Proctosigmoidoscopy removal at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$364.00
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.
$560.00
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.
$73.21 with Blue Cross vs $4,556.62 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 |
|---|---|---|---|
| Blue Cross | Health Options | $73.21 | ↓ -80% |
| Blue Cross | BlueSelect | $73.21 | ↓ -80% |
| Blue Cross | Network Blue | $88.28 | ↓ -76% |
| Blue Cross | Perferred Patient Care | $91.15 | ↓ -75% |
| Blue Cross | Traditional (PPS) | $91.15 | ↓ -75% |
| Blue Cross | Medicare Advantage HMO | $97.01 | ↓ -73% |
| Avmed | Medicare Advantage | $97.01 | ↓ -73% |
| United | Medicare Advantage | $97.01 | ↓ -73% |
| Miami Childrens Health Plan | Medicare Advantage | $97.01 | ↓ -73% |
| Blue Cross | Medicare Advantage PPO | $97.01 | ↓ -73% |
| Independent Living Systems | Medicare Advantage | $101.73 | ↓ -72% |
| Careplus | Medicare Advantage | $101.86 | ↓ -72% |
| Freedom Health | Medicare Advantage | $101.86 | ↓ -72% |
| Clear Spring Health | All Products | $104.77 | ↓ -71% |
| Aetna | Medicare Advantage PCP | $120.29 | ↓ -67% |
| Aetna | Medicare Advantage Specialist | $122.23 | ↓ -66% |
| Avmed | Exchange | $128.32 | ↓ -65% |
| Avmed | Select | $133.26 | ↓ -63% |
| Freedom Health | Managed Medicaid | $140.95 | ↓ -61% |
| Avmed | Broad | $143.13 | ↓ -61% |
| AmeriHealth | Managed Medicaid | $145.18 | ↓ -60% |
| Multiplan | All Products | $145.52 | ↓ -60% |
| Molina | Florida Kidcare | $148.00 | ↓ -59% |
| Molina | Managed Medicaid | $148.00 | ↓ -59% |
| Miami Childrens Health Plan | Managed Medicaid | $148.00 | ↓ -59% |
| Sunshine Health | Managed Medicaid | $148.00 | ↓ -59% |
| Independent Living Systems | Managed Medicaid | $169.14 | ↓ -54% |
| United | All Products | $186.77 | ↓ -49% |
| Cigna | Individual Family Plan Mid-Level | $287.63 | ↓ -21% |
| Cigna | Surefit Mid-Level | $293.13 | ↓ -19% |
| Cigna | All Products Mid-Level | $316.55 | ↓ -13% |
| Cigna | Individual Family Plan Physician | $338.38 | ↓ -7% |
| Cigna | Surefit Physician | $344.86 | ↓ -5% |
| Clarity Health | All Products | $364.00 | ↑ +0% |
| The Legacy Companies | All Products | $364.00 | ↑ +0% |
| Cigna | All Products Physician | $372.41 | ↑ +2% |
| Consociate Health | ALL PRODUCTS | $420.00 | ↑ +15% |
| Aetna | All Products First Health | $504.00 | ↑ +38% |
| SUNSHINE HEALTH | Managed Medicaid | $636.88 | ↑ +75% |
| Simply | Managed Medicaid | $636.88 | ↑ +75% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $636.88 | ↑ +75% |
| AMERIHEALTH | Managed Medicaid | $655.99 | ↑ +80% |
| MOLINA | Managed Medicaid | $668.72 | ↑ +84% |
| MOLINA | Florida KidCare | $668.72 | ↑ +84% |
| AETNA | Managed Medicaid/CHIP | $764.26 | ↑ +110% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $1,183.54 | ↑ +225% |
| UNITED | MEDICARE ADVANTAGE | $1,183.54 | ↑ +225% |
| HUMANA | Medicare Advantage HMO | $1,183.54 | ↑ +225% |
| BLUE CROSS | Medicare Advantage PPO | $1,183.54 | ↑ +225% |
| BLUE CROSS | Medicare Advantage HMO | $1,183.54 | ↑ +225% |
| AVMED | MEDICARE ADVANTAGE | $1,230.88 | ↑ +238% |
| Freedom Health | MEDICARE ADVANTAGE | $1,242.71 | ↑ +241% |
| Careplus | MEDICARE ADVANTAGE | $1,242.71 | ↑ +241% |
| Wellcare | MEDICARE ADVANTAGE | $1,249.63 | ↑ +243% |
| AETNA | MEDICARE ADVANTAGE | $1,249.63 | ↑ +243% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,374.59 | ↑ +278% |
| AVMED | EXCHANGE | $2,071.19 | ↑ +469% |
| AVMED | Select | $3,491.43 | ↑ +859% |
| AVMED | BROAD | $4,556.62 | ↑ +1152% |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Proctosigmoidoscopy removal at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $1,928.86 – $1,969.47 |
| cleveland clinic florida weston hospital | Weston | $364.00 | $81.82 – $1,374.59 |
| AdventHealth Orlando | Orlando | $3,914.00 | $1,249.63 – $3,311.51 |
| Adventhealth Carrollwood | Tampa | $12,166.92 | $401.00 – $2,774.17 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $1,187.15 – $2,085.63 |
| Adventhealth Lake Wales | Lake Wales | not published | $1,249.63 – $2,774.17 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $1,187.15 – $2,669.08 |
| Adventhealth Tampa | Tampa | not published | $401.00 – $2,774.17 |