Reduction of procidentia 45900 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$777.40
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.
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What you pay up front if you don't use insurance.
$1,196.00
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.
$157.46 with Blue Cross vs $3,523.35 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 | BlueSelect | $157.46 | ↓ -80% |
| Blue Cross | Health Options | $157.46 | ↓ -80% |
| Freedom Health | Managed Medicaid | $165.19 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $170.15 | ↓ -78% |
| Molina | Florida Kidcare | $173.45 | ↓ -78% |
| Sunshine Health | Managed Medicaid | $173.45 | ↓ -78% |
| Miami Childrens Health Plan | Managed Medicaid | $173.45 | ↓ -78% |
| Molina | Managed Medicaid | $173.45 | ↓ -78% |
| Blue Cross | Network Blue | $189.88 | ↓ -76% |
| Blue Cross | Perferred Patient Care | $196.06 | ↓ -75% |
| Blue Cross | Traditional (PPS) | $196.06 | ↓ -75% |
| Independent Living Systems | Managed Medicaid | $198.23 | ↓ -75% |
| United | Medicare Advantage | $235.05 | ↓ -70% |
| Blue Cross | Medicare Advantage PPO | $235.05 | ↓ -70% |
| Blue Cross | Medicare Advantage HMO | $235.05 | ↓ -70% |
| Miami Childrens Health Plan | Medicare Advantage | $235.05 | ↓ -70% |
| Avmed | Medicare Advantage | $235.05 | ↓ -70% |
| Independent Living Systems | Medicare Advantage | $239.44 | ↓ -69% |
| Freedom Health | Medicare Advantage | $246.80 | ↓ -68% |
| Careplus | Medicare Advantage | $246.80 | ↓ -68% |
| Clear Spring Health | All Products | $253.85 | ↓ -67% |
| Aetna | Medicare Advantage PCP | $291.46 | ↓ -63% |
| Aetna | Medicare Advantage Specialist | $296.16 | ↓ -62% |
| Avmed | Exchange | $302.91 | ↓ -61% |
| Avmed | Select | $314.56 | ↓ -60% |
| Avmed | Broad | $337.86 | ↓ -57% |
| Multiplan | All Products | $352.58 | ↓ -55% |
| United | All Products | $440.88 | ↓ -43% |
| The Legacy Companies | All Products | $777.40 | ↑ +0% |
| Clarity Health | All Products | $777.40 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $897.00 | ↑ +15% |
| HUMANA | Medicare Advantage HMO | $915.16 | ↑ +18% |
| BLUE CROSS | Medicare Advantage PPO | $915.16 | ↑ +18% |
| BLUE CROSS | Medicare Advantage HMO | $915.16 | ↑ +18% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $915.16 | ↑ +18% |
| UNITED | MEDICARE ADVANTAGE | $915.16 | ↑ +18% |
| SUNSHINE HEALTH | Managed Medicaid | $948.60 | ↑ +22% |
| Simply | Managed Medicaid | $948.60 | ↑ +22% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $948.60 | ↑ +22% |
| AVMED | MEDICARE ADVANTAGE | $951.76 | ↑ +22% |
| Freedom Health | MEDICARE ADVANTAGE | $960.91 | ↑ +24% |
| Careplus | MEDICARE ADVANTAGE | $960.91 | ↑ +24% |
| AETNA | MEDICARE ADVANTAGE | $971.14 | ↑ +25% |
| Wellcare | MEDICARE ADVANTAGE | $971.14 | ↑ +25% |
| AMERIHEALTH | Managed Medicaid | $977.06 | ↑ +26% |
| MOLINA | Managed Medicaid | $996.03 | ↑ +28% |
| MOLINA | Florida KidCare | $996.03 | ↑ +28% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,068.25 | ↑ +37% |
| Aetna | All Products First Health | $1,076.40 | ↑ +38% |
| AETNA | Managed Medicaid/CHIP | $1,138.32 | ↑ +46% |
| Cigna | Individual Family Plan Physician | $1,196.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $1,196.00 | ↑ +54% |
| Cigna | All Products Physician | $1,196.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $1,196.00 | ↑ +54% |
| Cigna | Surefit Physician | $1,196.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $1,196.00 | ↑ +54% |
| AVMED | EXCHANGE | $1,601.52 | ↑ +106% |
| AVMED | Select | $2,699.71 | ↑ +247% |
| AVMED | BROAD | $3,523.35 | ↑ +353% |
| 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
Reduction of procidentia 45900 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 | $777.40 | $104.55 – $1,196.00 |
| Boca Raton Regional Hospital | BOCA RATON | $2,397.20 | $476.00 – $2,408.26 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $922.58 – $1,620.82 |
| Adventhealth Lake Wales | Lake Wales | not published | $971.14 – $2,155.92 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $922.58 – $2,074.25 |
| Adventhealth Tampa | Tampa | not published | $401.00 – $2,155.92 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $922.58 – $2,121.44 |