Remove anal fist subq at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,279.20
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.
$1,968.00
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.
$301.25 with Blue Cross vs $23,045.00 with BLUE CROSS — 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 | $301.25 | ↓ -76% |
| Blue Cross | BlueSelect | $301.25 | ↓ -76% |
| Blue Cross | Network Blue | $363.27 | ↓ -72% |
| Blue Cross | Perferred Patient Care | $375.08 | ↓ -71% |
| Blue Cross | Traditional (PPS) | $375.08 | ↓ -71% |
| Freedom Health | Managed Medicaid | $413.37 | ↓ -68% |
| AmeriHealth | Managed Medicaid | $425.77 | ↓ -67% |
| Miami Childrens Health Plan | Managed Medicaid | $434.04 | ↓ -66% |
| Sunshine Health | Managed Medicaid | $434.04 | ↓ -66% |
| Molina | Florida Kidcare | $434.04 | ↓ -66% |
| Molina | Managed Medicaid | $434.04 | ↓ -66% |
| Blue Cross | Medicare Advantage PPO | $439.85 | ↓ -66% |
| Avmed | Medicare Advantage | $439.85 | ↓ -66% |
| United | Medicare Advantage | $439.85 | ↓ -66% |
| Miami Childrens Health Plan | Medicare Advantage | $439.85 | ↓ -66% |
| Blue Cross | Medicare Advantage HMO | $439.85 | ↓ -66% |
| Independent Living Systems | Medicare Advantage | $442.69 | ↓ -65% |
| Freedom Health | Medicare Advantage | $461.84 | ↓ -64% |
| Careplus | Medicare Advantage | $461.84 | ↓ -64% |
| Clear Spring Health | All Products | $475.04 | ↓ -63% |
| Independent Living Systems | Managed Medicaid | $496.04 | ↓ -61% |
| Aetna | Medicare Advantage PCP | $545.41 | ↓ -57% |
| Aetna | Medicare Advantage Specialist | $554.21 | ↓ -57% |
| Avmed | Exchange | $557.90 | ↓ -56% |
| Avmed | Select | $579.35 | ↓ -55% |
| Avmed | Broad | $622.27 | ↓ -51% |
| Multiplan | All Products | $659.78 | ↓ -48% |
| Cigna | Individual Family Plan Mid-Level | $676.56 | ↓ -47% |
| Cigna | Surefit Mid-Level | $689.51 | ↓ -46% |
| Cigna | All Products Mid-Level | $744.59 | ↓ -42% |
| Cigna | Individual Family Plan Physician | $795.95 | ↓ -38% |
| Cigna | Surefit Physician | $811.17 | ↓ -37% |
| United | All Products | $811.99 | ↓ -37% |
| Cigna | All Products Physician | $875.98 | ↓ -32% |
| The Legacy Companies | All Products | $1,279.20 | ↑ +0% |
| Clarity Health | All Products | $1,279.20 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $1,476.00 | ↑ +15% |
| SUNSHINE HEALTH | Managed Medicaid | $1,484.86 | ↑ +16% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,484.86 | ↑ +16% |
| Simply | Managed Medicaid | $1,484.86 | ↑ +16% |
| AMERIHEALTH | Managed Medicaid | $1,529.41 | ↑ +20% |
| MOLINA | Managed Medicaid | $1,559.10 | ↑ +22% |
| MOLINA | Florida KidCare | $1,559.10 | ↑ +22% |
| Aetna | All Products First Health | $1,771.20 | ↑ +38% |
| AETNA | Managed Medicaid/CHIP | $1,781.83 | ↑ +39% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $2,752.76 | ↑ +115% |
| UNITED | MEDICARE ADVANTAGE | $2,752.76 | ↑ +115% |
| HUMANA | Medicare Advantage HMO | $2,752.76 | ↑ +115% |
| BLUE CROSS | Medicare Advantage PPO | $2,752.76 | ↑ +115% |
| BLUE CROSS | Medicare Advantage HMO | $2,752.76 | ↑ +115% |
| AVMED | MEDICARE ADVANTAGE | $2,862.87 | ↑ +124% |
| Careplus | MEDICARE ADVANTAGE | $2,890.39 | ↑ +126% |
| Freedom Health | MEDICARE ADVANTAGE | $2,890.39 | ↑ +126% |
| Wellcare | MEDICARE ADVANTAGE | $2,898.56 | ↑ +127% |
| AETNA | MEDICARE ADVANTAGE | $2,898.56 | ↑ +127% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,188.42 | ↑ +149% |
| AVMED | EXCHANGE | $4,817.32 | ↑ +277% |
| UNITED | ALL PRODUCTS | $7,478.00 | ↑ +485% |
| AVMED | Select | $8,120.63 | ↑ +535% |
| AVMED | BROAD | $10,598.11 | ↑ +728% |
| BLUE CROSS | PPO | $18,486.00 | ↑ +1345% |
| BLUE CROSS | NWBI | $23,045.00 | ↑ +1702% |
| 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
Remove anal fist subq at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $2,627.17 – $2,682.48 |
| cleveland clinic florida weston hospital | Weston | $10,249.85 | $196.76 – $13,403.65 |
| indian river hospital | Vero Beach | $1,279.20 | $196.76 – $3,188.42 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $2,753.64 – $4,837.70 |
| Adventhealth Lake Wales | Lake Wales | not published | $2,898.56 – $6,434.81 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $2,753.64 – $6,191.04 |
| Adventhealth Tampa | Tampa | not published | $614.00 – $6,434.81 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $2,753.64 – $6,331.91 |