Repair detached retina at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$8,524.10
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.
$13,114.00
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.
$587.52 with Blue Cross vs $14,382.00 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 | BlueSelect | $587.52 | ↓ -93% |
| Blue Cross | Health Options | $587.52 | ↓ -93% |
| Simply | Managed Medicaid | $657.68 | ↓ -92% |
| Freedom Health | Managed Medicaid | $657.68 | ↓ -92% |
| SUNSHINE HEALTH | Managed Medicaid | $657.68 | ↓ -92% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $657.68 | ↓ -92% |
| AMERIHEALTH | Managed Medicaid | $677.41 | ↓ -92% |
| Miami Childrens Health Plan | Managed Medicaid | $690.56 | ↓ -92% |
| MOLINA | Florida KidCare | $690.56 | ↓ -92% |
| MOLINA | Managed Medicaid | $690.56 | ↓ -92% |
| AmeriHealth | Managed Medicaid | $692.17 | ↓ -92% |
| Molina | Florida Kidcare | $705.61 | ↓ -92% |
| Molina | Managed Medicaid | $705.61 | ↓ -92% |
| Sunshine Health | Managed Medicaid | $705.61 | ↓ -92% |
| Blue Cross | Network Blue | $708.48 | ↓ -92% |
| Miami Childrens Health Plan | Medicare Advantage | $728.01 | ↓ -91% |
| Blue Cross | Medicare Advantage HMO | $728.01 | ↓ -91% |
| Blue Cross | Medicare Advantage PPO | $728.01 | ↓ -91% |
| United | Medicare Advantage | $728.01 | ↓ -91% |
| Avmed | Medicare Advantage | $728.01 | ↓ -91% |
| Blue Cross | Traditional (PPS) | $731.52 | ↓ -91% |
| Blue Cross | Perferred Patient Care | $731.52 | ↓ -91% |
| Freedom Health | Medicare Advantage | $764.41 | ↓ -91% |
| Careplus | Medicare Advantage | $764.41 | ↓ -91% |
| Clear Spring Health | All Products | $786.25 | ↓ -91% |
| AETNA | Managed Medicaid/CHIP | $789.22 | ↓ -91% |
| Independent Living Systems | Managed Medicaid | $789.22 | ↓ -91% |
| Cigna | Individual Family Plan Mid-Level | $828.32 | ↓ -90% |
| Independent Living Systems | Medicare Advantage | $838.23 | ↓ -90% |
| Cigna | Surefit Mid-Level | $844.08 | ↓ -90% |
| Aetna | Medicare Advantage PCP | $902.73 | ↓ -89% |
| Cigna | All Products Mid-Level | $911.51 | ↓ -89% |
| Aetna | Medicare Advantage Specialist | $917.29 | ↓ -89% |
| MULTIPLAN | ALL PRODUCTS | $918.98 | ↓ -89% |
| Clear Spring Health | ALL PRODUCTS | $945.24 | ↓ -89% |
| Cigna | Individual Family Plan Physician | $974.39 | ↓ -89% |
| Cigna | Surefit Physician | $993.07 | ↓ -88% |
| Avmed | Exchange | $1,071.45 | ↓ -87% |
| Cigna | All Products Physician | $1,072.44 | ↓ -87% |
| Multiplan | All Products | $1,092.02 | ↓ -87% |
| Avmed | Select | $1,112.66 | ↓ -87% |
| Avmed | Broad | $1,195.08 | ↓ -86% |
| United | All Products | $1,559.45 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $2,289.35 | ↓ -73% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $2,289.35 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $2,289.35 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $2,289.35 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $2,289.35 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $2,380.93 | ↓ -72% |
| Careplus | MEDICARE ADVANTAGE | $2,403.82 | ↓ -72% |
| Freedom Health | MEDICARE ADVANTAGE | $2,403.82 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $2,410.01 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $2,410.01 | ↓ -72% |
| DEVOTED HEALTH | Medicare Advantage HMO | $2,651.01 | ↓ -69% |
| Clarity Health | All Products | $2,665.00 | ↓ -69% |
| The Legacy Companies | All Products | $2,665.00 | ↓ -69% |
| Consociate Health | ALL PRODUCTS | $3,075.00 | ↓ -64% |
| Aetna | All Products First Health | $3,690.00 | ↓ -57% |
| CIGNA | Individual Family Plan | $3,711.26 | ↓ -56% |
| AETNA | QHP | $3,842.40 | ↓ -55% |
| AVMED | EXCHANGE | $4,006.36 | ↓ -53% |
| AETNA | ALL PRODUCTS | $4,091.57 | ↓ -52% |
| AETNA | All Products New Business | $4,288.28 | ↓ -50% |
| CIGNA | SUREFIT | $5,363.63 | ↓ -37% |
| BLUE CROSS | MBN | $5,924.00 | ↓ -31% |
| BLUE CROSS | BSL | $6,469.00 | ↓ -24% |
| BMI | ALL PRODUCTS | $6,557.00 | ↓ -23% |
| AVMED | Select | $6,753.59 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $6,924.19 | ↓ -19% |
| BLUE CROSS | HMO | $7,828.00 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $8,524.10 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $8,524.10 | ↑ +0% |
| BLUE CROSS | PPO | $8,632.00 | ↑ +1% |
| AVMED | BROAD | $8,814.00 | ↑ +3% |
| BLUE CROSS | NWB | $10,923.00 | ↑ +28% |
| BLUE CROSS | NWBI | $10,923.00 | ↑ +28% |
| AETNA | All Products First Health | $11,802.60 | ↑ +38% |
| BLUE CROSS | PHS | $14,382.00 | ↑ +69% |
| UNITED | International | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| UNITED | ALL PRODUCTS | 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 | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Repair detached retina at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $5,844.10 – $5,967.13 |
| Adventhealth Lake Wales | Lake Wales | not published | $2,410.01 – $5,350.23 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $2,289.51 – $5,264.67 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $5,608.80 – $5,726.88 |
| cleveland clinic florida weston hospital | Weston | not published | $624.80 – $2,651.01 |
| indian river hospital | Vero Beach | not published | $624.80 – $2,651.01 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $5,693.71 – $5,813.58 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $5,889.05 – $6,013.03 |