
| Sunshine Health | Managed Medicaid | $441.81 | ↓ -90% |
| Molina | Managed Medicaid | $441.81 | ↓ -90% |
| Molina | Florida Kidcare | $441.81 | ↓ -90% |
| Clear Spring Health | ALL PRODUCTS | $453.22 | ↓ -90% |
| Aetna | Medicare Advantage PCP | $476.48 | ↓ -89% |
| Aetna | Medicare Advantage Specialist | $484.17 | ↓ -89% |
| Avmed | Exchange | $501.50 | ↓ -89% |
| Avmed | Select | $520.79 | ↓ -88% |
| Avmed | Broad | $559.37 | ↓ -87% |
| Multiplan | All Products | $576.39 | ↓ -87% |
| Cigna | Individual Family Plan Mid-Level | $728.69 | ↓ -84% |
| United | All Products | $729.92 | ↓ -84% |
| Cigna | Surefit Mid-Level | $742.63 | ↓ -83% |
| Cigna | All Products Mid-Level | $801.96 | ↓ -82% |
| Cigna | Individual Family Plan Physician | $857.27 | ↓ -81% |
| Cigna | Surefit Physician | $873.67 | ↓ -80% |
| Cigna | All Products Physician | $943.47 | ↓ -79% |
| Clarity Health | All Products | $1,415.70 | ↓ -68% |
| The Legacy Companies | All Products | $1,415.70 | ↓ -68% |
| Consociate Health | ALL PRODUCTS | $1,633.50 | ↓ -63% |
| BLUE CROSS | MBN | $1,719.00 | ↓ -61% |
| BLUE CROSS | Medicare Advantage PPO | $1,836.14 | ↓ -59% |
| HUMANA | Medicare Advantage HMO | $1,836.14 | ↓ -59% |
| UNITED | MEDICARE ADVANTAGE | $1,836.14 | ↓ -59% |
| BLUE CROSS | Medicare Advantage HMO | $1,836.14 | ↓ -59% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $1,836.14 | ↓ -59% |
| AVMED | MEDICARE ADVANTAGE | $1,909.59 | ↓ -57% |
| Careplus | MEDICARE ADVANTAGE | $1,927.95 | ↓ -57% |
| Freedom Health | MEDICARE ADVANTAGE | $1,927.95 | ↓ -57% |
| CIGNA | Individual Family Plan | $1,941.38 | ↓ -56% |
| Aetna | All Products First Health | $1,960.20 | ↓ -56% |
| AETNA | QHP | $2,038.00 | ↓ -54% |
| AETNA | MEDICARE ADVANTAGE | $2,154.64 | ↓ -52% |
| Wellcare | MEDICARE ADVANTAGE | $2,154.64 | ↓ -52% |
| UNITED | NHP | $2,235.00 | ↓ -50% |
| BLUE CROSS | HMO | $2,276.00 | ↓ -49% |
| DEVOTED HEALTH | Medicare Advantage HMO | $2,370.10 | ↓ -47% |
| AETNA | ALL PRODUCTS | $2,472.00 | ↓ -45% |
| UNITED | ALL PRODUCTS | $2,667.00 | ↓ -40% |
| CIGNA | SUREFIT | $2,805.74 | ↓ -37% |
| UNITED | International | $2,942.00 | ↓ -34% |
| AVMED | EXCHANGE | $3,213.25 | ↓ -28% |
| BLUE CROSS | PPO | $3,381.00 | ↓ -24% |
| BMI | ALL PRODUCTS | $3,430.00 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $3,622.08 | ↓ -19% |
| AETNA | All Products New Business | $4,025.00 | ↓ -10% |
| BLUE CROSS | NWBI | $4,249.00 | ↓ -5% |
| BLUE CROSS | NWB | $4,249.00 | ↓ -5% |
| Clarity Health | ALL PRODUCTS | $4,459.00 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $4,459.00 | ↑ +0% |
| AVMED | Select | $5,416.63 | ↑ +21% |
| AETNA | All Products First Health | $6,174.00 | ↑ +38% |
| BLUE CROSS | BSL | $6,469.00 | ↑ +45% |
| AVMED | BROAD | $7,069.16 | ↑ +59% |
| BLUE CROSS | PHS | $9,364.00 | ↑ +110% |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Ghs layered repair over 30.0 cm -12047 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 | $6,154.89 | $2,154.64 – $3,934.37 |
| cleveland clinic florida weston hospital | Weston | $4,459.00 | $172.77 – $5,831.00 |
| Baptist Hospital | MIAMI | $2,815.80 | $173.17 – $3,898.80 |
| Bethesda Hospital East | BOYNTON BEACH | $2,815.80 | $248.31 – $3,898.80 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $2,815.80 | $240.71 – $3,898.80 |
| AdventHealth Orlando | Orlando | $6,465.00 | $2,154.64 – $5,709.80 |
| Adventhealth Carrollwood | Tampa | $10,691.85 | $537.00 – $4,783.30 |