Reconstruction of throat at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$2,150.20
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.
$3,308.00
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.
$610.74 with Freedom Health vs $22,861.38 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 | $610.74 | ↓ -72% |
| AmeriHealth | Managed Medicaid | $629.06 | ↓ -71% |
| Blue Cross | Health Options | $630.88 | ↓ -71% |
| Blue Cross | BlueSelect | $630.88 | ↓ -71% |
| Molina | Managed Medicaid | $641.28 | ↓ -70% |
| Sunshine Health | Managed Medicaid | $641.28 | ↓ -70% |
| Miami Childrens Health Plan | Managed Medicaid | $641.28 | ↓ -70% |
| Molina | Florida Kidcare | $641.28 | ↓ -70% |
| Independent Living Systems | Managed Medicaid | $732.89 | ↓ -66% |
| Blue Cross | Network Blue | $760.76 | ↓ -65% |
| Blue Cross | Medicare Advantage PPO | $774.89 | ↓ -64% |
| United | Medicare Advantage | $774.89 | ↓ -64% |
| Avmed | Medicare Advantage | $774.89 | ↓ -64% |
| Miami Childrens Health Plan | Medicare Advantage | $774.89 | ↓ -64% |
| Blue Cross | Medicare Advantage HMO | $774.89 | ↓ -64% |
| Blue Cross | Perferred Patient Care | $785.50 | ↓ -63% |
| Blue Cross | Traditional (PPS) | $785.50 | ↓ -63% |
| Freedom Health | Medicare Advantage | $813.63 | ↓ -62% |
| Careplus | Medicare Advantage | $813.63 | ↓ -62% |
| Clear Spring Health | All Products | $836.88 | ↓ -61% |
| Independent Living Systems | Medicare Advantage | $843.60 | ↓ -61% |
| Aetna | Medicare Advantage PCP | $960.86 | ↓ -55% |
| Aetna | Medicare Advantage Specialist | $976.36 | ↓ -55% |
| Avmed | Exchange | $1,076.24 | ↓ -50% |
| Avmed | Select | $1,117.64 | ↓ -48% |
| Multiplan | All Products | $1,162.34 | ↓ -46% |
| Avmed | Broad | $1,200.43 | ↓ -44% |
| United | All Products | $1,566.43 | ↓ -27% |
| The Legacy Companies | All Products | $2,150.20 | ↑ +0% |
| Clarity Health | All Products | $2,150.20 | ↑ +0% |
| SUNSHINE HEALTH | Managed Medicaid | $2,244.59 | ↑ +4% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $2,244.59 | ↑ +4% |
| Simply | Managed Medicaid | $2,244.59 | ↑ +4% |
| AMERIHEALTH | Managed Medicaid | $2,311.93 | ↑ +8% |
| MOLINA | Florida KidCare | $2,356.82 | ↑ +10% |
| MOLINA | Managed Medicaid | $2,356.82 | ↑ +10% |
| Consociate Health | ALL PRODUCTS | $2,481.00 | ↑ +15% |
| AETNA | Managed Medicaid/CHIP | $2,693.51 | ↑ +25% |
| Aetna | All Products First Health | $2,977.20 | ↑ +38% |
| Cigna | Individual Family Plan Physician | $3,308.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $3,308.00 | ↑ +54% |
| Cigna | All Products Physician | $3,308.00 | ↑ +54% |
| Cigna | Surefit Physician | $3,308.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $3,308.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $3,308.00 | ↑ +54% |
| HUMANA | Medicare Advantage HMO | $5,938.02 | ↑ +176% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $5,938.02 | ↑ +176% |
| BLUE CROSS | Medicare Advantage PPO | $5,938.02 | ↑ +176% |
| UNITED | MEDICARE ADVANTAGE | $5,938.02 | ↑ +176% |
| BLUE CROSS | Medicare Advantage HMO | $5,938.02 | ↑ +176% |
| AVMED | MEDICARE ADVANTAGE | $6,175.54 | ↑ +187% |
| AETNA | MEDICARE ADVANTAGE | $6,181.95 | ↑ +188% |
| Wellcare | MEDICARE ADVANTAGE | $6,181.95 | ↑ +188% |
| Careplus | MEDICARE ADVANTAGE | $6,234.92 | ↑ +190% |
| Freedom Health | MEDICARE ADVANTAGE | $6,234.92 | ↑ +190% |
| DEVOTED HEALTH | Medicare Advantage HMO | $6,800.15 | ↑ +216% |
| AVMED | EXCHANGE | $10,391.54 | ↑ +383% |
| AVMED | Select | $17,517.16 | ↑ +715% |
| AVMED | BROAD | $22,861.38 | ↑ +963% |
| 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
Reconstruction of throat at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $2,150.20 | $454.94 – $6,800.15 |
| indian river hospital | Vero Beach | $2,150.20 | $454.94 – $6,800.15 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $5,872.86 – $10,317.68 |
| Adventhealth Tampa | Tampa | not published | $537.00 – $13,723.94 |
| Baptist Hospital | MIAMI | not published | not published |
| AdventHealth Orlando | Orlando | not published | $6,181.95 – $16,382.18 |
| Adventhealth Carrollwood | Tampa | not published | $537.00 – $13,723.94 |
| Adventhealth Sebring | Sebring | not published | $6,336.50 – $14,049.11 |