Injection of sinus tract at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$332.80
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.
$512.00
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.
$67.05 with Blue Cross vs $5,724.48 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 | $67.05 | ↓ -80% |
| Blue Cross | BlueSelect | $67.05 | ↓ -80% |
| Blue Cross | Network Blue | $80.85 | ↓ -76% |
| Blue Cross | Perferred Patient Care | $83.48 | ↓ -75% |
| Blue Cross | Traditional (PPS) | $83.48 | ↓ -75% |
| Blue Cross | Medicare Advantage PPO | $88.47 | ↓ -73% |
| Avmed | Medicare Advantage | $88.47 | ↓ -73% |
| United | Medicare Advantage | $88.47 | ↓ -73% |
| Blue Cross | Medicare Advantage HMO | $88.47 | ↓ -73% |
| Miami Childrens Health Plan | Medicare Advantage | $88.47 | ↓ -73% |
| Freedom Health | Medicare Advantage | $92.89 | ↓ -72% |
| Careplus | Medicare Advantage | $92.89 | ↓ -72% |
| Clear Spring Health | All Products | $95.55 | ↓ -71% |
| Freedom Health | Managed Medicaid | $96.77 | ↓ -71% |
| Independent Living Systems | Medicare Advantage | $97.16 | ↓ -71% |
| AmeriHealth | Managed Medicaid | $99.67 | ↓ -70% |
| Miami Childrens Health Plan | Managed Medicaid | $101.61 | ↓ -69% |
| Sunshine Health | Managed Medicaid | $101.61 | ↓ -69% |
| Molina | Florida Kidcare | $101.61 | ↓ -69% |
| Molina | Managed Medicaid | $101.61 | ↓ -69% |
| Aetna | Medicare Advantage PCP | $109.70 | ↓ -67% |
| Aetna | Medicare Advantage Specialist | $111.47 | ↓ -67% |
| Independent Living Systems | Managed Medicaid | $116.12 | ↓ -65% |
| Avmed | Exchange | $121.29 | ↓ -64% |
| Avmed | Select | $125.96 | ↓ -62% |
| Multiplan | All Products | $132.71 | ↓ -60% |
| Avmed | Broad | $135.29 | ↓ -59% |
| Cigna | Individual Family Plan Mid-Level | $148.19 | ↓ -55% |
| Cigna | Surefit Mid-Level | $151.03 | ↓ -55% |
| Cigna | All Products Mid-Level | $163.10 | ↓ -51% |
| Cigna | Individual Family Plan Physician | $174.35 | ↓ -48% |
| United | All Products | $176.53 | ↓ -47% |
| Cigna | Surefit Physician | $177.69 | ↓ -47% |
| Cigna | All Products Physician | $191.90 | ↓ -42% |
| Clarity Health | All Products | $332.80 | ↑ +0% |
| The Legacy Companies | All Products | $332.80 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $384.00 | ↑ +15% |
| Aetna | All Products First Health | $460.80 | ↑ +38% |
| SUNSHINE HEALTH | Managed Medicaid | $883.92 | ↑ +166% |
| Simply | Managed Medicaid | $883.92 | ↑ +166% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $883.92 | ↑ +166% |
| AMERIHEALTH | Managed Medicaid | $910.44 | ↑ +174% |
| MOLINA | Managed Medicaid | $928.12 | ↑ +179% |
| MOLINA | Florida KidCare | $928.12 | ↑ +179% |
| AETNA | Managed Medicaid/CHIP | $1,060.70 | ↑ +219% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $1,486.88 | ↑ +347% |
| UNITED | MEDICARE ADVANTAGE | $1,486.88 | ↑ +347% |
| HUMANA | Medicare Advantage HMO | $1,486.88 | ↑ +347% |
| BLUE CROSS | Medicare Advantage PPO | $1,486.88 | ↑ +347% |
| BLUE CROSS | Medicare Advantage HMO | $1,486.88 | ↑ +347% |
| AVMED | MEDICARE ADVANTAGE | $1,546.35 | ↑ +365% |
| Freedom Health | MEDICARE ADVANTAGE | $1,561.22 | ↑ +369% |
| Careplus | MEDICARE ADVANTAGE | $1,561.22 | ↑ +369% |
| Wellcare | MEDICARE ADVANTAGE | $1,620.29 | ↑ +387% |
| AETNA | MEDICARE ADVANTAGE | $1,620.29 | ↑ +387% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,782.31 | ↑ +436% |
| AVMED | EXCHANGE | $2,602.04 | ↑ +682% |
| AVMED | Select | $4,386.29 | ↑ +1218% |
| AVMED | BROAD | $5,724.48 | ↑ +1620% |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Injection of sinus tract at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $988.44 – $1,009.25 |
| cleveland clinic florida weston hospital | Weston | $5,536.70 | $64.03 – $7,240.30 |
| indian river hospital | Vero Beach | $332.80 | $64.03 – $1,782.31 |
| Baptist Hospital | MIAMI | $1,159.60 | $173.17 – $1,814.72 |
| Bethesda Hospital East | BOYNTON BEACH | $1,159.60 | $503.09 – $1,701.30 |
| Boca Raton Regional Hospital | BOCA RATON | $1,625.65 | $900.36 – $2,501.00 |
| Doctors Hospital | CORAL GABLES | $1,159.60 | $312.20 – $1,814.72 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $1,159.60 | $310.42 – $1,782.31 |