Repair of heart defect at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$7,087.60
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.
$10,904.00
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.
$1,172.96 with Freedom Health vs $10,904.00 with Cigna — 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 | $1,172.96 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $1,208.15 | ↓ -83% |
| Sunshine Health | Managed Medicaid | $1,231.61 | ↓ -83% |
| Molina | Florida Kidcare | $1,231.61 | ↓ -83% |
| Miami Childrens Health Plan | Managed Medicaid | $1,231.61 | ↓ -83% |
| Molina | Managed Medicaid | $1,231.61 | ↓ -83% |
| Blue Cross | Health Options | $1,275.24 | ↓ -82% |
| Blue Cross | BlueSelect | $1,275.24 | ↓ -82% |
| Independent Living Systems | Managed Medicaid | $1,407.55 | ↓ -80% |
| Blue Cross | Network Blue | $1,537.79 | ↓ -78% |
| Blue Cross | Traditional (PPS) | $1,587.80 | ↓ -78% |
| Blue Cross | Perferred Patient Care | $1,587.80 | ↓ -78% |
| Avmed | Medicare Advantage | $1,658.34 | ↓ -77% |
| Miami Childrens Health Plan | Medicare Advantage | $1,658.34 | ↓ -77% |
| Blue Cross | Medicare Advantage HMO | $1,658.34 | ↓ -77% |
| Blue Cross | Medicare Advantage PPO | $1,658.34 | ↓ -77% |
| United | Medicare Advantage | $1,658.34 | ↓ -77% |
| Independent Living Systems | Medicare Advantage | $1,734.18 | ↓ -76% |
| Freedom Health | Medicare Advantage | $1,741.26 | ↓ -75% |
| Careplus | Medicare Advantage | $1,741.26 | ↓ -75% |
| Clear Spring Health | All Products | $1,791.01 | ↓ -75% |
| Aetna | Medicare Advantage PCP | $2,056.34 | ↓ -71% |
| Aetna | Medicare Advantage Specialist | $2,089.51 | ↓ -71% |
| Avmed | Exchange | $2,203.44 | ↓ -69% |
| Avmed | Select | $2,288.18 | ↓ -68% |
| Avmed | Broad | $2,457.68 | ↓ -65% |
| Multiplan | All Products | $2,487.51 | ↓ -65% |
| United | All Products | $3,207.01 | ↓ -55% |
| The Legacy Companies | All Products | $7,087.60 | ↑ +0% |
| Clarity Health | All Products | $7,087.60 | ↑ +0% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $7,472.80 | ↑ +5% |
| Simply | Managed Medicaid | $7,472.80 | ↑ +5% |
| SUNSHINE HEALTH | Managed Medicaid | $7,472.80 | ↑ +5% |
| AMERIHEALTH | Managed Medicaid | $7,696.98 | ↑ +9% |
| MOLINA | Florida KidCare | $7,846.44 | ↑ +11% |
| MOLINA | Managed Medicaid | $7,846.44 | ↑ +11% |
| Consociate Health | ALL PRODUCTS | $8,178.00 | ↑ +15% |
| AETNA | Managed Medicaid/CHIP | $8,967.36 | ↑ +27% |
| Aetna | All Products First Health | $9,813.60 | ↑ +38% |
| Cigna | Individual Family Plan Mid-Level | $10,904.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $10,904.00 | ↑ +54% |
| Cigna | Surefit Physician | $10,904.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $10,904.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $10,904.00 | ↑ +54% |
| Cigna | All Products Physician | $10,904.00 | ↑ +54% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
Visitor-reported prices
Comments
Repair of heart defect at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $518.23 – $529.14 |
| cleveland clinic florida weston hospital | Weston | $7,087.60 | $1,172.96 – $10,904.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $497.36 – $507.83 |
| indian river hospital | Vero Beach | not published | $7,099.16 – $8,967.36 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $504.90 – $515.53 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $522.22 – $533.21 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $542.30 – $553.71 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | not published | $462.73 – $487.08 |