Lap ing hernia repair recur at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$2,178.80
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.
$3,352.00
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.
$435.84 with Blue Cross vs $22,547.19 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 | $435.84 | ↓ -80% |
| Blue Cross | Health Options | $435.84 | ↓ -80% |
| Freedom Health | Managed Medicaid | $440.18 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $453.39 | ↓ -79% |
| Sunshine Health | Managed Medicaid | $462.19 | ↓ -79% |
| Molina | Florida Kidcare | $462.19 | ↓ -79% |
| Molina | Managed Medicaid | $462.19 | ↓ -79% |
| Miami Childrens Health Plan | Managed Medicaid | $462.19 | ↓ -79% |
| Blue Cross | Network Blue | $525.57 | ↓ -76% |
| Independent Living Systems | Managed Medicaid | $528.22 | ↓ -76% |
| Blue Cross | Traditional (PPS) | $542.66 | ↓ -75% |
| Blue Cross | Perferred Patient Care | $542.66 | ↓ -75% |
| Miami Childrens Health Plan | Medicare Advantage | $613.85 | ↓ -72% |
| Avmed | Medicare Advantage | $613.85 | ↓ -72% |
| Blue Cross | Medicare Advantage HMO | $613.85 | ↓ -72% |
| Blue Cross | Medicare Advantage PPO | $613.85 | ↓ -72% |
| United | Medicare Advantage | $613.85 | ↓ -72% |
| Independent Living Systems | Medicare Advantage | $640.52 | ↓ -71% |
| Freedom Health | Medicare Advantage | $644.54 | ↓ -70% |
| Careplus | Medicare Advantage | $644.54 | ↓ -70% |
| Clear Spring Health | All Products | $662.96 | ↓ -70% |
| Aetna | Medicare Advantage PCP | $761.17 | ↓ -65% |
| Aetna | Medicare Advantage Specialist | $773.45 | ↓ -65% |
| Avmed | Exchange | $811.25 | ↓ -63% |
| Avmed | Select | $842.45 | ↓ -61% |
| Avmed | Broad | $904.86 | ↓ -58% |
| Multiplan | All Products | $920.78 | ↓ -58% |
| United | All Products | $1,180.75 | ↓ -46% |
| The Legacy Companies | All Products | $2,178.80 | ↑ +0% |
| Clarity Health | All Products | $2,178.80 | ↑ +0% |
| Simply | Managed Medicaid | $2,501.46 | ↑ +15% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $2,501.46 | ↑ +15% |
| SUNSHINE HEALTH | Managed Medicaid | $2,501.46 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $2,514.00 | ↑ +15% |
| AMERIHEALTH | Managed Medicaid | $2,576.50 | ↑ +18% |
| MOLINA | Managed Medicaid | $2,626.53 | ↑ +21% |
| MOLINA | Florida KidCare | $2,626.53 | ↑ +21% |
| AETNA | Managed Medicaid/CHIP | $3,001.75 | ↑ +38% |
| Aetna | All Products First Health | $3,016.80 | ↑ +38% |
| Cigna | Individual Family Plan Physician | $3,352.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $3,352.00 | ↑ +54% |
| Cigna | All Products Physician | $3,352.00 | ↑ +54% |
| Cigna | Surefit Physician | $3,352.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $3,352.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $3,352.00 | ↑ +54% |
| UNITED | MEDICARE ADVANTAGE | $5,856.41 | ↑ +169% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $5,856.41 | ↑ +169% |
| HUMANA | Medicare Advantage HMO | $5,856.41 | ↑ +169% |
| BLUE CROSS | Medicare Advantage HMO | $5,856.41 | ↑ +169% |
| BLUE CROSS | Medicare Advantage PPO | $5,856.41 | ↑ +169% |
| AVMED | MEDICARE ADVANTAGE | $6,090.67 | ↑ +180% |
| Freedom Health | MEDICARE ADVANTAGE | $6,149.23 | ↑ +182% |
| Careplus | MEDICARE ADVANTAGE | $6,149.23 | ↑ +182% |
| Wellcare | MEDICARE ADVANTAGE | $6,313.22 | ↑ +190% |
| AETNA | MEDICARE ADVANTAGE | $6,313.22 | ↑ +190% |
| DEVOTED HEALTH | Medicare Advantage HMO | $6,944.54 | ↑ +219% |
| AETNA | QHP | $7,031.00 | ↑ +223% |
| AVMED | EXCHANGE | $10,248.72 | ↑ +370% |
| UNITED | ALL PRODUCTS | $17,125.00 | ↑ +686% |
| AVMED | Select | $17,276.42 | ↑ +693% |
| AVMED | BROAD | $22,547.19 | ↑ +935% |
| 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
Lap ing hernia repair recur at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $5,463.43 – $5,578.45 |
| cleveland clinic florida weston hospital | Weston | $2,178.80 | $366.65 – $6,944.54 |
| indian river hospital | Vero Beach | $2,178.80 | $366.65 – $6,944.54 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $5,997.56 – $10,536.76 |
| Adventhealth Lake Wales | Lake Wales | not published | $6,313.22 – $14,015.34 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $5,997.56 – $13,484.40 |
| Adventhealth Tampa | Tampa | not published | $1,199.00 – $14,015.34 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $5,997.56 – $13,791.22 |