Pericardial drain w/cath pq w/ct guid at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$4,317.95
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.
$6,643.00
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.
$157.02 with Freedom Health vs $15,988.00 with AETNA — 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 | $157.02 | ↓ -96% |
| AmeriHealth | Managed Medicaid | $161.73 | ↓ -96% |
| Molina | Florida Kidcare | $164.87 | ↓ -96% |
| Sunshine Health | Managed Medicaid | $164.87 | ↓ -96% |
| Miami Childrens Health Plan | Managed Medicaid | $164.87 | ↓ -96% |
| Molina | Managed Medicaid | $164.87 | ↓ -96% |
| Independent Living Systems | Managed Medicaid | $188.42 | ↓ -96% |
| Blue Cross | Medicare Advantage HMO | $194.39 | ↓ -95% |
| Blue Cross | Medicare Advantage PPO | $194.39 | ↓ -95% |
| United | Medicare Advantage | $194.39 | ↓ -95% |
| Avmed | Medicare Advantage | $194.39 | ↓ -95% |
| Miami Childrens Health Plan | Medicare Advantage | $194.39 | ↓ -95% |
| Careplus | Medicare Advantage | $204.11 | ↓ -95% |
| Freedom Health | Medicare Advantage | $204.11 | ↓ -95% |
| Clear Spring Health | All Products | $209.94 | ↓ -95% |
| Independent Living Systems | Medicare Advantage | $221.87 | ↓ -95% |
| Aetna | Medicare Advantage PCP | $241.04 | ↓ -94% |
| Aetna | Medicare Advantage Specialist | $244.93 | ↓ -94% |
| MULTIPLAN | ALL PRODUCTS | $255.15 | ↓ -94% |
| Clear Spring Health | ALL PRODUCTS | $262.44 | ↓ -94% |
| Avmed | Exchange | $283.35 | ↓ -93% |
| Multiplan | All Products | $291.59 | ↓ -93% |
| Avmed | Select | $294.25 | ↓ -93% |
| Avmed | Broad | $316.04 | ↓ -93% |
| United | All Products | $412.40 | ↓ -90% |
| SUNSHINE HEALTH | Managed Medicaid | $630.56 | ↓ -85% |
| Simply | Managed Medicaid | $630.56 | ↓ -85% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $630.56 | ↓ -85% |
| AMERIHEALTH | Managed Medicaid | $649.48 | ↓ -85% |
| MOLINA | Managed Medicaid | $662.09 | ↓ -85% |
| MOLINA | Florida KidCare | $662.09 | ↓ -85% |
| AETNA | Managed Medicaid/CHIP | $756.67 | ↓ -82% |
| The Legacy Companies | All Products | $1,227.20 | ↓ -72% |
| Clarity Health | All Products | $1,227.20 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $1,381.74 | ↓ -68% |
| Consociate Health | ALL PRODUCTS | $1,416.00 | ↓ -67% |
| Aetna | All Products First Health | $1,699.20 | ↓ -61% |
| CIGNA | Individual Family Plan | $1,879.97 | ↓ -56% |
| Cigna | All Products Physician | $1,888.00 | ↓ -56% |
| Cigna | All Products Mid-Level | $1,888.00 | ↓ -56% |
| Cigna | Individual Family Plan Mid-Level | $1,888.00 | ↓ -56% |
| Cigna | Individual Family Plan Physician | $1,888.00 | ↓ -56% |
| Cigna | Surefit Mid-Level | $1,888.00 | ↓ -56% |
| Cigna | Surefit Physician | $1,888.00 | ↓ -56% |
| BLUE CROSS | MBN | $1,914.00 | ↓ -56% |
| AVMED | Select | $1,992.90 | ↓ -54% |
| AVMED | EXCHANGE | $1,992.90 | ↓ -54% |
| UNITED | NHP | $2,500.00 | ↓ -42% |
| AVMED | BROAD | $2,524.34 | ↓ -42% |
| BLUE CROSS | HMO | $2,552.00 | ↓ -41% |
| CIGNA | SUREFIT | $2,716.99 | ↓ -37% |
| UNITED | ALL PRODUCTS | $2,994.00 | ↓ -31% |
| UNITED | International | $3,287.00 | ↓ -24% |
| BMI | ALL PRODUCTS | $3,321.50 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $3,507.50 | ↓ -19% |
| BLUE CROSS | PPO | $3,782.00 | ↓ -12% |
| Clarity Health | ALL PRODUCTS | $4,317.95 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $4,317.95 | ↑ +0% |
| BLUE CROSS | NWB | $4,598.00 | ↑ +6% |
| BLUE CROSS | NWBI | $4,598.00 | ↑ +6% |
| AETNA | All Products First Health | $5,978.70 | ↑ +38% |
| BLUE CROSS | PHS | $9,694.00 | ↑ +125% |
| AETNA | QHP | $11,770.00 | ↑ +173% |
| AETNA | All Products New Business | $14,229.00 | ↑ +230% |
| BLUE CROSS | BSL | $15,852.00 | ↑ +267% |
| AETNA | ALL PRODUCTS | $15,988.00 | ↑ +270% |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Blue Cross | BlueSelect | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
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Pericardial drain w/cath pq w/ct guid 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 | $10,596.30 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $10,596.30 | not published |
| Adventhealth Tampa | Tampa | $1,687.78 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $9,082.54 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $1,603.39 | not published |
| cleveland clinic florida weston hospital | Weston | $4,317.95 | $157.02 – $5,646.55 |
| indian river hospital | Vero Beach | $4,317.95 | $157.02 – $5,314.40 |