Revise stomach bowel fusion 43860 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$7,251.40
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.
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What you pay up front if you don't use insurance.
$11,156.00
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.
$1,258.75 with Freedom Health vs $11,156.00 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 | $1,258.75 | ↓ -83% |
| Blue Cross | BlueSelect | $1,286.73 | ↓ -82% |
| Blue Cross | Health Options | $1,286.73 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $1,296.51 | ↓ -82% |
| Sunshine Health | Managed Medicaid | $1,321.69 | ↓ -82% |
| Molina | Florida Kidcare | $1,321.69 | ↓ -82% |
| Molina | Managed Medicaid | $1,321.69 | ↓ -82% |
| Miami Childrens Health Plan | Managed Medicaid | $1,321.69 | ↓ -82% |
| Independent Living Systems | Managed Medicaid | $1,510.50 | ↓ -79% |
| Blue Cross | Network Blue | $1,551.65 | ↓ -79% |
| Blue Cross | Perferred Patient Care | $1,602.11 | ↓ -78% |
| Blue Cross | Traditional (PPS) | $1,602.11 | ↓ -78% |
| United | Medicare Advantage | $1,715.97 | ↓ -76% |
| Miami Childrens Health Plan | Medicare Advantage | $1,715.97 | ↓ -76% |
| Blue Cross | Medicare Advantage HMO | $1,715.97 | ↓ -76% |
| Blue Cross | Medicare Advantage PPO | $1,715.97 | ↓ -76% |
| Avmed | Medicare Advantage | $1,715.97 | ↓ -76% |
| Freedom Health | Medicare Advantage | $1,801.77 | ↓ -75% |
| Careplus | Medicare Advantage | $1,801.77 | ↓ -75% |
| Independent Living Systems | Medicare Advantage | $1,853.09 | ↓ -74% |
| Clear Spring Health | All Products | $1,853.25 | ↓ -74% |
| Aetna | Medicare Advantage PCP | $2,127.80 | ↓ -71% |
| Aetna | Medicare Advantage Specialist | $2,162.12 | ↓ -70% |
| Avmed | Exchange | $2,348.19 | ↓ -68% |
| Avmed | Select | $2,438.51 | ↓ -66% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $2,446.87 | ↓ -66% |
| Simply | Managed Medicaid | $2,446.87 | ↓ -66% |
| SUNSHINE HEALTH | Managed Medicaid | $2,446.87 | ↓ -66% |
| AMERIHEALTH | Managed Medicaid | $2,520.28 | ↓ -65% |
| MOLINA | Managed Medicaid | $2,569.21 | ↓ -65% |
| MOLINA | Florida KidCare | $2,569.21 | ↓ -65% |
| Multiplan | All Products | $2,573.96 | ↓ -65% |
| Avmed | Broad | $2,619.14 | ↓ -64% |
| AETNA | Managed Medicaid/CHIP | $2,936.24 | ↓ -60% |
| United | All Products | $3,417.70 | ↓ -53% |
| The Legacy Companies | All Products | $7,251.40 | ↑ +0% |
| Clarity Health | All Products | $7,251.40 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $8,367.00 | ↑ +15% |
| Aetna | All Products First Health | $10,040.40 | ↑ +38% |
| Cigna | Surefit Physician | $11,156.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $11,156.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $11,156.00 | ↑ +54% |
| Cigna | All Products Physician | $11,156.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $11,156.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $11,156.00 | ↑ +54% |
| 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 stomach bowel fusion 43860 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $1,361.61 – $1,390.27 |
| cleveland clinic florida weston hospital | Weston | $7,251.40 | $853.05 – $18,285.00 |
| indian river hospital | Vero Beach | $7,251.40 | $853.05 – $11,156.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $1,306.78 – $1,334.29 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $1,326.57 – $1,354.50 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $1,372.08 – $1,400.96 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $1,424.83 – $1,454.83 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | not published | $1,215.76 – $1,279.75 |