Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$45,535.75
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.
$70,055.00
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.
$687.33 with Freedom Health vs $123,903.68 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 |
|---|---|---|---|
| Freedom Health | Managed Medicaid | $687.33 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $707.95 | ↓ -98% |
| Molina | Managed Medicaid | $721.70 | ↓ -98% |
| Miami Childrens Health Plan | Managed Medicaid | $721.70 | ↓ -98% |
| Sunshine Health | Managed Medicaid | $721.70 | ↓ -98% |
| Molina | Florida Kidcare | $721.70 | ↓ -98% |
| Blue Cross | BlueSelect | $734.37 | ↓ -98% |
| Blue Cross | Health Options | $734.37 | ↓ -98% |
| Independent Living Systems | Managed Medicaid | $824.80 | ↓ -98% |
| Blue Cross | Network Blue | $885.57 | ↓ -98% |
| Blue Cross | Medicare Advantage PPO | $897.54 | ↓ -98% |
| Blue Cross | Medicare Advantage HMO | $897.54 | ↓ -98% |
| Avmed | Medicare Advantage | $897.54 | ↓ -98% |
| United | Medicare Advantage | $897.54 | ↓ -98% |
| Miami Childrens Health Plan | Medicare Advantage | $897.54 | ↓ -98% |
| Blue Cross | Perferred Patient Care | $914.37 | ↓ -98% |
| Blue Cross | Traditional (PPS) | $914.37 | ↓ -98% |
| Careplus | Medicare Advantage | $942.42 | ↓ -98% |
| Freedom Health | Medicare Advantage | $942.42 | ↓ -98% |
| Clear Spring Health | All Products | $969.34 | ↓ -98% |
| Independent Living Systems | Medicare Advantage | $1,001.60 | ↓ -98% |
| MULTIPLAN | ALL PRODUCTS | $1,052.45 | ↓ -98% |
| Clear Spring Health | ALL PRODUCTS | $1,082.52 | ↓ -98% |
| Aetna | Medicare Advantage PCP | $1,112.95 | ↓ -98% |
| Aetna | Medicare Advantage Specialist | $1,130.90 | ↓ -98% |
| Avmed | Exchange | $1,274.46 | ↓ -97% |
| Avmed | Select | $1,323.47 | ↓ -97% |
| Multiplan | All Products | $1,346.31 | ↓ -97% |
| Avmed | Broad | $1,421.51 | ↓ -97% |
| United | All Products | $1,854.92 | ↓ -96% |
| Clarity Health | All Products | $4,267.25 | ↓ -91% |
| The Legacy Companies | All Products | $4,267.25 | ↓ -91% |
| Consociate Health | ALL PRODUCTS | $4,923.75 | ↓ -89% |
| AETNA | QHP | $5,585.00 | ↓ -88% |
| Aetna | All Products First Health | $5,908.50 | ↓ -87% |
| Cigna | All Products Mid-Level | $6,565.00 | ↓ -86% |
| Cigna | Surefit Mid-Level | $6,565.00 | ↓ -86% |
| Cigna | Individual Family Plan Mid-Level | $6,565.00 | ↓ -86% |
| Cigna | Individual Family Plan Physician | $6,565.00 | ↓ -86% |
| Cigna | All Products Physician | $6,565.00 | ↓ -86% |
| Cigna | Surefit Physician | $6,565.00 | ↓ -86% |
| AETNA | ALL PRODUCTS | $6,783.00 | ↓ -85% |
| BLUE CROSS | BSL | $7,992.00 | ↓ -82% |
| AETNA | All Products New Business | $8,499.00 | ↓ -81% |
| Simply | Managed Medicaid | $13,945.58 | ↓ -69% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $13,945.58 | ↓ -69% |
| SUNSHINE HEALTH | Managed Medicaid | $13,945.58 | ↓ -69% |
| AMERIHEALTH | Managed Medicaid | $14,363.95 | ↓ -68% |
| MOLINA | Florida KidCare | $14,642.86 | ↓ -68% |
| MOLINA | Managed Medicaid | $14,642.86 | ↓ -68% |
| AETNA | Managed Medicaid/CHIP | $16,734.70 | ↓ -63% |
| CIGNA | Individual Family Plan | $19,825.57 | ↓ -56% |
| CIGNA | SUREFIT | $28,652.50 | ↓ -37% |
| UNITED | MEDICARE ADVANTAGE | $32,182.77 | ↓ -29% |
| HUMANA | Medicare Advantage HMO | $32,182.77 | ↓ -29% |
| BLUE CROSS | Medicare Advantage PPO | $32,182.77 | ↓ -29% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $32,182.77 | ↓ -29% |
| BLUE CROSS | Medicare Advantage HMO | $32,182.77 | ↓ -29% |
| AETNA | MEDICARE ADVANTAGE | $32,778.73 | ↓ -28% |
| Wellcare | MEDICARE ADVANTAGE | $32,778.73 | ↓ -28% |
| AVMED | MEDICARE ADVANTAGE | $33,470.08 | ↓ -26% |
| Careplus | MEDICARE ADVANTAGE | $33,791.91 | ↓ -26% |
| Freedom Health | MEDICARE ADVANTAGE | $33,791.91 | ↓ -26% |
| BMI | ALL PRODUCTS | $35,027.50 | ↓ -23% |
| DEVOTED HEALTH | Medicare Advantage HMO | $36,056.60 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $36,989.04 | ↓ -19% |
| Clarity Health | ALL PRODUCTS | $45,535.75 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $45,535.75 | ↑ +0% |
| AVMED | EXCHANGE | $56,319.85 | ↑ +24% |
| AETNA | All Products First Health | $63,049.50 | ↑ +38% |
| UNITED | NHP | $73,978.00 | ↑ +62% |
| UNITED | ALL PRODUCTS | $88,989.00 | ↑ +95% |
| UNITED | International | $92,174.00 | ↑ +102% |
| AVMED | Select | $94,939.18 | ↑ +108% |
| AVMED | BROAD | $123,903.68 | ↑ +172% |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| BLUE CROSS | MBN | not published by hospital | — |
Visitor-reported prices
Comments
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $518.23 – $529.14 |
| Adventhealth Daytona Beach | Daytona Beach | $103,893.83 | $31,139.80 – $54,707.70 |
| Adventhealth Tampa | Tampa | $31,506.32 | $32,778.73 – $72,768.78 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $64,720.14 | $31,139.80 – $71,605.14 |
| Adventhealth Port Charlotte | Port Charlotte | $29,931.00 | $32,778.73 – $59,853.96 |
| cleveland clinic florida weston hospital | Weston | $45,535.75 | $687.33 – $59,546.75 |
| indian river hospital | Vero Beach | $45,535.75 | $687.33 – $56,044.00 |
| Baptist Hospital | MIAMI | $29,779.75 | $173.17 – $41,233.50 |