Remove sciatic nerve lesion at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$4,225.00
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.
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What you pay up front if you don't use insurance.
$6,500.00
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.
$776.70 with Freedom Health vs $24,748.87 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 |
|---|---|---|---|
| Freedom Health | Managed Medicaid | $776.70 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $800.00 | ↓ -81% |
| Miami Childrens Health Plan | Managed Medicaid | $815.54 | ↓ -81% |
| Sunshine Health | Managed Medicaid | $815.54 | ↓ -81% |
| Molina | Managed Medicaid | $815.54 | ↓ -81% |
| Molina | Florida Kidcare | $815.54 | ↓ -81% |
| Blue Cross | BlueSelect | $846.93 | ↓ -80% |
| Blue Cross | Health Options | $846.93 | ↓ -80% |
| Independent Living Systems | Managed Medicaid | $932.04 | ↓ -78% |
| Blue Cross | Network Blue | $1,021.30 | ↓ -76% |
| Blue Cross | Perferred Patient Care | $1,054.51 | ↓ -75% |
| Blue Cross | Traditional (PPS) | $1,054.51 | ↓ -75% |
| Avmed | Medicare Advantage | $1,074.40 | ↓ -75% |
| Miami Childrens Health Plan | Medicare Advantage | $1,074.40 | ↓ -75% |
| Blue Cross | Medicare Advantage HMO | $1,074.40 | ↓ -75% |
| Blue Cross | Medicare Advantage PPO | $1,074.40 | ↓ -75% |
| United | Medicare Advantage | $1,074.40 | ↓ -75% |
| Careplus | Medicare Advantage | $1,128.12 | ↓ -73% |
| Freedom Health | Medicare Advantage | $1,128.12 | ↓ -73% |
| Independent Living Systems | Medicare Advantage | $1,140.77 | ↓ -73% |
| Clear Spring Health | All Products | $1,160.35 | ↓ -73% |
| Aetna | Medicare Advantage PCP | $1,332.26 | ↓ -68% |
| Aetna | Medicare Advantage Specialist | $1,353.74 | ↓ -68% |
| Avmed | Exchange | $1,447.46 | ↓ -66% |
| Avmed | Select | $1,503.13 | ↓ -64% |
| Multiplan | All Products | $1,611.60 | ↓ -62% |
| Avmed | Broad | $1,614.47 | ↓ -62% |
| United | All Products | $2,106.72 | ↓ -50% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $3,323.56 | ↓ -21% |
| Simply | Managed Medicaid | $3,323.56 | ↓ -21% |
| SUNSHINE HEALTH | Managed Medicaid | $3,323.56 | ↓ -21% |
| AMERIHEALTH | Managed Medicaid | $3,423.27 | ↓ -19% |
| MOLINA | Managed Medicaid | $3,489.74 | ↓ -17% |
| MOLINA | Florida KidCare | $3,489.74 | ↓ -17% |
| Wellcare | MEDICARE ADVANTAGE | $3,567.41 | ↓ -16% |
| AETNA | MEDICARE ADVANTAGE | $3,567.41 | ↓ -16% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,924.15 | ↓ -7% |
| AETNA | Managed Medicaid/CHIP | $3,988.27 | ↓ -6% |
| The Legacy Companies | All Products | $4,225.00 | ↑ +0% |
| Clarity Health | All Products | $4,225.00 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $4,875.00 | ↑ +15% |
| Aetna | All Products First Health | $5,850.00 | ↑ +38% |
| BLUE CROSS | Medicare Advantage HMO | $6,428.28 | ↑ +52% |
| UNITED | MEDICARE ADVANTAGE | $6,428.28 | ↑ +52% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $6,428.28 | ↑ +52% |
| HUMANA | Medicare Advantage HMO | $6,428.28 | ↑ +52% |
| BLUE CROSS | Medicare Advantage PPO | $6,428.28 | ↑ +52% |
| Cigna | Individual Family Plan Mid-Level | $6,500.00 | ↑ +54% |
| Cigna | Surefit Physician | $6,500.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $6,500.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $6,500.00 | ↑ +54% |
| Cigna | All Products Physician | $6,500.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $6,500.00 | ↑ +54% |
| AVMED | MEDICARE ADVANTAGE | $6,685.41 | ↑ +58% |
| Careplus | MEDICARE ADVANTAGE | $6,749.69 | ↑ +60% |
| Freedom Health | MEDICARE ADVANTAGE | $6,749.69 | ↑ +60% |
| AVMED | EXCHANGE | $11,249.49 | ↑ +166% |
| AVMED | Select | $18,963.42 | ↑ +349% |
| AVMED | BROAD | $24,748.87 | ↑ +486% |
| 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 sciatic nerve lesion at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $1,654.74 – $1,689.58 |
| cleveland clinic florida weston hospital | Weston | $4,225.00 | $757.14 – $6,685.41 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,389.04 – $5,954.01 |
| Adventhealth Tampa | Tampa | not published | $614.00 – $7,919.65 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $1,588.12 – $1,621.55 |
| indian river hospital | Vero Beach | not published | $3,157.38 – $6,685.41 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $1,612.15 – $1,646.09 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $1,667.46 – $1,702.56 |