Insert brain-fluid device 61215 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,521.00
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.
$2,340.00
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.
$407.81 with Blue Cross vs $24,748.87 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 | BlueSelect | $407.81 | ↓ -73% |
| Blue Cross | Health Options | $407.81 | ↓ -73% |
| Freedom Health | Managed Medicaid | $409.28 | ↓ -73% |
| AmeriHealth | Managed Medicaid | $421.56 | ↓ -72% |
| Sunshine Health | Managed Medicaid | $429.74 | ↓ -72% |
| Molina | Florida Kidcare | $429.74 | ↓ -72% |
| Molina | Managed Medicaid | $429.74 | ↓ -72% |
| Miami Childrens Health Plan | Managed Medicaid | $429.74 | ↓ -72% |
| Independent Living Systems | Managed Medicaid | $491.14 | ↓ -68% |
| Blue Cross | Network Blue | $491.77 | ↓ -68% |
| Blue Cross | Traditional (PPS) | $507.76 | ↓ -67% |
| Blue Cross | Perferred Patient Care | $507.76 | ↓ -67% |
| Independent Living Systems | Medicare Advantage | $606.68 | ↓ -60% |
| Avmed | Medicare Advantage | $629.08 | ↓ -59% |
| Miami Childrens Health Plan | Medicare Advantage | $629.08 | ↓ -59% |
| Blue Cross | Medicare Advantage HMO | $629.08 | ↓ -59% |
| Blue Cross | Medicare Advantage PPO | $629.08 | ↓ -59% |
| United | Medicare Advantage | $629.08 | ↓ -59% |
| Careplus | Medicare Advantage | $660.53 | ↓ -57% |
| Freedom Health | Medicare Advantage | $660.53 | ↓ -57% |
| Clear Spring Health | All Products | $679.41 | ↓ -55% |
| Avmed | Exchange | $768.03 | ↓ -50% |
| Aetna | Medicare Advantage PCP | $780.06 | ↓ -49% |
| Aetna | Medicare Advantage Specialist | $792.64 | ↓ -48% |
| Avmed | Select | $797.57 | ↓ -48% |
| Avmed | Broad | $856.65 | ↓ -44% |
| Multiplan | All Products | $943.62 | ↓ -38% |
| United | All Products | $1,117.83 | ↓ -27% |
| The Legacy Companies | All Products | $1,521.00 | ↑ +0% |
| Clarity Health | All Products | $1,521.00 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $1,755.00 | ↑ +15% |
| Aetna | All Products First Health | $2,106.00 | ↑ +38% |
| Cigna | Individual Family Plan Mid-Level | $2,340.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $2,340.00 | ↑ +54% |
| Cigna | All Products Physician | $2,340.00 | ↑ +54% |
| Cigna | Surefit Physician | $2,340.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $2,340.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $2,340.00 | ↑ +54% |
| Simply | Managed Medicaid | $3,257.65 | ↑ +114% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $3,257.65 | ↑ +114% |
| SUNSHINE HEALTH | Managed Medicaid | $3,257.65 | ↑ +114% |
| AMERIHEALTH | Managed Medicaid | $3,355.38 | ↑ +121% |
| MOLINA | Managed Medicaid | $3,420.53 | ↑ +125% |
| MOLINA | Florida KidCare | $3,420.53 | ↑ +125% |
| AETNA | Managed Medicaid/CHIP | $3,909.18 | ↑ +157% |
| HUMANA | Medicare Advantage HMO | $6,428.28 | ↑ +323% |
| BLUE CROSS | Medicare Advantage PPO | $6,428.28 | ↑ +323% |
| UNITED | MEDICARE ADVANTAGE | $6,428.28 | ↑ +323% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $6,428.28 | ↑ +323% |
| BLUE CROSS | Medicare Advantage HMO | $6,428.28 | ↑ +323% |
| AVMED | MEDICARE ADVANTAGE | $6,685.41 | ↑ +340% |
| Freedom Health | MEDICARE ADVANTAGE | $6,749.69 | ↑ +344% |
| Careplus | MEDICARE ADVANTAGE | $6,749.69 | ↑ +344% |
| Wellcare | MEDICARE ADVANTAGE | $9,164.44 | ↑ +503% |
| AETNA | MEDICARE ADVANTAGE | $9,164.44 | ↑ +503% |
| DEVOTED HEALTH | Medicare Advantage HMO | $10,080.88 | ↑ +563% |
| AVMED | EXCHANGE | $11,249.49 | ↑ +640% |
| AVMED | Select | $18,963.42 | ↑ +1147% |
| AVMED | BROAD | $24,748.87 | ↑ +1527% |
| 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
Insert brain-fluid device 61215 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $1,276.07 – $1,302.93 |
| cleveland clinic florida weston hospital | Weston | $1,521.00 | $293.93 – $10,080.88 |
| Adventhealth Tampa | Tampa | not published | $614.00 – $20,345.05 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $1,224.69 – $1,250.48 |
| indian river hospital | Vero Beach | not published | $3,094.77 – $10,080.88 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $1,243.23 – $1,269.40 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $1,285.88 – $1,312.95 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $1,335.32 – $1,363.43 |