Gi tract capsule endoscopy (pillcam) 91110 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$640.90
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.
$986.00
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.
$190.79 with AETNA vs $3,623.25 with AVMED — 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 |
|---|---|---|---|
| AETNA | Managed Medicaid/CHIP Behavioral Health | $190.79 | ↓ -70% |
| Freedom Health | Managed Medicaid | $190.79 | ↓ -70% |
| SUNSHINE HEALTH | Managed Medicaid | $190.79 | ↓ -70% |
| Simply | Managed Medicaid | $190.79 | ↓ -70% |
| AMERIHEALTH | Managed Medicaid | $196.51 | ↓ -69% |
| MOLINA | Managed Medicaid | $200.33 | ↓ -69% |
| Miami Childrens Health Plan | Managed Medicaid | $200.33 | ↓ -69% |
| MOLINA | Florida KidCare | $200.33 | ↓ -69% |
| AETNA | Managed Medicaid/CHIP | $228.95 | ↓ -64% |
| Independent Living Systems | Managed Medicaid | $228.95 | ↓ -64% |
| AmeriHealth | Managed Medicaid | $549.37 | ↓ -14% |
| Molina | Florida Kidcare | $560.04 | ↓ -13% |
| Molina | Managed Medicaid | $560.04 | ↓ -13% |
| Sunshine Health | Managed Medicaid | $560.04 | ↓ -13% |
| Clarity Health | All Products | $640.90 | ↑ +0% |
| The Legacy Companies | All Products | $640.90 | ↑ +0% |
| Independent Living Systems | Medicare Advantage | $710.07 | ↑ +11% |
| Blue Cross | BlueSelect | $710.47 | ↑ +11% |
| Blue Cross | Health Options | $710.47 | ↑ +11% |
| Consociate Health | ALL PRODUCTS | $739.50 | ↑ +15% |
| Avmed | Medicare Advantage | $818.22 | ↑ +28% |
| Blue Cross | Medicare Advantage HMO | $818.22 | ↑ +28% |
| Miami Childrens Health Plan | Medicare Advantage | $818.22 | ↑ +28% |
| Blue Cross | Medicare Advantage PPO | $818.22 | ↑ +28% |
| United | Medicare Advantage | $818.22 | ↑ +28% |
| Blue Cross | Network Blue | $856.75 | ↑ +34% |
| Freedom Health | Medicare Advantage | $859.13 | ↑ +34% |
| Careplus | Medicare Advantage | $859.13 | ↑ +34% |
| Clear Spring Health | All Products | $883.68 | ↑ +38% |
| Blue Cross | Traditional (PPS) | $884.61 | ↑ +38% |
| Blue Cross | Perferred Patient Care | $884.61 | ↑ +38% |
| Aetna | All Products First Health | $887.40 | ↑ +38% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $941.10 | ↑ +47% |
| BLUE CROSS | Medicare Advantage HMO | $941.10 | ↑ +47% |
| HUMANA | Medicare Advantage HMO | $941.10 | ↑ +47% |
| BLUE CROSS | Medicare Advantage PPO | $941.10 | ↑ +47% |
| UNITED | MEDICARE ADVANTAGE | $941.10 | ↑ +47% |
| AETNA | MEDICARE ADVANTAGE | $947.15 | ↑ +48% |
| Wellcare | MEDICARE ADVANTAGE | $947.15 | ↑ +48% |
| Avmed | Exchange | $948.66 | ↑ +48% |
| AVMED | MEDICARE ADVANTAGE | $978.75 | ↑ +53% |
| Avmed | Select | $985.15 | ↑ +54% |
| Cigna | Surefit Physician | $986.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $986.00 | ↑ +54% |
| Cigna | All Products Physician | $986.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $986.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $986.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $986.00 | ↑ +54% |
| Careplus | MEDICARE ADVANTAGE | $988.16 | ↑ +54% |
| Freedom Health | MEDICARE ADVANTAGE | $988.16 | ↑ +54% |
| Aetna | Medicare Advantage PCP | $1,014.59 | ↑ +58% |
| Aetna | Medicare Advantage Specialist | $1,030.96 | ↑ +61% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,041.86 | ↑ +63% |
| Avmed | Broad | $1,058.12 | ↑ +65% |
| Multiplan | All Products | $1,227.33 | ↑ +92% |
| United | All Products | $1,268.55 | ↑ +98% |
| AVMED | EXCHANGE | $1,646.93 | ↑ +157% |
| AVMED | Select | $2,776.26 | ↑ +333% |
| AVMED | BROAD | $3,623.25 | ↑ +465% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Gi tract capsule endoscopy (pillcam) 91110 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | $11,673.00 | $204.09 – $208.39 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $7,140.00 | $195.87 – $199.99 |
| Adventhealth Port Charlotte | Port Charlotte | $4,042.31 | $947.15 – $1,729.49 |
| cleveland clinic florida weston hospital | Weston | $4,145.05 | $108.17 – $4,582.35 |
| indian river hospital | Vero Beach | $3,504.15 | $181.25 – $4,312.80 |
| Baptist Hospital | MIAMI | $2,484.95 | $173.17 – $3,440.70 |
| Bethesda Hospital East | BOYNTON BEACH | $2,484.95 | $227.47 – $3,440.70 |
| Boca Raton Regional Hospital | BOCA RATON | $2,228.20 | $476.00 – $3,428.00 |