Perq transcath septal reduxn at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$4,729.40
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.
?
What you pay up front if you don't use insurance.
$7,276.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$554.31 with Freedom Health vs $22,850.00 with BLUE CROSS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $554.31 | ↓ -88% |
| AmeriHealth | Managed Medicaid | $570.94 | ↓ -88% |
| Miami Childrens Health Plan | Managed Medicaid | $582.03 | ↓ -88% |
| Sunshine Health | Managed Medicaid | $582.03 | ↓ -88% |
| Molina | Managed Medicaid | $582.03 | ↓ -88% |
| Molina | Florida Kidcare | $582.03 | ↓ -88% |
| Independent Living Systems | Managed Medicaid | $665.17 | ↓ -86% |
| United | Medicare Advantage | $732.08 | ↓ -85% |
| Blue Cross | Medicare Advantage PPO | $732.08 | ↓ -85% |
| Avmed | Medicare Advantage | $732.08 | ↓ -85% |
| Blue Cross | Medicare Advantage HMO | $732.08 | ↓ -85% |
| Miami Childrens Health Plan | Medicare Advantage | $732.08 | ↓ -85% |
| Freedom Health | Medicare Advantage | $768.68 | ↓ -84% |
| Careplus | Medicare Advantage | $768.68 | ↓ -84% |
| Clear Spring Health | All Products | $790.65 | ↓ -83% |
| Independent Living Systems | Medicare Advantage | $818.36 | ↓ -83% |
| MULTIPLAN | ALL PRODUCTS | $863.66 | ↓ -82% |
| Clear Spring Health | ALL PRODUCTS | $888.33 | ↓ -81% |
| Aetna | Medicare Advantage PCP | $907.78 | ↓ -81% |
| Aetna | Medicare Advantage Specialist | $922.42 | ↓ -80% |
| Avmed | Exchange | $1,043.06 | ↓ -78% |
| Avmed | Select | $1,083.17 | ↓ -77% |
| Multiplan | All Products | $1,098.12 | ↓ -77% |
| Avmed | Broad | $1,163.41 | ↓ -75% |
| United | All Products | $1,394.77 | ↓ -71% |
| AETNA | MEDICARE ADVANTAGE | $1,513.41 | ↓ -68% |
| CIGNA | Individual Family Plan | $2,059.11 | ↓ -56% |
| AETNA | QHP | $2,131.87 | ↓ -55% |
| AVMED | EXCHANGE | $2,182.80 | ↓ -54% |
| AVMED | Select | $2,182.80 | ↓ -54% |
| AETNA | ALL PRODUCTS | $2,270.11 | ↓ -52% |
| AETNA | All Products New Business | $2,379.25 | ↓ -50% |
| UNITED | NHP | $2,500.00 | ↓ -47% |
| AVMED | BROAD | $2,764.88 | ↓ -42% |
| CIGNA | SUREFIT | $2,975.88 | ↓ -37% |
| UNITED | ALL PRODUCTS | $2,994.00 | ↓ -37% |
| UNITED | International | $3,287.00 | ↓ -30% |
| The Legacy Companies | All Products | $3,575.00 | ↓ -24% |
| Clarity Health | All Products | $3,575.00 | ↓ -24% |
| BMI | ALL PRODUCTS | $3,638.00 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $3,841.73 | ↓ -19% |
| Consociate Health | ALL PRODUCTS | $4,125.00 | ↓ -13% |
| The Legacy Companies | ALL PRODUCTS | $4,729.40 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $4,729.40 | ↑ +0% |
| Aetna | All Products First Health | $4,950.00 | ↑ +5% |
| Cigna | Individual Family Plan Mid-Level | $5,500.00 | ↑ +16% |
| Cigna | Individual Family Plan Physician | $5,500.00 | ↑ +16% |
| Cigna | Surefit Mid-Level | $5,500.00 | ↑ +16% |
| Cigna | All Products Physician | $5,500.00 | ↑ +16% |
| Cigna | All Products Mid-Level | $5,500.00 | ↑ +16% |
| Cigna | Surefit Physician | $5,500.00 | ↑ +16% |
| AETNA | All Products First Health | $6,548.40 | ↑ +38% |
| SUNSHINE HEALTH | Managed Medicaid | $8,988.06 | ↑ +90% |
| Simply | Managed Medicaid | $8,988.06 | ↑ +90% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $8,988.06 | ↑ +90% |
| AMERIHEALTH | Managed Medicaid | $9,257.70 | ↑ +96% |
| MOLINA | Florida KidCare | $9,437.46 | ↑ +100% |
| MOLINA | Managed Medicaid | $9,437.46 | ↑ +100% |
| AETNA | Managed Medicaid/CHIP | $10,785.67 | ↑ +128% |
| BLUE CROSS | MBN | $13,738.00 | ↑ +190% |
| BLUE CROSS | BSL | $13,797.00 | ↑ +192% |
| BLUE CROSS | HMO | $17,967.00 | ↑ +280% |
| BLUE CROSS | PPO | $18,960.00 | ↑ +301% |
| BLUE CROSS | NWB | $19,191.00 | ↑ +306% |
| BLUE CROSS | NWBI | $19,191.00 | ↑ +306% |
| BLUE CROSS | PHS | $22,850.00 | ↑ +383% |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | BlueSelect | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Perq transcath septal reduxn at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $909.15 – $928.29 |
| Adventhealth Port Charlotte | Port Charlotte | $22,316.95 | not published |
| cleveland clinic florida weston hospital | Weston | $4,729.40 | $543.26 – $16,635.00 |
| indian river hospital | Vero Beach | $4,729.40 | $543.26 – $8,988.06 |
| Baptist Hospital | MIAMI | $25,455.95 | $173.17 – $35,246.70 |
| Bethesda Hospital East | BOYNTON BEACH | $25,455.95 | $4,367.00 – $35,246.70 |
| Boca Raton Regional Hospital | BOCA RATON | $23,357.75 | $4,707.00 – $23,465.56 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $25,455.95 | $1,954.00 – $35,246.70 |