Removal of spinal shunt at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,905.80
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.
$2,932.00
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.
$482.60 with Blue Cross vs $7,546.58 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 | $482.60 | ↓ -75% |
| Blue Cross | BlueSelect | $482.60 | ↓ -75% |
| Freedom Health | Managed Medicaid | $483.33 | ↓ -75% |
| AmeriHealth | Managed Medicaid | $497.83 | ↓ -74% |
| Molina | Florida Kidcare | $507.50 | ↓ -73% |
| Sunshine Health | Managed Medicaid | $507.50 | ↓ -73% |
| Miami Childrens Health Plan | Managed Medicaid | $507.50 | ↓ -73% |
| Molina | Managed Medicaid | $507.50 | ↓ -73% |
| Independent Living Systems | Managed Medicaid | $580.00 | ↓ -70% |
| Blue Cross | Network Blue | $581.96 | ↓ -69% |
| Blue Cross | Traditional (PPS) | $600.88 | ↓ -68% |
| Blue Cross | Perferred Patient Care | $600.88 | ↓ -68% |
| Independent Living Systems | Medicare Advantage | $721.07 | ↓ -62% |
| Blue Cross | Medicare Advantage PPO | $732.12 | ↓ -62% |
| Avmed | Medicare Advantage | $732.12 | ↓ -62% |
| Miami Childrens Health Plan | Medicare Advantage | $732.12 | ↓ -62% |
| Blue Cross | Medicare Advantage HMO | $732.12 | ↓ -62% |
| United | Medicare Advantage | $732.12 | ↓ -62% |
| Careplus | Medicare Advantage | $768.73 | ↓ -60% |
| Freedom Health | Medicare Advantage | $768.73 | ↓ -60% |
| Clear Spring Health | All Products | $790.69 | ↓ -59% |
| Simply | Managed Medicaid | $879.72 | ↓ -54% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $879.72 | ↓ -54% |
| SUNSHINE HEALTH | Managed Medicaid | $879.72 | ↓ -54% |
| AMERIHEALTH | Managed Medicaid | $906.11 | ↓ -52% |
| Aetna | Medicare Advantage PCP | $907.83 | ↓ -52% |
| Avmed | Exchange | $914.55 | ↓ -52% |
| Aetna | Medicare Advantage Specialist | $922.47 | ↓ -52% |
| MOLINA | Managed Medicaid | $923.71 | ↓ -52% |
| MOLINA | Florida KidCare | $923.71 | ↓ -52% |
| Avmed | Select | $949.73 | ↓ -50% |
| Avmed | Broad | $1,020.08 | ↓ -46% |
| AETNA | Managed Medicaid/CHIP | $1,055.66 | ↓ -45% |
| Multiplan | All Products | $1,098.18 | ↓ -42% |
| United | All Products | $1,331.09 | ↓ -30% |
| The Legacy Companies | All Products | $1,905.80 | ↑ +0% |
| Clarity Health | All Products | $1,905.80 | ↑ +0% |
| UNITED | MEDICARE ADVANTAGE | $1,960.15 | ↑ +3% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $1,960.15 | ↑ +3% |
| BLUE CROSS | Medicare Advantage PPO | $1,960.15 | ↑ +3% |
| HUMANA | Medicare Advantage HMO | $1,960.15 | ↑ +3% |
| BLUE CROSS | Medicare Advantage HMO | $1,960.15 | ↑ +3% |
| AVMED | MEDICARE ADVANTAGE | $2,038.56 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $2,039.19 | ↑ +7% |
| Wellcare | MEDICARE ADVANTAGE | $2,039.19 | ↑ +7% |
| Careplus | MEDICARE ADVANTAGE | $2,058.16 | ↑ +8% |
| Freedom Health | MEDICARE ADVANTAGE | $2,058.16 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $2,199.00 | ↑ +15% |
| DEVOTED HEALTH | Medicare Advantage HMO | $2,243.11 | ↑ +18% |
| Aetna | All Products First Health | $2,638.80 | ↑ +38% |
| Cigna | Surefit Physician | $2,932.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $2,932.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $2,932.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $2,932.00 | ↑ +54% |
| Cigna | All Products Physician | $2,932.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $2,932.00 | ↑ +54% |
| AVMED | EXCHANGE | $3,430.27 | ↑ +80% |
| AVMED | Select | $5,782.45 | ↑ +203% |
| AVMED | BROAD | $7,546.58 | ↑ +296% |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Removal of spinal shunt at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $2,265.01 – $2,312.69 |
| cleveland clinic florida weston hospital | Weston | $1,905.80 | $318.03 – $2,932.00 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $1,937.23 – $3,403.41 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $1,937.23 – $4,355.51 |
| Adventhealth Tampa | Tampa | not published | $537.00 – $4,527.00 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $1,937.23 – $4,454.61 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $2,173.81 – $2,219.57 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $2,039.19 – $3,723.56 |