Ghs simple repair 7.6 - 12.5 cm - 12015 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$566.15
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.
$871.00
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.
$83.28 with Blue Cross vs $8,696.00 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 | $83.28 | ↓ -85% |
| Blue Cross | Health Options | $83.28 | ↓ -85% |
| Blue Cross | Network Blue | $100.43 | ↓ -82% |
| Blue Cross | Medicare Advantage HMO | $102.71 | ↓ -82% |
| United | Medicare Advantage | $102.71 | ↓ -82% |
| Miami Childrens Health Plan | Medicare Advantage | $102.71 | ↓ -82% |
| Avmed | Medicare Advantage | $102.71 | ↓ -82% |
| Blue Cross | Medicare Advantage PPO | $102.71 | ↓ -82% |
| Blue Cross | Traditional (PPS) | $103.69 | ↓ -82% |
| Blue Cross | Perferred Patient Care | $103.69 | ↓ -82% |
| Independent Living Systems | Medicare Advantage | $105.87 | ↓ -81% |
| Freedom Health | Medicare Advantage | $107.85 | ↓ -81% |
| Careplus | Medicare Advantage | $107.85 | ↓ -81% |
| Clear Spring Health | All Products | $110.93 | ↓ -80% |
| Freedom Health | Managed Medicaid | $121.99 | ↓ -78% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $121.99 | ↓ -78% |
| SUNSHINE HEALTH | Managed Medicaid | $121.99 | ↓ -78% |
| Simply | Managed Medicaid | $121.99 | ↓ -78% |
| MULTIPLAN | ALL PRODUCTS | $122.36 | ↓ -78% |
| AMERIHEALTH | Managed Medicaid | $125.65 | ↓ -78% |
| Clear Spring Health | ALL PRODUCTS | $125.85 | ↓ -78% |
| Aetna | Medicare Advantage PCP | $127.36 | ↓ -78% |
| MOLINA | Florida KidCare | $128.09 | ↓ -77% |
| MOLINA | Managed Medicaid | $128.09 | ↓ -77% |
| Miami Childrens Health Plan | Managed Medicaid | $128.09 | ↓ -77% |
| Aetna | Medicare Advantage Specialist | $129.41 | ↓ -77% |
| Avmed | Exchange | $134.89 | ↓ -76% |
| AmeriHealth | Managed Medicaid | $136.49 | ↓ -76% |
| Molina | Florida Kidcare | $139.14 | ↓ -75% |
| Molina | Managed Medicaid | $139.14 | ↓ -75% |
| Sunshine Health | Managed Medicaid | $139.14 | ↓ -75% |
| Avmed | Select | $140.08 | ↓ -75% |
| Independent Living Systems | Managed Medicaid | $146.39 | ↓ -74% |
| AETNA | Managed Medicaid/CHIP | $146.39 | ↓ -74% |
| Avmed | Broad | $150.45 | ↓ -73% |
| Multiplan | All Products | $154.07 | ↓ -73% |
| United | All Products | $196.32 | ↓ -65% |
| BLUE CROSS | Medicare Advantage HMO | $199.45 | ↓ -65% |
| HUMANA | Medicare Advantage HMO | $199.45 | ↓ -65% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $199.45 | ↓ -65% |
| UNITED | MEDICARE ADVANTAGE | $199.45 | ↓ -65% |
| BLUE CROSS | Medicare Advantage PPO | $199.45 | ↓ -65% |
| AVMED | MEDICARE ADVANTAGE | $207.43 | ↓ -63% |
| Careplus | MEDICARE ADVANTAGE | $209.42 | ↓ -63% |
| Freedom Health | MEDICARE ADVANTAGE | $209.42 | ↓ -63% |
| AETNA | MEDICARE ADVANTAGE | $209.52 | ↓ -63% |
| Wellcare | MEDICARE ADVANTAGE | $209.52 | ↓ -63% |
| CIGNA | Individual Family Plan | $210.84 | ↓ -63% |
| AETNA | QHP | $218.29 | ↓ -61% |
| Cigna | Individual Family Plan Mid-Level | $223.93 | ↓ -60% |
| Cigna | Surefit Mid-Level | $228.22 | ↓ -60% |
| DEVOTED HEALTH | Medicare Advantage HMO | $230.47 | ↓ -59% |
| AETNA | ALL PRODUCTS | $232.44 | ↓ -59% |
| AETNA | All Products New Business | $243.62 | ↓ -57% |
| Cigna | All Products Mid-Level | $246.45 | ↓ -56% |
| Cigna | Individual Family Plan Physician | $263.45 | ↓ -53% |
| Cigna | Surefit Physician | $268.49 | ↓ -53% |
| Cigna | All Products Physician | $289.94 | ↓ -49% |
| CIGNA | SUREFIT | $304.71 | ↓ -46% |
| AVMED | EXCHANGE | $349.04 | ↓ -38% |
| BMI | ALL PRODUCTS | $372.50 | ↓ -34% |
| CIGNA | ALL PRODUCTS | $393.36 | ↓ -31% |
| Clarity Health | ALL PRODUCTS | $484.25 | ↓ -14% |
| The Legacy Companies | ALL PRODUCTS | $484.25 | ↓ -14% |
| Consociate Health | ALL PRODUCTS | $558.75 | ↓ -1% |
| Clarity Health | All Products | $566.15 | ↑ +0% |
| The Legacy Companies | All Products | $566.15 | ↑ +0% |
| AVMED | Select | $588.38 | ↑ +4% |
| AETNA | All Products First Health | $670.50 | ↑ +18% |
| AVMED | BROAD | $767.89 | ↑ +36% |
| Aetna | All Products First Health | $783.90 | ↑ +38% |
| BLUE CROSS | MBN | $1,339.00 | ↑ +137% |
| BLUE CROSS | BSL | $1,669.00 | ↑ +195% |
| BLUE CROSS | HMO | $1,789.00 | ↑ +216% |
| UNITED | NHP | $2,235.00 | ↑ +295% |
| UNITED | ALL PRODUCTS | $2,667.00 | ↑ +371% |
| UNITED | International | $2,942.00 | ↑ +420% |
| BLUE CROSS | PPO | $3,029.00 | ↑ +435% |
| BLUE CROSS | NWB | $3,680.00 | ↑ +550% |
| BLUE CROSS | NWBI | $3,680.00 | ↑ +550% |
| BLUE CROSS | PHS | $8,696.00 | ↑ +1436% |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | 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 | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Ghs simple repair 7.6 - 12.5 cm - 12015 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $242.11 – $247.20 |
| Adventhealth Daytona Beach | Daytona Beach | $636.93 | $199.04 – $349.69 |
| Adventhealth Lake Wales | Lake Wales | $636.93 | $209.52 – $465.13 |
| Adventhealth Palm Coast Parkway | Palm Coast | $636.93 | $199.04 – $447.51 |
| Adventhealth Tampa | Tampa | $3,514.99 | $209.52 – $465.13 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $800.01 | $199.04 – $457.69 |
| Adventhealth Port Charlotte | Port Charlotte | $2,092.66 | $209.52 – $382.58 |
| cleveland clinic florida weston hospital | Weston | $566.15 | $68.19 – $633.25 |