Revise graft w/vein 35881 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$5,031.00
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.
$7,740.00
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.
$766.99 with Freedom Health vs $20,890.61 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 |
|---|---|---|---|
| Freedom Health | Managed Medicaid | $766.99 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $790.00 | ↓ -84% |
| Miami Childrens Health Plan | Managed Medicaid | $805.34 | ↓ -84% |
| Molina | Managed Medicaid | $805.34 | ↓ -84% |
| Sunshine Health | Managed Medicaid | $805.34 | ↓ -84% |
| Molina | Florida Kidcare | $805.34 | ↓ -84% |
| Blue Cross | Health Options | $871.26 | ↓ -83% |
| Blue Cross | BlueSelect | $871.26 | ↓ -83% |
| Independent Living Systems | Managed Medicaid | $920.39 | ↓ -82% |
| Blue Cross | Network Blue | $1,050.63 | ↓ -79% |
| Avmed | Medicare Advantage | $1,070.22 | ↓ -79% |
| Miami Childrens Health Plan | Medicare Advantage | $1,070.22 | ↓ -79% |
| Blue Cross | Medicare Advantage HMO | $1,070.22 | ↓ -79% |
| Blue Cross | Medicare Advantage PPO | $1,070.22 | ↓ -79% |
| United | Medicare Advantage | $1,070.22 | ↓ -79% |
| Blue Cross | Perferred Patient Care | $1,084.80 | ↓ -78% |
| Blue Cross | Traditional (PPS) | $1,084.80 | ↓ -78% |
| Freedom Health | Medicare Advantage | $1,123.73 | ↓ -78% |
| Careplus | Medicare Advantage | $1,123.73 | ↓ -78% |
| Independent Living Systems | Medicare Advantage | $1,144.09 | ↓ -77% |
| Clear Spring Health | All Products | $1,155.84 | ↓ -77% |
| Aetna | Medicare Advantage PCP | $1,327.07 | ↓ -74% |
| Aetna | Medicare Advantage Specialist | $1,348.48 | ↓ -73% |
| Avmed | Exchange | $1,464.66 | ↓ -71% |
| Avmed | Select | $1,520.99 | ↓ -70% |
| Multiplan | All Products | $1,605.33 | ↓ -68% |
| Avmed | Broad | $1,633.66 | ↓ -68% |
| United | All Products | $2,131.75 | ↓ -58% |
| Simply | Managed Medicaid | $3,385.89 | ↓ -33% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $3,385.89 | ↓ -33% |
| SUNSHINE HEALTH | Managed Medicaid | $3,385.89 | ↓ -33% |
| AMERIHEALTH | Managed Medicaid | $3,487.47 | ↓ -31% |
| MOLINA | Managed Medicaid | $3,555.18 | ↓ -29% |
| MOLINA | Florida KidCare | $3,555.18 | ↓ -29% |
| AETNA | Managed Medicaid/CHIP | $4,063.07 | ↓ -19% |
| The Legacy Companies | All Products | $5,031.00 | ↑ +0% |
| Clarity Health | All Products | $5,031.00 | ↑ +0% |
| UNITED | MEDICARE ADVANTAGE | $5,426.13 | ↑ +8% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $5,426.13 | ↑ +8% |
| BLUE CROSS | Medicare Advantage PPO | $5,426.13 | ↑ +8% |
| HUMANA | Medicare Advantage HMO | $5,426.13 | ↑ +8% |
| BLUE CROSS | Medicare Advantage HMO | $5,426.13 | ↑ +8% |
| AVMED | MEDICARE ADVANTAGE | $5,643.18 | ↑ +12% |
| Careplus | MEDICARE ADVANTAGE | $5,697.44 | ↑ +13% |
| Freedom Health | MEDICARE ADVANTAGE | $5,697.44 | ↑ +13% |
| Consociate Health | ALL PRODUCTS | $5,805.00 | ↑ +15% |
| AETNA | MEDICARE ADVANTAGE | $5,810.88 | ↑ +16% |
| Wellcare | MEDICARE ADVANTAGE | $5,810.88 | ↑ +16% |
| DEVOTED HEALTH | Medicare Advantage HMO | $6,391.96 | ↑ +27% |
| Aetna | All Products First Health | $6,966.00 | ↑ +38% |
| Cigna | Individual Family Plan Physician | $7,740.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $7,740.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $7,740.00 | ↑ +54% |
| Cigna | All Products Physician | $7,740.00 | ↑ +54% |
| Cigna | Surefit Physician | $7,740.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $7,740.00 | ↑ +54% |
| AVMED | EXCHANGE | $9,495.73 | ↑ +89% |
| AVMED | Select | $16,007.09 | ↑ +218% |
| AVMED | BROAD | $20,890.61 | ↑ +315% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Revise graft w/vein 35881 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 | $5,031.00 | $741.67 – $7,740.00 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $5,520.33 – $9,698.35 |
| Adventhealth Tampa | Tampa | not published | $5,810.88 – $12,900.14 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $5,520.33 – $12,693.86 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $2,533.88 – $2,587.22 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $5,810.88 – $10,610.66 |
| indian river hospital | Vero Beach | not published | $3,216.60 – $6,391.96 |