Incise inner eye adhesions at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$2,050.75
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.
$3,155.00
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.
$218.54 with Blue Cross vs $9,694.00 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 | Medicare Advantage PPO | $218.54 | ↓ -89% |
| United | Medicare Advantage | $218.54 | ↓ -89% |
| Avmed | Medicare Advantage | $218.54 | ↓ -89% |
| Blue Cross | Medicare Advantage HMO | $218.54 | ↓ -89% |
| Miami Childrens Health Plan | Medicare Advantage | $218.54 | ↓ -89% |
| Blue Cross | BlueSelect | $226.36 | ↓ -89% |
| Blue Cross | Health Options | $226.36 | ↓ -89% |
| Careplus | Medicare Advantage | $229.47 | ↓ -89% |
| Freedom Health | Medicare Advantage | $229.47 | ↓ -89% |
| Freedom Health | Managed Medicaid | $233.11 | ↓ -89% |
| Clear Spring Health | All Products | $236.02 | ↓ -88% |
| AmeriHealth | Managed Medicaid | $240.10 | ↓ -88% |
| Molina | Florida Kidcare | $244.77 | ↓ -88% |
| Miami Childrens Health Plan | Managed Medicaid | $244.77 | ↓ -88% |
| Sunshine Health | Managed Medicaid | $244.77 | ↓ -88% |
| Molina | Managed Medicaid | $244.77 | ↓ -88% |
| Independent Living Systems | Medicare Advantage | $258.08 | ↓ -87% |
| Aetna | Medicare Advantage PCP | $270.99 | ↓ -87% |
| Blue Cross | Network Blue | $272.96 | ↓ -87% |
| Aetna | Medicare Advantage Specialist | $275.36 | ↓ -87% |
| Independent Living Systems | Managed Medicaid | $279.73 | ↓ -86% |
| Blue Cross | Perferred Patient Care | $281.84 | ↓ -86% |
| Blue Cross | Traditional (PPS) | $281.84 | ↓ -86% |
| MULTIPLAN | ALL PRODUCTS | $282.35 | ↓ -86% |
| Clear Spring Health | ALL PRODUCTS | $290.41 | ↓ -86% |
| Cigna | Individual Family Plan Mid-Level | $294.76 | ↓ -86% |
| Cigna | Surefit Mid-Level | $300.37 | ↓ -85% |
| Cigna | All Products Mid-Level | $324.36 | ↓ -84% |
| Multiplan | All Products | $327.81 | ↓ -84% |
| Avmed | Exchange | $328.72 | ↓ -84% |
| Avmed | Select | $341.36 | ↓ -83% |
| Cigna | Individual Family Plan Physician | $346.74 | ↓ -83% |
| Cigna | Surefit Physician | $353.38 | ↓ -83% |
| Avmed | Broad | $366.65 | ↓ -82% |
| Cigna | All Products Physician | $381.63 | ↓ -81% |
| United | All Products | $478.44 | ↓ -77% |
| BLUE CROSS | Medicare Advantage HMO | $550.67 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $550.67 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $550.67 | ↓ -73% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $550.67 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $550.67 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $572.70 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $574.35 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $574.35 | ↓ -72% |
| Freedom Health | MEDICARE ADVANTAGE | $578.21 | ↓ -72% |
| Careplus | MEDICARE ADVANTAGE | $578.21 | ↓ -72% |
| SUNSHINE HEALTH | Managed Medicaid | $630.99 | ↓ -69% |
| Simply | Managed Medicaid | $630.99 | ↓ -69% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $630.99 | ↓ -69% |
| DEVOTED HEALTH | Medicare Advantage HMO | $631.79 | ↓ -69% |
| AMERIHEALTH | Managed Medicaid | $649.92 | ↓ -68% |
| MOLINA | Florida KidCare | $662.54 | ↓ -68% |
| MOLINA | Managed Medicaid | $662.54 | ↓ -68% |
| AETNA | Managed Medicaid/CHIP | $757.19 | ↓ -63% |
| CIGNA | Individual Family Plan | $892.87 | ↓ -56% |
| AETNA | QHP | $924.42 | ↓ -55% |
| Clarity Health | All Products | $933.40 | ↓ -54% |
| The Legacy Companies | All Products | $933.40 | ↓ -54% |
| AVMED | EXCHANGE | $963.68 | ↓ -53% |
| AETNA | ALL PRODUCTS | $984.36 | ↓ -52% |
| AETNA | All Products New Business | $1,031.69 | ↓ -50% |
| Consociate Health | ALL PRODUCTS | $1,077.00 | ↓ -47% |
| CIGNA | SUREFIT | $1,290.40 | ↓ -37% |
| Aetna | All Products First Health | $1,292.40 | ↓ -37% |
| BMI | ALL PRODUCTS | $1,577.50 | ↓ -23% |
| AVMED | Select | $1,624.49 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $1,665.84 | ↓ -19% |
| BLUE CROSS | MBN | $1,914.00 | ↓ -7% |
| The Legacy Companies | ALL PRODUCTS | $2,050.75 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $2,050.75 | ↑ +0% |
| AVMED | BROAD | $2,120.09 | ↑ +3% |
| BLUE CROSS | HMO | $2,552.00 | ↑ +24% |
| AETNA | All Products First Health | $2,839.50 | ↑ +38% |
| BLUE CROSS | PPO | $3,782.00 | ↑ +84% |
| BLUE CROSS | NWBI | $4,598.00 | ↑ +124% |
| BLUE CROSS | NWB | $4,598.00 | ↑ +124% |
| BLUE CROSS | PHS | $9,694.00 | ↑ +373% |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
Visitor-reported prices
Comments
Incise inner eye adhesions at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $4,203.87 – $4,292.38 |
| cleveland clinic florida weston hospital | Weston | $933.40 | $148.39 – $1,077.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $4,034.61 – $4,119.55 |
| indian river hospital | Vero Beach | not published | $550.67 – $631.79 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $4,095.69 – $4,181.91 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $4,236.20 – $4,325.39 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $528.64 – $1,128.87 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | not published | $550.67 – $1,018.74 |