Incision of urethra at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,157.00
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.
$1,780.00
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.
$228.12 with Blue Cross vs $19,645.92 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 |
|---|---|---|---|
| Blue Cross | Health Options | $228.12 | ↓ -80% |
| Blue Cross | BlueSelect | $228.12 | ↓ -80% |
| Freedom Health | Managed Medicaid | $231.32 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $238.26 | ↓ -79% |
| Molina | Managed Medicaid | $242.89 | ↓ -79% |
| Sunshine Health | Managed Medicaid | $242.89 | ↓ -79% |
| Miami Childrens Health Plan | Managed Medicaid | $242.89 | ↓ -79% |
| Molina | Florida Kidcare | $242.89 | ↓ -79% |
| Blue Cross | Network Blue | $275.09 | ↓ -76% |
| Independent Living Systems | Managed Medicaid | $277.58 | ↓ -76% |
| Blue Cross | Perferred Patient Care | $284.04 | ↓ -75% |
| Blue Cross | Traditional (PPS) | $284.04 | ↓ -75% |
| Avmed | Medicare Advantage | $299.63 | ↓ -74% |
| United | Medicare Advantage | $299.63 | ↓ -74% |
| Blue Cross | Medicare Advantage HMO | $299.63 | ↓ -74% |
| Blue Cross | Medicare Advantage PPO | $299.63 | ↓ -74% |
| Miami Childrens Health Plan | Medicare Advantage | $299.63 | ↓ -74% |
| Freedom Health | Medicare Advantage | $314.61 | ↓ -73% |
| Careplus | Medicare Advantage | $314.61 | ↓ -73% |
| Independent Living Systems | Medicare Advantage | $321.83 | ↓ -72% |
| Clear Spring Health | All Products | $323.60 | ↓ -72% |
| Aetna | Medicare Advantage PCP | $371.54 | ↓ -68% |
| Aetna | Medicare Advantage Specialist | $377.53 | ↓ -67% |
| Avmed | Exchange | $406.25 | ↓ -65% |
| Avmed | Select | $421.88 | ↓ -64% |
| Multiplan | All Products | $449.45 | ↓ -61% |
| Avmed | Broad | $453.13 | ↓ -61% |
| United | All Products | $591.28 | ↓ -49% |
| The Legacy Companies | All Products | $1,157.00 | ↑ +0% |
| Clarity Health | All Products | $1,157.00 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $1,335.00 | ↑ +15% |
| Aetna | All Products First Health | $1,602.00 | ↑ +38% |
| Cigna | Individual Family Plan Mid-Level | $1,780.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $1,780.00 | ↑ +54% |
| Cigna | All Products Physician | $1,780.00 | ↑ +54% |
| Cigna | Surefit Physician | $1,780.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $1,780.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $1,780.00 | ↑ +54% |
| Simply | Managed Medicaid | $3,857.16 | ↑ +233% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $3,857.16 | ↑ +233% |
| SUNSHINE HEALTH | Managed Medicaid | $3,857.16 | ↑ +233% |
| AMERIHEALTH | Managed Medicaid | $3,972.87 | ↑ +243% |
| MOLINA | Managed Medicaid | $4,050.02 | ↑ +250% |
| MOLINA | Florida KidCare | $4,050.02 | ↑ +250% |
| AETNA | Managed Medicaid/CHIP | $4,628.59 | ↑ +300% |
| HUMANA | Medicare Advantage HMO | $5,102.84 | ↑ +341% |
| BLUE CROSS | Medicare Advantage PPO | $5,102.84 | ↑ +341% |
| UNITED | MEDICARE ADVANTAGE | $5,102.84 | ↑ +341% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $5,102.84 | ↑ +341% |
| BLUE CROSS | Medicare Advantage HMO | $5,102.84 | ↑ +341% |
| AVMED | MEDICARE ADVANTAGE | $5,306.95 | ↑ +359% |
| Freedom Health | MEDICARE ADVANTAGE | $5,357.98 | ↑ +363% |
| Careplus | MEDICARE ADVANTAGE | $5,357.98 | ↑ +363% |
| Wellcare | MEDICARE ADVANTAGE | $5,599.21 | ↑ +384% |
| AETNA | MEDICARE ADVANTAGE | $5,599.21 | ↑ +384% |
| DEVOTED HEALTH | Medicare Advantage HMO | $6,159.13 | ↑ +432% |
| AVMED | EXCHANGE | $8,929.96 | ↑ +672% |
| AVMED | Select | $15,053.37 | ↑ +1201% |
| AVMED | BROAD | $19,645.92 | ↑ +1598% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Incision of urethra at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $7,901.51 – $8,067.86 |
| cleveland clinic florida weston hospital | Weston | $1,157.00 | $193.15 – $6,159.13 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $5,319.25 – $9,345.08 |
| Adventhealth Lake Wales | Lake Wales | not published | $5,599.21 – $12,430.25 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $5,319.25 – $11,959.36 |
| Adventhealth Tampa | Tampa | not published | $401.00 – $12,430.25 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $5,319.25 – $12,231.48 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $7,583.38 – $7,743.03 |