Repair eyelid defect at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,541.80
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.
$2,372.00
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.
$374.96 with Blue Cross vs $9,015.85 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 |
|---|---|---|---|
| Blue Cross | BlueSelect | $374.96 | ↓ -76% |
| Blue Cross | Health Options | $374.96 | ↓ -76% |
| United | Medicare Advantage | $409.49 | ↓ -73% |
| Blue Cross | Medicare Advantage HMO | $409.49 | ↓ -73% |
| Miami Childrens Health Plan | Medicare Advantage | $409.49 | ↓ -73% |
| Blue Cross | Medicare Advantage PPO | $409.49 | ↓ -73% |
| Avmed | Medicare Advantage | $409.49 | ↓ -73% |
| Careplus | Medicare Advantage | $429.96 | ↓ -72% |
| Freedom Health | Medicare Advantage | $429.96 | ↓ -72% |
| Clear Spring Health | All Products | $442.25 | ↓ -71% |
| Blue Cross | Network Blue | $452.16 | ↓ -71% |
| Blue Cross | Traditional (PPS) | $466.86 | ↓ -70% |
| Blue Cross | Perferred Patient Care | $466.86 | ↓ -70% |
| Freedom Health | Managed Medicaid | $470.31 | ↓ -69% |
| Independent Living Systems | Medicare Advantage | $474.16 | ↓ -69% |
| AmeriHealth | Managed Medicaid | $484.42 | ↓ -69% |
| Miami Childrens Health Plan | Managed Medicaid | $493.83 | ↓ -68% |
| Molina | Florida Kidcare | $493.83 | ↓ -68% |
| Molina | Managed Medicaid | $493.83 | ↓ -68% |
| Sunshine Health | Managed Medicaid | $493.83 | ↓ -68% |
| Aetna | Medicare Advantage PCP | $507.77 | ↓ -67% |
| Aetna | Medicare Advantage Specialist | $515.96 | ↓ -67% |
| Independent Living Systems | Managed Medicaid | $564.37 | ↓ -63% |
| Cigna | Individual Family Plan Mid-Level | $573.55 | ↓ -63% |
| Cigna | Surefit Mid-Level | $584.47 | ↓ -62% |
| Avmed | Exchange | $602.50 | ↓ -61% |
| Multiplan | All Products | $614.24 | ↓ -60% |
| Avmed | Select | $625.67 | ↓ -59% |
| Cigna | All Products Mid-Level | $631.16 | ↓ -59% |
| Avmed | Broad | $672.02 | ↓ -56% |
| Cigna | Individual Family Plan Physician | $674.70 | ↓ -56% |
| Cigna | Surefit Physician | $687.63 | ↓ -55% |
| Cigna | All Products Physician | $742.59 | ↓ -52% |
| United | All Products | $876.91 | ↓ -43% |
| Simply | Managed Medicaid | $1,125.42 | ↓ -27% |
| SUNSHINE HEALTH | Managed Medicaid | $1,125.42 | ↓ -27% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,125.42 | ↓ -27% |
| AMERIHEALTH | Managed Medicaid | $1,159.18 | ↓ -25% |
| MOLINA | Managed Medicaid | $1,181.69 | ↓ -23% |
| MOLINA | Florida KidCare | $1,181.69 | ↓ -23% |
| AETNA | Managed Medicaid/CHIP | $1,350.50 | ↓ -12% |
| Clarity Health | All Products | $1,541.80 | ↑ +0% |
| The Legacy Companies | All Products | $1,541.80 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $1,779.00 | ↑ +15% |
| Aetna | All Products First Health | $2,134.80 | ↑ +38% |
| BLUE CROSS | Medicare Advantage PPO | $2,341.78 | ↑ +52% |
| HUMANA | Medicare Advantage HMO | $2,341.78 | ↑ +52% |
| UNITED | MEDICARE ADVANTAGE | $2,341.78 | ↑ +52% |
| BLUE CROSS | Medicare Advantage HMO | $2,341.78 | ↑ +52% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $2,341.78 | ↑ +52% |
| AVMED | MEDICARE ADVANTAGE | $2,435.45 | ↑ +58% |
| Freedom Health | MEDICARE ADVANTAGE | $2,458.87 | ↑ +59% |
| Careplus | MEDICARE ADVANTAGE | $2,458.87 | ↑ +59% |
| AETNA | MEDICARE ADVANTAGE | $2,482.76 | ↑ +61% |
| Wellcare | MEDICARE ADVANTAGE | $2,482.76 | ↑ +61% |
| DEVOTED HEALTH | Medicare Advantage HMO | $2,731.03 | ↑ +77% |
| AVMED | EXCHANGE | $4,098.11 | ↑ +166% |
| AVMED | Select | $6,908.25 | ↑ +348% |
| AVMED | BROAD | $9,015.85 | ↑ +485% |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Repair eyelid defect at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $1,448.65 – $1,479.14 |
| cleveland clinic florida weston hospital | Weston | $1,541.80 | $250.44 – $2,731.03 |
| indian river hospital | Vero Beach | $8,719.75 | $250.44 – $10,732.00 |
| Adventhealth Lake Wales | Lake Wales | not published | $2,482.76 – $5,511.72 |
| Adventhealth Tampa | Tampa | not published | $758.00 – $5,511.72 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $1,390.32 – $1,419.59 |
| Boca Raton Regional Hospital | BOCA RATON | not published | not published |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $1,411.37 – $1,441.08 |