Removal of pancreas lesion at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$4,786.60
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.
$7,364.00
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 $7,364.00 with Cigna — 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 | ↓ -82% |
| Blue Cross | BlueSelect | $867.45 | ↓ -82% |
| Blue Cross | Health Options | $867.45 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $884.15 | ↓ -82% |
| Sunshine Health | Managed Medicaid | $901.32 | ↓ -81% |
| Molina | Managed Medicaid | $901.32 | ↓ -81% |
| Molina | Florida Kidcare | $901.32 | ↓ -81% |
| Miami Childrens Health Plan | Managed Medicaid | $901.32 | ↓ -81% |
| Independent Living Systems | Managed Medicaid | $1,030.08 | ↓ -78% |
| Blue Cross | Network Blue | $1,046.04 | ↓ -78% |
| Blue Cross | Traditional (PPS) | $1,080.05 | ↓ -77% |
| Blue Cross | Perferred Patient Care | $1,080.05 | ↓ -77% |
| United | Medicare Advantage | $1,186.28 | ↓ -75% |
| Miami Childrens Health Plan | Medicare Advantage | $1,186.28 | ↓ -75% |
| Blue Cross | Medicare Advantage HMO | $1,186.28 | ↓ -75% |
| Blue Cross | Medicare Advantage PPO | $1,186.28 | ↓ -75% |
| Avmed | Medicare Advantage | $1,186.28 | ↓ -75% |
| Freedom Health | Medicare Advantage | $1,245.59 | ↓ -74% |
| Careplus | Medicare Advantage | $1,245.59 | ↓ -74% |
| Independent Living Systems | Medicare Advantage | $1,263.54 | ↓ -74% |
| Clear Spring Health | All Products | $1,281.18 | ↓ -73% |
| Aetna | Medicare Advantage PCP | $1,470.99 | ↓ -69% |
| Aetna | Medicare Advantage Specialist | $1,494.71 | ↓ -69% |
| Avmed | Exchange | $1,603.89 | ↓ -66% |
| Avmed | Select | $1,665.58 | ↓ -65% |
| Multiplan | All Products | $1,779.42 | ↓ -63% |
| Avmed | Broad | $1,788.95 | ↓ -63% |
| United | All Products | $2,334.40 | ↓ -51% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $3,608.39 | ↓ -25% |
| Simply | Managed Medicaid | $3,608.39 | ↓ -25% |
| SUNSHINE HEALTH | Managed Medicaid | $3,608.39 | ↓ -25% |
| AMERIHEALTH | Managed Medicaid | $3,716.64 | ↓ -22% |
| MOLINA | Florida KidCare | $3,788.81 | ↓ -21% |
| MOLINA | Managed Medicaid | $3,788.81 | ↓ -21% |
| AETNA | Managed Medicaid/CHIP | $4,330.07 | ↓ -10% |
| The Legacy Companies | All Products | $4,786.60 | ↑ +0% |
| Clarity Health | All Products | $4,786.60 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $5,523.00 | ↑ +15% |
| Aetna | All Products First Health | $6,627.60 | ↑ +38% |
| Cigna | Surefit Physician | $7,364.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $7,364.00 | ↑ +54% |
| Cigna | All Products Physician | $7,364.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $7,364.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $7,364.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $7,364.00 | ↑ +54% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
Visitor-reported prices
Comments
Removal of pancreas lesion at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $4,786.60 | $654.19 – $7,364.00 |
| indian river hospital | Vero Beach | not published | $3,427.97 – $4,330.07 |