Nasal/sinus endo w/ethmoidectomy tot 31255 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,644.50
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.
$2,530.00
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.
$246.64 with Freedom Health vs $26,752.25 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 | $246.64 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $254.04 | ↓ -85% |
| Molina | Florida Kidcare | $258.97 | ↓ -84% |
| Sunshine Health | Managed Medicaid | $258.97 | ↓ -84% |
| Molina | Managed Medicaid | $258.97 | ↓ -84% |
| Miami Childrens Health Plan | Managed Medicaid | $258.97 | ↓ -84% |
| Independent Living Systems | Managed Medicaid | $295.97 | ↓ -82% |
| Blue Cross | Medicare Advantage PPO | $297.59 | ↓ -82% |
| Miami Childrens Health Plan | Medicare Advantage | $297.59 | ↓ -82% |
| Blue Cross | Medicare Advantage HMO | $297.59 | ↓ -82% |
| United | Medicare Advantage | $297.59 | ↓ -82% |
| Avmed | Medicare Advantage | $297.59 | ↓ -82% |
| Freedom Health | Medicare Advantage | $312.47 | ↓ -81% |
| Careplus | Medicare Advantage | $312.47 | ↓ -81% |
| Blue Cross | BlueSelect | $316.17 | ↓ -81% |
| Blue Cross | Health Options | $316.17 | ↓ -81% |
| Clear Spring Health | All Products | $321.40 | ↓ -80% |
| Independent Living Systems | Medicare Advantage | $349.32 | ↓ -79% |
| Aetna | Medicare Advantage PCP | $369.01 | ↓ -78% |
| Aetna | Medicare Advantage Specialist | $374.96 | ↓ -77% |
| Blue Cross | Network Blue | $381.26 | ↓ -77% |
| Blue Cross | Traditional (PPS) | $393.66 | ↓ -76% |
| Blue Cross | Perferred Patient Care | $393.66 | ↓ -76% |
| Avmed | Exchange | $444.12 | ↓ -73% |
| Multiplan | All Products | $446.39 | ↓ -73% |
| Avmed | Select | $461.20 | ↓ -72% |
| Avmed | Broad | $495.36 | ↓ -70% |
| United | All Products | $646.40 | ↓ -61% |
| The Legacy Companies | All Products | $1,644.50 | ↑ +0% |
| Clarity Health | All Products | $1,644.50 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $1,897.50 | ↑ +15% |
| Aetna | All Products First Health | $2,277.00 | ↑ +38% |
| Cigna | Individual Family Plan Physician | $2,530.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $2,530.00 | ↑ +54% |
| Cigna | All Products Physician | $2,530.00 | ↑ +54% |
| Cigna | Surefit Physician | $2,530.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $2,530.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $2,530.00 | ↑ +54% |
| Simply | Managed Medicaid | $2,862.53 | ↑ +74% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $2,862.53 | ↑ +74% |
| SUNSHINE HEALTH | Managed Medicaid | $2,862.53 | ↑ +74% |
| AMERIHEALTH | Managed Medicaid | $2,948.41 | ↑ +79% |
| MOLINA | Managed Medicaid | $3,005.66 | ↑ +83% |
| MOLINA | Florida KidCare | $3,005.66 | ↑ +83% |
| AETNA | Managed Medicaid/CHIP | $3,435.04 | ↑ +109% |
| HUMANA | Medicare Advantage HMO | $6,948.64 | ↑ +323% |
| BLUE CROSS | Medicare Advantage PPO | $6,948.64 | ↑ +323% |
| UNITED | MEDICARE ADVANTAGE | $6,948.64 | ↑ +323% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $6,948.64 | ↑ +323% |
| BLUE CROSS | Medicare Advantage HMO | $6,948.64 | ↑ +323% |
| AVMED | MEDICARE ADVANTAGE | $7,226.58 | ↑ +339% |
| Freedom Health | MEDICARE ADVANTAGE | $7,296.07 | ↑ +344% |
| Careplus | MEDICARE ADVANTAGE | $7,296.07 | ↑ +344% |
| Wellcare | MEDICARE ADVANTAGE | $7,369.96 | ↑ +348% |
| AETNA | MEDICARE ADVANTAGE | $7,369.96 | ↑ +348% |
| BLUE CROSS | BSL | $7,992.00 | ↑ +386% |
| DEVOTED HEALTH | Medicare Advantage HMO | $8,106.95 | ↑ +393% |
| AVMED | EXCHANGE | $12,160.11 | ↑ +639% |
| AVMED | Select | $20,498.48 | ↑ +1146% |
| AVMED | BROAD | $26,752.25 | ↑ +1527% |
| 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
Nasal/sinus endo w/ethmoidectomy tot 31255 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 | $1,644.50 | $246.64 – $8,106.95 |
| AdventHealth Orlando | Orlando | $7,552.00 | $7,369.96 – $19,530.38 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $7,001.46 – $12,300.46 |
| Adventhealth Tampa | Tampa | not published | $863.00 – $16,361.30 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $446.48 – $455.88 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $7,369.96 – $13,457.54 |
| indian river hospital | Vero Beach | not published | $2,719.40 – $8,106.95 |