Routine footcare pt w lops at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$143.00
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.
$220.00
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.
$18.04 with Blue Cross vs $767.89 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 |
|---|---|---|---|
| Blue Cross | BlueSelect | $18.04 | ↓ -87% |
| Blue Cross | Health Options | $18.04 | ↓ -87% |
| Avmed | Medicare Advantage | $19.70 | ↓ -86% |
| Blue Cross | Medicare Advantage HMO | $19.70 | ↓ -86% |
| Blue Cross | Medicare Advantage PPO | $19.70 | ↓ -86% |
| Miami Childrens Health Plan | Medicare Advantage | $19.70 | ↓ -86% |
| United | Medicare Advantage | $19.70 | ↓ -86% |
| Careplus | Medicare Advantage | $20.69 | ↓ -86% |
| Freedom Health | Medicare Advantage | $20.69 | ↓ -86% |
| Clear Spring Health | All Products | $21.28 | ↓ -85% |
| Blue Cross | Network Blue | $21.75 | ↓ -85% |
| Independent Living Systems | Medicare Advantage | $22.25 | ↓ -84% |
| Blue Cross | Perferred Patient Care | $22.46 | ↓ -84% |
| Blue Cross | Traditional (PPS) | $22.46 | ↓ -84% |
| Aetna | Medicare Advantage PCP | $24.43 | ↓ -83% |
| Aetna | Medicare Advantage Specialist | $24.82 | ↓ -83% |
| Avmed | Exchange | $28.35 | ↓ -80% |
| Avmed | Select | $29.44 | ↓ -79% |
| Multiplan | All Products | $29.55 | ↓ -79% |
| Avmed | Broad | $31.62 | ↓ -78% |
| United | All Products | $41.27 | ↓ -71% |
| Freedom Health | Managed Medicaid | $54.45 | ↓ -62% |
| AmeriHealth | Managed Medicaid | $56.08 | ↓ -61% |
| Miami Childrens Health Plan | Managed Medicaid | $57.17 | ↓ -60% |
| Molina | Managed Medicaid | $57.17 | ↓ -60% |
| Molina | Florida Kidcare | $57.17 | ↓ -60% |
| Sunshine Health | Managed Medicaid | $57.17 | ↓ -60% |
| Independent Living Systems | Managed Medicaid | $65.34 | ↓ -54% |
| The Legacy Companies | All Products | $143.00 | ↑ +0% |
| Clarity Health | All Products | $143.00 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $165.00 | ↑ +15% |
| Aetna | All Products First Health | $198.00 | ↑ +38% |
| HUMANA | Medicare Advantage HMO | $199.45 | ↑ +39% |
| BLUE CROSS | Medicare Advantage HMO | $199.45 | ↑ +39% |
| BLUE CROSS | Medicare Advantage PPO | $199.45 | ↑ +39% |
| UNITED | MEDICARE ADVANTAGE | $199.45 | ↑ +39% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $199.45 | ↑ +39% |
| AVMED | MEDICARE ADVANTAGE | $207.43 | ↑ +45% |
| Careplus | MEDICARE ADVANTAGE | $209.42 | ↑ +46% |
| Freedom Health | MEDICARE ADVANTAGE | $209.42 | ↑ +46% |
| AETNA | MEDICARE ADVANTAGE | $209.52 | ↑ +47% |
| Wellcare | MEDICARE ADVANTAGE | $209.52 | ↑ +47% |
| Cigna | All Products Physician | $220.00 | ↑ +54% |
| Cigna | Surefit Physician | $220.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $220.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $220.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $220.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $220.00 | ↑ +54% |
| DEVOTED HEALTH | Medicare Advantage HMO | $230.47 | ↑ +61% |
| AVMED | EXCHANGE | $349.04 | ↑ +144% |
| AVMED | Select | $588.38 | ↑ +311% |
| AVMED | BROAD | $767.89 | ↑ +437% |
| 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
Routine footcare pt w lops at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $143.00 | $19.70 – $230.47 |
| indian river hospital | Vero Beach | $143.00 | $17.35 – $230.47 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $199.04 – $349.69 |
| Adventhealth Lake Wales | Lake Wales | not published | $209.52 – $465.13 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $199.04 – $447.51 |
| Adventhealth Tampa | Tampa | not published | $209.52 – $465.13 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $199.04 – $457.69 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $209.52 – $382.58 |