Revise graft w/vein at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$4,526.60
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.
?
What you pay up front if you don't use insurance.
$6,964.00
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.
$691.42 with Freedom Health vs $20,890.61 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 |
|---|---|---|---|
| Freedom Health | Managed Medicaid | $691.42 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $712.16 | ↓ -84% |
| Miami Childrens Health Plan | Managed Medicaid | $725.99 | ↓ -84% |
| Molina | Managed Medicaid | $725.99 | ↓ -84% |
| Sunshine Health | Managed Medicaid | $725.99 | ↓ -84% |
| Molina | Florida Kidcare | $725.99 | ↓ -84% |
| Blue Cross | Health Options | $787.88 | ↓ -83% |
| Blue Cross | BlueSelect | $787.88 | ↓ -83% |
| Independent Living Systems | Managed Medicaid | $829.70 | ↓ -82% |
| Blue Cross | Network Blue | $950.09 | ↓ -79% |
| Avmed | Medicare Advantage | $964.10 | ↓ -79% |
| Miami Childrens Health Plan | Medicare Advantage | $964.10 | ↓ -79% |
| Blue Cross | Medicare Advantage HMO | $964.10 | ↓ -79% |
| Blue Cross | Medicare Advantage PPO | $964.10 | ↓ -79% |
| United | Medicare Advantage | $964.10 | ↓ -79% |
| Blue Cross | Perferred Patient Care | $980.99 | ↓ -78% |
| Blue Cross | Traditional (PPS) | $980.99 | ↓ -78% |
| Freedom Health | Medicare Advantage | $1,012.31 | ↓ -78% |
| Careplus | Medicare Advantage | $1,012.31 | ↓ -78% |
| Independent Living Systems | Medicare Advantage | $1,032.09 | ↓ -77% |
| Clear Spring Health | All Products | $1,041.23 | ↓ -77% |
| Aetna | Medicare Advantage PCP | $1,195.48 | ↓ -74% |
| Aetna | Medicare Advantage Specialist | $1,214.77 | ↓ -73% |
| Avmed | Exchange | $1,312.12 | ↓ -71% |
| Avmed | Select | $1,362.58 | ↓ -70% |
| Multiplan | All Products | $1,446.15 | ↓ -68% |
| Avmed | Broad | $1,463.51 | ↓ -68% |
| United | All Products | $1,909.73 | ↓ -58% |
| Simply | Managed Medicaid | $3,385.89 | ↓ -25% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $3,385.89 | ↓ -25% |
| SUNSHINE HEALTH | Managed Medicaid | $3,385.89 | ↓ -25% |
| AMERIHEALTH | Managed Medicaid | $3,487.47 | ↓ -23% |
| MOLINA | Managed Medicaid | $3,555.18 | ↓ -21% |
| MOLINA | Florida KidCare | $3,555.18 | ↓ -21% |
| AETNA | Managed Medicaid/CHIP | $4,063.07 | ↓ -10% |
| The Legacy Companies | All Products | $4,526.60 | ↑ +0% |
| Clarity Health | All Products | $4,526.60 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $5,223.00 | ↑ +15% |
| BLUE CROSS | Medicare Advantage PPO | $5,426.13 | ↑ +20% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $5,426.13 | ↑ +20% |
| HUMANA | Medicare Advantage HMO | $5,426.13 | ↑ +20% |
| UNITED | MEDICARE ADVANTAGE | $5,426.13 | ↑ +20% |
| BLUE CROSS | Medicare Advantage HMO | $5,426.13 | ↑ +20% |
| AVMED | MEDICARE ADVANTAGE | $5,643.18 | ↑ +25% |
| Careplus | MEDICARE ADVANTAGE | $5,697.44 | ↑ +26% |
| Freedom Health | MEDICARE ADVANTAGE | $5,697.44 | ↑ +26% |
| AETNA | MEDICARE ADVANTAGE | $5,810.88 | ↑ +28% |
| Wellcare | MEDICARE ADVANTAGE | $5,810.88 | ↑ +28% |
| Aetna | All Products First Health | $6,267.60 | ↑ +38% |
| DEVOTED HEALTH | Medicare Advantage HMO | $6,391.96 | ↑ +41% |
| Cigna | Surefit Physician | $6,964.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $6,964.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $6,964.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $6,964.00 | ↑ +54% |
| Cigna | All Products Physician | $6,964.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $6,964.00 | ↑ +54% |
| AVMED | EXCHANGE | $9,495.73 | ↑ +110% |
| AVMED | Select | $16,007.09 | ↑ +254% |
| AVMED | BROAD | $20,890.61 | ↑ +362% |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Revise graft w/vein 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 | $4,526.60 | $675.66 – $6,964.00 |
| Baptist Hospital | MIAMI | $28,860.65 | $173.17 – $19,980.90 |
| Bethesda Hospital East | BOYNTON BEACH | $28,860.65 | $3,117.86 – $19,980.90 |
| Doctors Hospital | CORAL GABLES | $28,860.65 | $3,022.43 – $19,980.90 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $28,860.65 | $3,022.43 – $19,980.90 |
| Homestead Hospital | HOMESTEAD | $28,860.65 | $167.89 – $19,980.90 |
| West Kendall Baptist Hospital | MIAMI | $28,860.65 | $3,022.43 – $19,980.90 |