Rpl tun-cvad w subq pump at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,441.70
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.
$2,218.00
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.
$259.94 with Blue Cross 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 |
|---|---|---|---|
| Blue Cross | Health Options | $259.94 | ↓ -82% |
| Blue Cross | BlueSelect | $259.94 | ↓ -82% |
| Blue Cross | Network Blue | $313.45 | ↓ -78% |
| Blue Cross | Traditional (PPS) | $323.65 | ↓ -78% |
| Blue Cross | Perferred Patient Care | $323.65 | ↓ -78% |
| Blue Cross | Medicare Advantage PPO | $353.81 | ↓ -75% |
| Avmed | Medicare Advantage | $353.81 | ↓ -75% |
| United | Medicare Advantage | $353.81 | ↓ -75% |
| Blue Cross | Medicare Advantage HMO | $353.81 | ↓ -75% |
| Miami Childrens Health Plan | Medicare Advantage | $353.81 | ↓ -75% |
| Independent Living Systems | Medicare Advantage | $370.41 | ↓ -74% |
| Freedom Health | Managed Medicaid | $371.09 | ↓ -74% |
| Careplus | Medicare Advantage | $371.50 | ↓ -74% |
| Freedom Health | Medicare Advantage | $371.50 | ↓ -74% |
| Clear Spring Health | All Products | $382.11 | ↓ -73% |
| AmeriHealth | Managed Medicaid | $382.22 | ↓ -73% |
| Molina | Florida Kidcare | $389.64 | ↓ -73% |
| Miami Childrens Health Plan | Managed Medicaid | $389.64 | ↓ -73% |
| Sunshine Health | Managed Medicaid | $389.64 | ↓ -73% |
| Molina | Managed Medicaid | $389.64 | ↓ -73% |
| Aetna | Medicare Advantage PCP | $438.72 | ↓ -70% |
| Independent Living Systems | Managed Medicaid | $445.31 | ↓ -69% |
| Aetna | Medicare Advantage Specialist | $445.80 | ↓ -69% |
| Avmed | Exchange | $468.49 | ↓ -68% |
| Avmed | Select | $486.51 | ↓ -66% |
| Avmed | Broad | $522.55 | ↓ -64% |
| Multiplan | All Products | $530.72 | ↓ -63% |
| United | All Products | $681.87 | ↓ -53% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,381.01 | ↓ -4% |
| Simply | Managed Medicaid | $1,381.01 | ↓ -4% |
| SUNSHINE HEALTH | Managed Medicaid | $1,381.01 | ↓ -4% |
| AMERIHEALTH | Managed Medicaid | $1,422.44 | ↓ -1% |
| The Legacy Companies | All Products | $1,441.70 | ↑ +0% |
| Clarity Health | All Products | $1,441.70 | ↑ +0% |
| MOLINA | Managed Medicaid | $1,450.06 | ↑ +1% |
| MOLINA | Florida KidCare | $1,450.06 | ↑ +1% |
| AETNA | Managed Medicaid/CHIP | $1,657.21 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $1,663.50 | ↑ +15% |
| Cigna | Individual Family Plan Mid-Level | $1,776.19 | ↑ +23% |
| Cigna | Surefit Mid-Level | $1,810.18 | ↑ +26% |
| Cigna | All Products Mid-Level | $1,954.78 | ↑ +36% |
| Aetna | All Products First Health | $1,996.20 | ↑ +38% |
| Cigna | Individual Family Plan Physician | $2,089.60 | ↑ +45% |
| Cigna | Surefit Physician | $2,129.58 | ↑ +48% |
| Cigna | All Products Physician | $2,299.72 | ↑ +60% |
| HUMANA | Medicare Advantage HMO | $5,426.13 | ↑ +276% |
| BLUE CROSS | Medicare Advantage HMO | $5,426.13 | ↑ +276% |
| BLUE CROSS | Medicare Advantage PPO | $5,426.13 | ↑ +276% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $5,426.13 | ↑ +276% |
| UNITED | MEDICARE ADVANTAGE | $5,426.13 | ↑ +276% |
| AVMED | MEDICARE ADVANTAGE | $5,643.18 | ↑ +291% |
| Careplus | MEDICARE ADVANTAGE | $5,697.44 | ↑ +295% |
| Freedom Health | MEDICARE ADVANTAGE | $5,697.44 | ↑ +295% |
| Wellcare | MEDICARE ADVANTAGE | $5,810.88 | ↑ +303% |
| AETNA | MEDICARE ADVANTAGE | $5,810.88 | ↑ +303% |
| DEVOTED HEALTH | Medicare Advantage HMO | $6,391.96 | ↑ +343% |
| AVMED | EXCHANGE | $9,495.73 | ↑ +559% |
| AVMED | Select | $16,007.09 | ↑ +1010% |
| AVMED | BROAD | $20,890.61 | ↑ +1349% |
| 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
Rpl tun-cvad w subq pump 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 | $25,255.10 | $205.60 – $33,025.90 |
| indian river hospital | Vero Beach | $1,441.70 | $205.60 – $6,391.96 |
| Baptist Hospital | MIAMI | $4,135.30 | $173.17 – $6,508.18 |
| Bethesda Hospital East | BOYNTON BEACH | $4,135.30 | $1,361.95 – $6,043.31 |
| Doctors Hospital | CORAL GABLES | $4,135.30 | $1,113.35 – $6,508.18 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $4,135.30 | $1,106.99 – $6,391.96 |
| Homestead Hospital | HOMESTEAD | $4,135.30 | $167.89 – $6,391.96 |