Removal/replacement ppm generator dual lead system at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$21,723.00
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.
?
What you pay up front if you don't use insurance.
$33,420.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$268.60 with Freedom Health vs $40,443.82 with AVMED — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $268.60 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $276.66 | ↓ -99% |
| Molina | Managed Medicaid | $282.03 | ↓ -99% |
| Sunshine Health | Managed Medicaid | $282.03 | ↓ -99% |
| Molina | Florida Kidcare | $282.03 | ↓ -99% |
| Miami Childrens Health Plan | Managed Medicaid | $282.03 | ↓ -99% |
| Blue Cross | BlueSelect | $282.96 | ↓ -99% |
| Blue Cross | Health Options | $282.96 | ↓ -99% |
| Independent Living Systems | Managed Medicaid | $322.32 | ↓ -99% |
| Blue Cross | Network Blue | $341.21 | ↓ -98% |
| Blue Cross | Traditional (PPS) | $352.31 | ↓ -98% |
| Blue Cross | Perferred Patient Care | $352.31 | ↓ -98% |
| Avmed | Medicare Advantage | $352.81 | ↓ -98% |
| Miami Childrens Health Plan | Medicare Advantage | $352.81 | ↓ -98% |
| Blue Cross | Medicare Advantage PPO | $352.81 | ↓ -98% |
| United | Medicare Advantage | $352.81 | ↓ -98% |
| Blue Cross | Medicare Advantage HMO | $352.81 | ↓ -98% |
| Freedom Health | Medicare Advantage | $370.45 | ↓ -98% |
| Careplus | Medicare Advantage | $370.45 | ↓ -98% |
| Clear Spring Health | All Products | $381.03 | ↓ -98% |
| Independent Living Systems | Medicare Advantage | $390.00 | ↓ -98% |
| MULTIPLAN | ALL PRODUCTS | $411.59 | ↓ -98% |
| Clear Spring Health | ALL PRODUCTS | $423.35 | ↓ -98% |
| Aetna | Medicare Advantage PCP | $437.48 | ↓ -98% |
| Aetna | Medicare Advantage Specialist | $444.54 | ↓ -98% |
| Avmed | Exchange | $494.74 | ↓ -98% |
| Avmed | Select | $513.77 | ↓ -98% |
| Multiplan | All Products | $529.22 | ↓ -98% |
| Avmed | Broad | $551.83 | ↓ -97% |
| United | All Products | $720.08 | ↓ -97% |
| The Legacy Companies | All Products | $1,435.20 | ↓ -93% |
| Clarity Health | All Products | $1,435.20 | ↓ -93% |
| Consociate Health | ALL PRODUCTS | $1,656.00 | ↓ -92% |
| Aetna | All Products First Health | $1,987.20 | ↓ -91% |
| Cigna | Individual Family Plan Physician | $2,208.00 | ↓ -90% |
| Cigna | All Products Mid-Level | $2,208.00 | ↓ -90% |
| Cigna | All Products Physician | $2,208.00 | ↓ -90% |
| Cigna | Individual Family Plan Mid-Level | $2,208.00 | ↓ -90% |
| Cigna | Surefit Mid-Level | $2,208.00 | ↓ -90% |
| Cigna | Surefit Physician | $2,208.00 | ↓ -90% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $4,953.92 | ↓ -77% |
| Simply | Managed Medicaid | $4,953.92 | ↓ -77% |
| SUNSHINE HEALTH | Managed Medicaid | $4,953.92 | ↓ -77% |
| AETNA | QHP | $4,966.00 | ↓ -77% |
| AMERIHEALTH | Managed Medicaid | $5,102.54 | ↓ -77% |
| MOLINA | Florida KidCare | $5,201.62 | ↓ -76% |
| MOLINA | Managed Medicaid | $5,201.62 | ↓ -76% |
| AETNA | Managed Medicaid/CHIP | $5,944.70 | ↓ -73% |
| AETNA | All Products New Business | $6,004.00 | ↓ -72% |
| AETNA | ALL PRODUCTS | $6,746.00 | ↓ -69% |
| BLUE CROSS | BSL | $7,992.00 | ↓ -63% |
| CIGNA | Individual Family Plan | $9,457.86 | ↓ -56% |
| HUMANA | Medicare Advantage HMO | $10,504.89 | ↓ -52% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $10,504.89 | ↓ -52% |
| BLUE CROSS | Medicare Advantage HMO | $10,504.89 | ↓ -52% |
| BLUE CROSS | Medicare Advantage PPO | $10,504.89 | ↓ -52% |
| UNITED | MEDICARE ADVANTAGE | $10,504.89 | ↓ -52% |
| AETNA | MEDICARE ADVANTAGE | $10,914.80 | ↓ -50% |
| Wellcare | MEDICARE ADVANTAGE | $10,914.80 | ↓ -50% |
| AVMED | MEDICARE ADVANTAGE | $10,925.08 | ↓ -50% |
| Freedom Health | MEDICARE ADVANTAGE | $11,030.13 | ↓ -49% |
| Careplus | MEDICARE ADVANTAGE | $11,030.13 | ↓ -49% |
| DEVOTED HEALTH | Medicare Advantage HMO | $12,006.28 | ↓ -45% |
| CIGNA | SUREFIT | $13,668.78 | ↓ -37% |
| BLUE CROSS | MBN | $13,738.00 | ↓ -37% |
| BMI | ALL PRODUCTS | $16,710.00 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $17,645.76 | ↓ -19% |
| BLUE CROSS | HMO | $17,967.00 | ↓ -17% |
| AVMED | EXCHANGE | $18,383.56 | ↓ -15% |
| BLUE CROSS | PPO | $18,960.00 | ↓ -13% |
| BLUE CROSS | NWBI | $19,191.00 | ↓ -12% |
| BLUE CROSS | NWB | $19,191.00 | ↓ -12% |
| The Legacy Companies | ALL PRODUCTS | $21,723.00 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $21,723.00 | ↑ +0% |
| BLUE CROSS | PHS | $22,850.00 | ↑ +5% |
| UNITED | NHP | $24,126.00 | ↑ +11% |
| UNITED | ALL PRODUCTS | $28,910.00 | ↑ +33% |
| AETNA | All Products First Health | $30,078.00 | ↑ +38% |
| AVMED | Select | $30,989.42 | ↑ +43% |
| UNITED | International | $31,738.00 | ↑ +46% |
| AVMED | BROAD | $40,443.82 | ↑ +86% |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| 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
Removal/replacement ppm generator dual lead system at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $518.23 – $529.14 |
| Adventhealth Daytona Beach | Daytona Beach | $38,571.92 | not published |
| Adventhealth Tampa | Tampa | $20,620.06 | $10,914.80 – $24,230.85 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $21,968.67 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $19,589.06 | $10,914.80 – $19,930.42 |
| cleveland clinic florida weston hospital | Weston | $21,723.00 | $173.09 – $28,407.00 |
| indian river hospital | Vero Beach | $21,723.00 | $173.09 – $26,736.00 |
| Baptist Hospital | MIAMI | $18,635.50 | $173.17 – $25,803.00 |