Hc transcatheter placement and sbsq removal cepd perq at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$2,546.70
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.
$3,918.00
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.
$10.38 with Freedom Health vs $22,850.00 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 | $10.38 | ↓ -100% |
| AmeriHealth | Managed Medicaid | $10.69 | ↓ -100% |
| Molina | Florida Kidcare | $10.90 | ↓ -100% |
| Sunshine Health | Managed Medicaid | $10.90 | ↓ -100% |
| Miami Childrens Health Plan | Managed Medicaid | $10.90 | ↓ -100% |
| Molina | Managed Medicaid | $10.90 | ↓ -100% |
| Independent Living Systems | Managed Medicaid | $12.46 | ↓ -100% |
| Miami Childrens Health Plan | Medicare Advantage | $132.14 | ↓ -95% |
| Blue Cross | Medicare Advantage PPO | $132.14 | ↓ -95% |
| United | Medicare Advantage | $132.14 | ↓ -95% |
| Avmed | Medicare Advantage | $132.14 | ↓ -95% |
| Blue Cross | Medicare Advantage HMO | $132.14 | ↓ -95% |
| Freedom Health | Medicare Advantage | $138.75 | ↓ -95% |
| Careplus | Medicare Advantage | $138.75 | ↓ -95% |
| Clear Spring Health | All Products | $142.71 | ↓ -94% |
| Independent Living Systems | Medicare Advantage | $148.59 | ↓ -94% |
| MULTIPLAN | ALL PRODUCTS | $156.56 | ↓ -94% |
| Clear Spring Health | ALL PRODUCTS | $161.03 | ↓ -94% |
| Aetna | Medicare Advantage PCP | $163.85 | ↓ -94% |
| Aetna | Medicare Advantage Specialist | $166.50 | ↓ -93% |
| Avmed | Exchange | $187.69 | ↓ -93% |
| Avmed | Select | $194.91 | ↓ -92% |
| Multiplan | All Products | $198.21 | ↓ -92% |
| Avmed | Broad | $209.35 | ↓ -92% |
| United | All Products | $273.18 | ↓ -89% |
| UNITED | NHP | $474.00 | ↓ -81% |
| UNITED | ALL PRODUCTS | $568.00 | ↓ -78% |
| UNITED | International | $625.00 | ↓ -75% |
| The Legacy Companies | All Products | $650.00 | ↓ -74% |
| Clarity Health | All Products | $650.00 | ↓ -74% |
| Consociate Health | ALL PRODUCTS | $750.00 | ↓ -71% |
| AETNA | MEDICARE ADVANTAGE | $814.94 | ↓ -68% |
| Aetna | All Products First Health | $900.00 | ↓ -65% |
| Cigna | Surefit Mid-Level | $1,000.00 | ↓ -61% |
| Cigna | Surefit Physician | $1,000.00 | ↓ -61% |
| Cigna | Individual Family Plan Physician | $1,000.00 | ↓ -61% |
| Cigna | Individual Family Plan Mid-Level | $1,000.00 | ↓ -61% |
| Cigna | All Products Physician | $1,000.00 | ↓ -61% |
| Cigna | All Products Mid-Level | $1,000.00 | ↓ -61% |
| CIGNA | Individual Family Plan | $1,108.79 | ↓ -56% |
| AETNA | QHP | $1,147.97 | ↓ -55% |
| AVMED | Select | $1,175.40 | ↓ -54% |
| AVMED | EXCHANGE | $1,175.40 | ↓ -54% |
| AETNA | ALL PRODUCTS | $1,222.42 | ↓ -52% |
| AETNA | All Products New Business | $1,281.19 | ↓ -50% |
| AVMED | BROAD | $1,488.84 | ↓ -42% |
| CIGNA | SUREFIT | $1,602.46 | ↓ -37% |
| BMI | ALL PRODUCTS | $1,959.00 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $2,068.70 | ↓ -19% |
| Clarity Health | ALL PRODUCTS | $2,546.70 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $2,546.70 | ↑ +0% |
| AETNA | All Products First Health | $3,526.20 | ↑ +38% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $8,988.06 | ↑ +253% |
| Simply | Managed Medicaid | $8,988.06 | ↑ +253% |
| SUNSHINE HEALTH | Managed Medicaid | $8,988.06 | ↑ +253% |
| AMERIHEALTH | Managed Medicaid | $9,257.70 | ↑ +264% |
| MOLINA | Florida KidCare | $9,437.46 | ↑ +271% |
| MOLINA | Managed Medicaid | $9,437.46 | ↑ +271% |
| AETNA | Managed Medicaid/CHIP | $10,785.67 | ↑ +324% |
| BLUE CROSS | MBN | $13,738.00 | ↑ +439% |
| BLUE CROSS | BSL | $13,797.00 | ↑ +442% |
| BLUE CROSS | HMO | $17,967.00 | ↑ +606% |
| BLUE CROSS | PPO | $18,960.00 | ↑ +644% |
| BLUE CROSS | NWB | $19,191.00 | ↑ +654% |
| BLUE CROSS | NWBI | $19,191.00 | ↑ +654% |
| BLUE CROSS | PHS | $22,850.00 | ↑ +797% |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | BlueSelect | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
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Hc transcatheter placement and sbsq removal cepd perq at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $518.23 – $529.14 |
| Adventhealth Daytona Beach | Daytona Beach | $14,094.81 | not published |
| cleveland clinic florida weston hospital | Weston | $2,546.70 | $10.38 – $16,635.00 |
| indian river hospital | Vero Beach | $2,546.70 | $10.38 – $8,988.06 |
| Baptist Hospital | MIAMI | $7,499.70 | $173.17 – $10,384.20 |
| Bethesda Hospital East | BOYNTON BEACH | $7,499.70 | $1,267.00 – $10,384.20 |
| Boca Raton Regional Hospital | BOCA RATON | $6,656.00 | $591.00 – $6,686.72 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $7,499.70 | $366.00 – $10,384.20 |