Repair recur fem hernia reduce 49555 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$2,441.40
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.
?
What you pay up front if you don't use insurance.
$3,756.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$469.69 with Blue Cross vs $13,638.24 with AVMED — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $469.69 | ↓ -81% |
| Blue Cross | Health Options | $469.69 | ↓ -81% |
| Freedom Health | Managed Medicaid | $470.05 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $484.15 | ↓ -80% |
| Sunshine Health | Managed Medicaid | $493.55 | ↓ -80% |
| Miami Childrens Health Plan | Managed Medicaid | $493.55 | ↓ -80% |
| Molina | Managed Medicaid | $493.55 | ↓ -80% |
| Molina | Florida Kidcare | $493.55 | ↓ -80% |
| Independent Living Systems | Managed Medicaid | $564.06 | ↓ -77% |
| Blue Cross | Network Blue | $566.39 | ↓ -77% |
| Blue Cross | Perferred Patient Care | $584.81 | ↓ -76% |
| Blue Cross | Traditional (PPS) | $584.81 | ↓ -76% |
| United | Medicare Advantage | $655.70 | ↓ -73% |
| Blue Cross | Medicare Advantage PPO | $655.70 | ↓ -73% |
| Blue Cross | Medicare Advantage HMO | $655.70 | ↓ -73% |
| Miami Childrens Health Plan | Medicare Advantage | $655.70 | ↓ -73% |
| Avmed | Medicare Advantage | $655.70 | ↓ -73% |
| Independent Living Systems | Medicare Advantage | $687.33 | ↓ -72% |
| Freedom Health | Medicare Advantage | $688.49 | ↓ -72% |
| Careplus | Medicare Advantage | $688.49 | ↓ -72% |
| Clear Spring Health | All Products | $708.16 | ↓ -71% |
| Aetna | Medicare Advantage PCP | $813.07 | ↓ -67% |
| Aetna | Medicare Advantage Specialist | $826.18 | ↓ -66% |
| Avmed | Exchange | $870.79 | ↓ -64% |
| Avmed | Select | $904.28 | ↓ -63% |
| Avmed | Broad | $971.27 | ↓ -60% |
| Multiplan | All Products | $983.55 | ↓ -60% |
| United | All Products | $1,267.40 | ↓ -48% |
| The Legacy Companies | All Products | $2,441.40 | ↑ +0% |
| Clarity Health | All Products | $2,441.40 | ↑ +0% |
| SUNSHINE HEALTH | Managed Medicaid | $2,501.46 | ↑ +2% |
| Simply | Managed Medicaid | $2,501.46 | ↑ +2% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $2,501.46 | ↑ +2% |
| AMERIHEALTH | Managed Medicaid | $2,576.50 | ↑ +6% |
| MOLINA | Managed Medicaid | $2,626.53 | ↑ +8% |
| MOLINA | Florida KidCare | $2,626.53 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $2,817.00 | ↑ +15% |
| AETNA | Managed Medicaid/CHIP | $3,001.75 | ↑ +23% |
| Aetna | All Products First Health | $3,380.40 | ↑ +38% |
| BLUE CROSS | Medicare Advantage PPO | $3,542.40 | ↑ +45% |
| HUMANA | Medicare Advantage HMO | $3,542.40 | ↑ +45% |
| BLUE CROSS | Medicare Advantage HMO | $3,542.40 | ↑ +45% |
| UNITED | MEDICARE ADVANTAGE | $3,542.40 | ↑ +45% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $3,542.40 | ↑ +45% |
| AVMED | MEDICARE ADVANTAGE | $3,684.10 | ↑ +51% |
| Freedom Health | MEDICARE ADVANTAGE | $3,719.52 | ↑ +52% |
| Careplus | MEDICARE ADVANTAGE | $3,719.52 | ↑ +52% |
| Wellcare | MEDICARE ADVANTAGE | $3,738.94 | ↑ +53% |
| AETNA | MEDICARE ADVANTAGE | $3,738.94 | ↑ +53% |
| Cigna | Individual Family Plan Physician | $3,756.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $3,756.00 | ↑ +54% |
| Cigna | All Products Physician | $3,756.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $3,756.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $3,756.00 | ↑ +54% |
| Cigna | Surefit Physician | $3,756.00 | ↑ +54% |
| DEVOTED HEALTH | Medicare Advantage HMO | $4,112.83 | ↑ +68% |
| AVMED | EXCHANGE | $6,199.20 | ↑ +154% |
| AVMED | Select | $10,450.08 | ↑ +328% |
| AVMED | BROAD | $13,638.24 | ↑ +459% |
| 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
Repair recur fem hernia reduce 49555 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $3,302.47 – $3,371.99 |
| cleveland clinic florida weston hospital | Weston | $2,441.40 | $373.63 – $4,112.83 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,551.99 – $6,240.29 |
| Adventhealth Lake Wales | Lake Wales | not published | $3,738.94 – $8,300.44 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $3,551.99 – $7,986.00 |
| Adventhealth Tampa | Tampa | not published | $863.00 – $8,300.44 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $3,551.99 – $8,167.71 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $3,169.50 – $3,236.23 |