Repair av fistula ext 35190 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$3,489.20
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.
$5,368.00
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.
$568.35 with Freedom Health vs $20,890.61 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 | $568.35 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $585.40 | ↓ -83% |
| Miami Childrens Health Plan | Managed Medicaid | $596.77 | ↓ -83% |
| Molina | Managed Medicaid | $596.77 | ↓ -83% |
| Sunshine Health | Managed Medicaid | $596.77 | ↓ -83% |
| Molina | Florida Kidcare | $596.77 | ↓ -83% |
| Blue Cross | Health Options | $633.89 | ↓ -82% |
| Blue Cross | BlueSelect | $633.89 | ↓ -82% |
| Independent Living Systems | Managed Medicaid | $682.02 | ↓ -80% |
| Blue Cross | Network Blue | $764.40 | ↓ -78% |
| Avmed | Medicare Advantage | $781.86 | ↓ -78% |
| Miami Childrens Health Plan | Medicare Advantage | $781.86 | ↓ -78% |
| Blue Cross | Medicare Advantage HMO | $781.86 | ↓ -78% |
| Blue Cross | Medicare Advantage PPO | $781.86 | ↓ -78% |
| United | Medicare Advantage | $781.86 | ↓ -78% |
| Blue Cross | Perferred Patient Care | $789.26 | ↓ -77% |
| Blue Cross | Traditional (PPS) | $789.26 | ↓ -77% |
| Freedom Health | Medicare Advantage | $820.95 | ↓ -76% |
| Careplus | Medicare Advantage | $820.95 | ↓ -76% |
| Independent Living Systems | Medicare Advantage | $842.23 | ↓ -76% |
| Clear Spring Health | All Products | $844.41 | ↓ -76% |
| Aetna | Medicare Advantage PCP | $969.51 | ↓ -72% |
| Aetna | Medicare Advantage Specialist | $985.14 | ↓ -72% |
| Avmed | Exchange | $1,075.05 | ↓ -69% |
| Avmed | Select | $1,116.40 | ↓ -68% |
| Multiplan | All Products | $1,172.79 | ↓ -66% |
| Avmed | Broad | $1,199.09 | ↓ -66% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,389.98 | ↓ -60% |
| Simply | Managed Medicaid | $1,389.98 | ↓ -60% |
| SUNSHINE HEALTH | Managed Medicaid | $1,389.98 | ↓ -60% |
| AMERIHEALTH | Managed Medicaid | $1,431.68 | ↓ -59% |
| MOLINA | Florida KidCare | $1,459.48 | ↓ -58% |
| MOLINA | Managed Medicaid | $1,459.48 | ↓ -58% |
| United | All Products | $1,564.69 | ↓ -55% |
| AETNA | Managed Medicaid/CHIP | $1,667.98 | ↓ -52% |
| The Legacy Companies | All Products | $3,489.20 | ↑ +0% |
| Clarity Health | All Products | $3,489.20 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $4,026.00 | ↑ +15% |
| Aetna | All Products First Health | $4,831.20 | ↑ +38% |
| Cigna | Surefit Mid-Level | $5,368.00 | ↑ +54% |
| Cigna | Surefit Physician | $5,368.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $5,368.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $5,368.00 | ↑ +54% |
| Cigna | All Products Physician | $5,368.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $5,368.00 | ↑ +54% |
| HUMANA | Medicare Advantage HMO | $5,426.13 | ↑ +56% |
| BLUE CROSS | Medicare Advantage PPO | $5,426.13 | ↑ +56% |
| UNITED | MEDICARE ADVANTAGE | $5,426.13 | ↑ +56% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $5,426.13 | ↑ +56% |
| BLUE CROSS | Medicare Advantage HMO | $5,426.13 | ↑ +56% |
| AVMED | MEDICARE ADVANTAGE | $5,643.18 | ↑ +62% |
| Careplus | MEDICARE ADVANTAGE | $5,697.44 | ↑ +63% |
| Freedom Health | MEDICARE ADVANTAGE | $5,697.44 | ↑ +63% |
| Wellcare | MEDICARE ADVANTAGE | $5,810.88 | ↑ +67% |
| AETNA | MEDICARE ADVANTAGE | $5,810.88 | ↑ +67% |
| DEVOTED HEALTH | Medicare Advantage HMO | $6,391.96 | ↑ +83% |
| AVMED | EXCHANGE | $9,495.73 | ↑ +172% |
| AVMED | Select | $16,007.09 | ↑ +359% |
| AVMED | BROAD | $20,890.61 | ↑ +499% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Repair av fistula ext 35190 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $2,640.17 – $2,695.76 |
| cleveland clinic florida weston hospital | Weston | $3,489.20 | $568.35 – $6,391.96 |
| Bethesda Hospital East | BOYNTON BEACH | $14,430.65 | $1,348.73 – $19,980.90 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $5,520.33 – $9,698.35 |
| Adventhealth Tampa | Tampa | not published | $5,810.88 – $12,900.14 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $5,520.33 – $12,693.86 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $2,533.88 – $2,587.22 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $5,810.88 – $10,610.66 |