Insert tissue expander(s) at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$2,987.40
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.
?
What you pay up front if you don't use insurance.
$4,596.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$702.63 with Blue Cross vs $14,148.01 with AVMED — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $702.63 | ↓ -76% |
| Blue Cross | Health Options | $702.63 | ↓ -76% |
| Freedom Health | Managed Medicaid | $789.97 | ↓ -74% |
| AmeriHealth | Managed Medicaid | $813.67 | ↓ -73% |
| Sunshine Health | Managed Medicaid | $829.47 | ↓ -72% |
| Miami Childrens Health Plan | Managed Medicaid | $829.47 | ↓ -72% |
| Molina | Managed Medicaid | $829.47 | ↓ -72% |
| Molina | Florida Kidcare | $829.47 | ↓ -72% |
| Blue Cross | Network Blue | $847.29 | ↓ -72% |
| Blue Cross | Perferred Patient Care | $874.84 | ↓ -71% |
| Blue Cross | Traditional (PPS) | $874.84 | ↓ -71% |
| Independent Living Systems | Managed Medicaid | $947.96 | ↓ -68% |
| Blue Cross | Medicare Advantage PPO | $1,013.32 | ↓ -66% |
| Miami Childrens Health Plan | Medicare Advantage | $1,013.32 | ↓ -66% |
| Blue Cross | Medicare Advantage HMO | $1,013.32 | ↓ -66% |
| United | Medicare Advantage | $1,013.32 | ↓ -66% |
| Avmed | Medicare Advantage | $1,013.32 | ↓ -66% |
| Freedom Health | Medicare Advantage | $1,063.99 | ↓ -64% |
| Careplus | Medicare Advantage | $1,063.99 | ↓ -64% |
| Clear Spring Health | All Products | $1,094.39 | ↓ -63% |
| Independent Living Systems | Medicare Advantage | $1,101.44 | ↓ -63% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,172.07 | ↓ -61% |
| SUNSHINE HEALTH | Managed Medicaid | $1,172.07 | ↓ -61% |
| Simply | Managed Medicaid | $1,172.07 | ↓ -61% |
| AMERIHEALTH | Managed Medicaid | $1,207.23 | ↓ -60% |
| MOLINA | Managed Medicaid | $1,230.67 | ↓ -59% |
| MOLINA | Florida KidCare | $1,230.67 | ↓ -59% |
| Aetna | Medicare Advantage PCP | $1,256.52 | ↓ -58% |
| Aetna | Medicare Advantage Specialist | $1,276.78 | ↓ -57% |
| Avmed | Exchange | $1,389.57 | ↓ -53% |
| AETNA | Managed Medicaid/CHIP | $1,406.48 | ↓ -53% |
| Avmed | Select | $1,443.02 | ↓ -52% |
| Multiplan | All Products | $1,519.98 | ↓ -49% |
| Avmed | Broad | $1,549.91 | ↓ -48% |
| United | All Products | $2,022.47 | ↓ -32% |
| The Legacy Companies | All Products | $2,987.40 | ↑ +0% |
| Clarity Health | All Products | $2,987.40 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $3,447.00 | ↑ +15% |
| BLUE CROSS | Medicare Advantage PPO | $3,674.81 | ↑ +23% |
| HUMANA | Medicare Advantage HMO | $3,674.81 | ↑ +23% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $3,674.81 | ↑ +23% |
| BLUE CROSS | Medicare Advantage HMO | $3,674.81 | ↑ +23% |
| UNITED | MEDICARE ADVANTAGE | $3,674.81 | ↑ +23% |
| Wellcare | MEDICARE ADVANTAGE | $3,700.64 | ↑ +24% |
| AETNA | MEDICARE ADVANTAGE | $3,700.64 | ↑ +24% |
| AVMED | MEDICARE ADVANTAGE | $3,821.80 | ↑ +28% |
| Careplus | MEDICARE ADVANTAGE | $3,858.55 | ↑ +29% |
| Freedom Health | MEDICARE ADVANTAGE | $3,858.55 | ↑ +29% |
| DEVOTED HEALTH | Medicare Advantage HMO | $4,070.70 | ↑ +36% |
| Aetna | All Products First Health | $4,136.40 | ↑ +38% |
| Cigna | All Products Physician | $4,596.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $4,596.00 | ↑ +54% |
| Cigna | Surefit Physician | $4,596.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $4,596.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $4,596.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $4,596.00 | ↑ +54% |
| AVMED | EXCHANGE | $6,430.91 | ↑ +115% |
| AVMED | Select | $10,840.69 | ↑ +263% |
| AVMED | BROAD | $14,148.01 | ↑ +374% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Insert tissue expander(s) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $656.29 – $670.11 |
| cleveland clinic florida weston hospital | Weston | $2,987.40 | $521.21 – $4,596.00 |
| Bethesda Hospital East | BOYNTON BEACH | $5,164.25 | $1,140.29 – $7,150.50 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $5,164.25 | $1,105.39 – $7,150.50 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,515.61 – $6,176.36 |
| Adventhealth Tampa | Tampa | not published | $537.00 – $8,215.42 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $3,515.61 – $8,084.04 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $629.87 – $643.13 |