Lip exc/transverse wedge/w closure 40510 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,253.20
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.
$1,928.00
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.
$280.69 with Blue Cross vs $12,533.02 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 | $280.69 | ↓ -78% |
| Blue Cross | BlueSelect | $280.69 | ↓ -78% |
| Blue Cross | Network Blue | $338.48 | ↓ -73% |
| Blue Cross | Medicare Advantage PPO | $339.40 | ↓ -73% |
| Blue Cross | Medicare Advantage HMO | $339.40 | ↓ -73% |
| Avmed | Medicare Advantage | $339.40 | ↓ -73% |
| United | Medicare Advantage | $339.40 | ↓ -73% |
| Miami Childrens Health Plan | Medicare Advantage | $339.40 | ↓ -73% |
| Blue Cross | Traditional (PPS) | $349.49 | ↓ -72% |
| Blue Cross | Perferred Patient Care | $349.49 | ↓ -72% |
| Freedom Health | Medicare Advantage | $356.37 | ↓ -72% |
| Careplus | Medicare Advantage | $356.37 | ↓ -72% |
| Clear Spring Health | All Products | $366.55 | ↓ -71% |
| Freedom Health | Managed Medicaid | $375.58 | ↓ -70% |
| Independent Living Systems | Medicare Advantage | $377.95 | ↓ -70% |
| AmeriHealth | Managed Medicaid | $386.85 | ↓ -69% |
| Miami Childrens Health Plan | Managed Medicaid | $394.36 | ↓ -69% |
| Sunshine Health | Managed Medicaid | $394.36 | ↓ -69% |
| Molina | Florida Kidcare | $394.36 | ↓ -69% |
| Molina | Managed Medicaid | $394.36 | ↓ -69% |
| Aetna | Medicare Advantage PCP | $420.86 | ↓ -66% |
| Aetna | Medicare Advantage Specialist | $427.64 | ↓ -66% |
| Independent Living Systems | Managed Medicaid | $450.70 | ↓ -64% |
| Avmed | Exchange | $479.62 | ↓ -62% |
| Avmed | Select | $498.07 | ↓ -60% |
| Multiplan | All Products | $509.10 | ↓ -59% |
| Avmed | Broad | $534.96 | ↓ -57% |
| Cigna | Individual Family Plan Mid-Level | $600.05 | ↓ -52% |
| Cigna | Surefit Mid-Level | $611.51 | ↓ -51% |
| Cigna | All Products Mid-Level | $660.53 | ↓ -47% |
| United | All Products | $698.07 | ↓ -44% |
| Cigna | Individual Family Plan Physician | $706.00 | ↓ -44% |
| Cigna | Surefit Physician | $719.47 | ↓ -43% |
| Cigna | All Products Physician | $777.09 | ↓ -38% |
| Clarity Health | All Products | $1,253.20 | ↑ +0% |
| The Legacy Companies | All Products | $1,253.20 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $1,446.00 | ↑ +15% |
| SUNSHINE HEALTH | Managed Medicaid | $1,720.08 | ↑ +37% |
| Simply | Managed Medicaid | $1,720.08 | ↑ +37% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,720.08 | ↑ +37% |
| Aetna | All Products First Health | $1,735.20 | ↑ +38% |
| AMERIHEALTH | Managed Medicaid | $1,771.68 | ↑ +41% |
| MOLINA | Managed Medicaid | $1,806.08 | ↑ +44% |
| MOLINA | Florida KidCare | $1,806.08 | ↑ +44% |
| AETNA | Managed Medicaid/CHIP | $2,064.10 | ↑ +65% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $3,255.33 | ↑ +160% |
| UNITED | MEDICARE ADVANTAGE | $3,255.33 | ↑ +160% |
| HUMANA | Medicare Advantage HMO | $3,255.33 | ↑ +160% |
| BLUE CROSS | Medicare Advantage PPO | $3,255.33 | ↑ +160% |
| BLUE CROSS | Medicare Advantage HMO | $3,255.33 | ↑ +160% |
| AVMED | MEDICARE ADVANTAGE | $3,385.54 | ↑ +170% |
| Freedom Health | MEDICARE ADVANTAGE | $3,418.10 | ↑ +173% |
| Careplus | MEDICARE ADVANTAGE | $3,418.10 | ↑ +173% |
| Wellcare | MEDICARE ADVANTAGE | $3,462.26 | ↑ +176% |
| AETNA | MEDICARE ADVANTAGE | $3,462.26 | ↑ +176% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,808.49 | ↑ +204% |
| AVMED | EXCHANGE | $5,696.83 | ↑ +355% |
| AVMED | Select | $9,603.22 | ↑ +666% |
| AVMED | BROAD | $12,533.02 | ↑ +900% |
| 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
Lip exc/transverse wedge/w closure 40510 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $1,204.53 – $1,229.89 |
| cleveland clinic florida weston hospital | Weston | $1,253.20 | $260.04 – $3,808.49 |
| indian river hospital | Vero Beach | $1,253.20 | $260.04 – $3,808.49 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,289.15 – $5,778.52 |
| Adventhealth Tampa | Tampa | not published | $537.00 – $7,686.23 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $1,156.04 – $1,180.37 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $3,462.26 – $6,322.09 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $1,173.53 – $1,198.24 |