Perq nl/pl lithotrp cplx>2cm at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$5,980.00
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.
$9,200.00
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.
$858.40 with Freedom Health vs $35,736.10 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 | $858.40 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $884.15 | ↓ -85% |
| Miami Childrens Health Plan | Managed Medicaid | $901.32 | ↓ -85% |
| Molina | Florida Kidcare | $901.32 | ↓ -85% |
| Molina | Managed Medicaid | $901.32 | ↓ -85% |
| Sunshine Health | Managed Medicaid | $901.32 | ↓ -85% |
| Blue Cross | Health Options | $992.18 | ↓ -83% |
| Blue Cross | BlueSelect | $992.18 | ↓ -83% |
| Independent Living Systems | Managed Medicaid | $1,030.08 | ↓ -83% |
| United | Medicare Advantage | $1,080.53 | ↓ -82% |
| Blue Cross | Medicare Advantage HMO | $1,080.53 | ↓ -82% |
| Miami Childrens Health Plan | Medicare Advantage | $1,080.53 | ↓ -82% |
| Avmed | Medicare Advantage | $1,080.53 | ↓ -82% |
| Blue Cross | Medicare Advantage PPO | $1,080.53 | ↓ -82% |
| Freedom Health | Medicare Advantage | $1,134.56 | ↓ -81% |
| Careplus | Medicare Advantage | $1,134.56 | ↓ -81% |
| Clear Spring Health | All Products | $1,166.97 | ↓ -80% |
| Blue Cross | Network Blue | $1,196.45 | ↓ -80% |
| Independent Living Systems | Medicare Advantage | $1,206.82 | ↓ -80% |
| Blue Cross | Perferred Patient Care | $1,235.36 | ↓ -79% |
| Blue Cross | Traditional (PPS) | $1,235.36 | ↓ -79% |
| Aetna | Medicare Advantage PCP | $1,339.86 | ↓ -78% |
| Aetna | Medicare Advantage Specialist | $1,361.47 | ↓ -77% |
| Avmed | Exchange | $1,531.18 | ↓ -74% |
| Avmed | Select | $1,590.07 | ↓ -73% |
| Multiplan | All Products | $1,620.80 | ↓ -73% |
| Avmed | Broad | $1,707.85 | ↓ -71% |
| United | All Products | $2,228.57 | ↓ -63% |
| Simply | Managed Medicaid | $4,562.08 | ↓ -24% |
| SUNSHINE HEALTH | Managed Medicaid | $4,562.08 | ↓ -24% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $4,562.08 | ↓ -24% |
| AMERIHEALTH | Managed Medicaid | $4,698.94 | ↓ -21% |
| MOLINA | Florida KidCare | $4,790.18 | ↓ -20% |
| MOLINA | Managed Medicaid | $4,790.18 | ↓ -20% |
| AETNA | Managed Medicaid/CHIP | $5,474.50 | ↓ -8% |
| The Legacy Companies | All Products | $5,980.00 | ↑ +0% |
| Clarity Health | All Products | $5,980.00 | ↑ +0% |
| AETNA | QHP | $6,451.00 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $6,900.00 | ↑ +15% |
| Aetna | All Products First Health | $8,280.00 | ↑ +38% |
| Cigna | All Products Mid-Level | $9,200.00 | ↑ +54% |
| Cigna | Surefit Physician | $9,200.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $9,200.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $9,200.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $9,200.00 | ↑ +54% |
| Cigna | All Products Physician | $9,200.00 | ↑ +54% |
| HUMANA | Medicare Advantage HMO | $9,282.10 | ↑ +55% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $9,282.10 | ↑ +55% |
| UNITED | MEDICARE ADVANTAGE | $9,282.10 | ↑ +55% |
| BLUE CROSS | Medicare Advantage HMO | $9,282.10 | ↑ +55% |
| BLUE CROSS | Medicare Advantage PPO | $9,282.10 | ↑ +55% |
| AVMED | MEDICARE ADVANTAGE | $9,653.39 | ↑ +61% |
| Freedom Health | MEDICARE ADVANTAGE | $9,746.21 | ↑ +63% |
| Careplus | MEDICARE ADVANTAGE | $9,746.21 | ↑ +63% |
| AETNA | MEDICARE ADVANTAGE | $9,885.63 | ↑ +65% |
| Wellcare | MEDICARE ADVANTAGE | $9,885.63 | ↑ +65% |
| UNITED | ALL PRODUCTS | $10,498.00 | ↑ +76% |
| DEVOTED HEALTH | Medicare Advantage HMO | $10,874.19 | ↑ +82% |
| AVMED | EXCHANGE | $16,243.68 | ↑ +172% |
| AVMED | Select | $27,382.21 | ↑ +358% |
| AVMED | BROAD | $35,736.10 | ↑ +498% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
Visitor-reported prices
Comments
Perq nl/pl lithotrp cplx>2cm at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $1,002.45 – $1,023.55 |
| cleveland clinic florida weston hospital | Weston | $5,980.00 | $858.40 – $10,874.19 |
| indian river hospital | Vero Beach | $5,980.00 | $858.40 – $10,874.19 |
| Baptist Hospital | MIAMI | $52,499.20 | $173.17 – $36,345.60 |
| Bethesda Hospital East | BOYNTON BEACH | $52,499.20 | $3,651.00 – $36,345.60 |
| Doctors Hospital | CORAL GABLES | $52,499.20 | $3,320.00 – $36,345.60 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $52,499.20 | $3,320.00 – $36,345.60 |
| Homestead Hospital | HOMESTEAD | $52,499.20 | $167.89 – $36,345.60 |