Nasal/sinus endo surg w/concha bullosa resct 31240 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$746.20
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.
$1,148.00
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.
$122.30 with Freedom Health vs $6,664.31 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 | $122.30 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $125.97 | ↓ -83% |
| Blue Cross | Health Options | $127.10 | ↓ -83% |
| Blue Cross | BlueSelect | $127.10 | ↓ -83% |
| Molina | Florida Kidcare | $128.42 | ↓ -83% |
| Sunshine Health | Managed Medicaid | $128.42 | ↓ -83% |
| Molina | Managed Medicaid | $128.42 | ↓ -83% |
| Miami Childrens Health Plan | Managed Medicaid | $128.42 | ↓ -83% |
| Independent Living Systems | Managed Medicaid | $146.76 | ↓ -80% |
| Avmed | Medicare Advantage | $147.84 | ↓ -80% |
| Miami Childrens Health Plan | Medicare Advantage | $147.84 | ↓ -80% |
| Blue Cross | Medicare Advantage HMO | $147.84 | ↓ -80% |
| Blue Cross | Medicare Advantage PPO | $147.84 | ↓ -80% |
| United | Medicare Advantage | $147.84 | ↓ -80% |
| Blue Cross | Network Blue | $153.27 | ↓ -79% |
| Careplus | Medicare Advantage | $155.23 | ↓ -79% |
| Freedom Health | Medicare Advantage | $155.23 | ↓ -79% |
| Blue Cross | Traditional (PPS) | $158.26 | ↓ -79% |
| Blue Cross | Perferred Patient Care | $158.26 | ↓ -79% |
| Clear Spring Health | All Products | $159.67 | ↓ -79% |
| Independent Living Systems | Medicare Advantage | $172.77 | ↓ -77% |
| Aetna | Medicare Advantage PCP | $183.32 | ↓ -75% |
| Aetna | Medicare Advantage Specialist | $186.28 | ↓ -75% |
| Avmed | Exchange | $218.49 | ↓ -71% |
| Multiplan | All Products | $221.76 | ↓ -70% |
| Avmed | Select | $226.89 | ↓ -70% |
| Avmed | Broad | $243.70 | ↓ -67% |
| United | All Products | $318.01 | ↓ -57% |
| Simply | Managed Medicaid | $376.62 | ↓ -50% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $376.62 | ↓ -50% |
| SUNSHINE HEALTH | Managed Medicaid | $376.62 | ↓ -50% |
| AMERIHEALTH | Managed Medicaid | $387.92 | ↓ -48% |
| MOLINA | Managed Medicaid | $395.45 | ↓ -47% |
| MOLINA | Florida KidCare | $395.45 | ↓ -47% |
| AETNA | Managed Medicaid/CHIP | $451.94 | ↓ -39% |
| The Legacy Companies | All Products | $746.20 | ↑ +0% |
| Clarity Health | All Products | $746.20 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $861.00 | ↑ +15% |
| Aetna | All Products First Health | $1,033.20 | ↑ +38% |
| Cigna | Surefit Mid-Level | $1,148.00 | ↑ +54% |
| Cigna | Surefit Physician | $1,148.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $1,148.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $1,148.00 | ↑ +54% |
| Cigna | All Products Physician | $1,148.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $1,148.00 | ↑ +54% |
| HUMANA | Medicare Advantage HMO | $1,730.99 | ↑ +132% |
| BLUE CROSS | Medicare Advantage PPO | $1,730.99 | ↑ +132% |
| UNITED | MEDICARE ADVANTAGE | $1,730.99 | ↑ +132% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $1,730.99 | ↑ +132% |
| BLUE CROSS | Medicare Advantage HMO | $1,730.99 | ↑ +132% |
| AVMED | MEDICARE ADVANTAGE | $1,800.23 | ↑ +141% |
| Careplus | MEDICARE ADVANTAGE | $1,817.54 | ↑ +144% |
| Freedom Health | MEDICARE ADVANTAGE | $1,817.54 | ↑ +144% |
| Wellcare | MEDICARE ADVANTAGE | $1,858.71 | ↑ +149% |
| AETNA | MEDICARE ADVANTAGE | $1,858.71 | ↑ +149% |
| DEVOTED HEALTH | Medicare Advantage HMO | $2,044.58 | ↑ +174% |
| AVMED | EXCHANGE | $3,029.23 | ↑ +306% |
| AVMED | Select | $5,106.42 | ↑ +584% |
| AVMED | BROAD | $6,664.31 | ↑ +793% |
| 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
Nasal/sinus endo surg w/concha bullosa resct 31240 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $465.21 – $475.00 |
| cleveland clinic florida weston hospital | Weston | $746.20 | $122.30 – $2,044.58 |
| indian river hospital | Vero Beach | $746.20 | $122.30 – $2,044.58 |
| AdventHealth Orlando | Orlando | $4,832.00 | $1,858.71 – $4,925.58 |
| Adventhealth Carrollwood | Tampa | $17,485.67 | $537.00 – $4,126.34 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $1,765.77 – $3,102.19 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $1,765.77 – $3,970.02 |
| Adventhealth Tampa | Tampa | not published | $537.00 – $4,126.34 |