Transabdom amnioinfus w/us at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$988.65
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.
$1,521.00
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.
$268.88 with AETNA vs $9,033.00 with BLUE CROSS — 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 |
|---|---|---|---|
| AETNA | Managed Medicaid/CHIP Behavioral Health | $268.88 | ↓ -73% |
| SUNSHINE HEALTH | Managed Medicaid | $268.88 | ↓ -73% |
| Freedom Health | Managed Medicaid | $268.88 | ↓ -73% |
| Simply | Managed Medicaid | $268.88 | ↓ -73% |
| AMERIHEALTH | Managed Medicaid | $276.95 | ↓ -72% |
| MOLINA | Florida KidCare | $282.32 | ↓ -71% |
| Miami Childrens Health Plan | Managed Medicaid | $282.32 | ↓ -71% |
| MOLINA | Managed Medicaid | $282.32 | ↓ -71% |
| BLUE CROSS | Medicare Advantage HMO | $305.34 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $305.34 | ↓ -69% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $305.34 | ↓ -69% |
| BLUE CROSS | Medicare Advantage PPO | $305.34 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $305.34 | ↓ -69% |
| AVMED | MEDICARE ADVANTAGE | $317.55 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $318.22 | ↓ -68% |
| Wellcare | MEDICARE ADVANTAGE | $318.22 | ↓ -68% |
| Careplus | MEDICARE ADVANTAGE | $320.61 | ↓ -68% |
| Freedom Health | MEDICARE ADVANTAGE | $320.61 | ↓ -68% |
| Independent Living Systems | Managed Medicaid | $322.66 | ↓ -67% |
| AETNA | Managed Medicaid/CHIP | $322.66 | ↓ -67% |
| DEVOTED HEALTH | Medicare Advantage HMO | $350.05 | ↓ -65% |
| MULTIPLAN | ALL PRODUCTS | $378.91 | ↓ -62% |
| Clear Spring Health | ALL PRODUCTS | $389.74 | ↓ -61% |
| CIGNA | Individual Family Plan | $430.44 | ↓ -56% |
| AETNA | QHP | $445.65 | ↓ -55% |
| AETNA | ALL PRODUCTS | $474.55 | ↓ -52% |
| AETNA | All Products New Business | $497.37 | ↓ -50% |
| AVMED | EXCHANGE | $534.34 | ↓ -46% |
| CIGNA | SUREFIT | $622.09 | ↓ -37% |
| BMI | ALL PRODUCTS | $760.50 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $803.09 | ↓ -19% |
| UNITED | NHP | $896.00 | ↓ -9% |
| AVMED | Select | $900.75 | ↓ -9% |
| The Legacy Companies | ALL PRODUCTS | $988.65 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $988.65 | ↑ +0% |
| UNITED | ALL PRODUCTS | $1,070.00 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $1,140.75 | ↑ +15% |
| AVMED | BROAD | $1,175.56 | ↑ +19% |
| UNITED | International | $1,181.00 | ↑ +19% |
| AETNA | All Products First Health | $1,368.90 | ↑ +38% |
| BLUE CROSS | MBN | $1,529.00 | ↑ +55% |
| BLUE CROSS | BSL | $1,669.00 | ↑ +69% |
| BLUE CROSS | HMO | $2,046.00 | ↑ +107% |
| BLUE CROSS | PPO | $3,235.00 | ↑ +227% |
| BLUE CROSS | NWBI | $3,986.00 | ↑ +303% |
| BLUE CROSS | NWB | $3,986.00 | ↑ +303% |
| BLUE CROSS | PHS | $9,033.00 | ↑ +814% |
| Consociate Health | Transplant | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Transabdom amnioinfus w/us at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $321.15 – $327.91 |
| indian river hospital | Vero Beach | $988.65 | $255.44 – $1,216.80 |
| AdventHealth Orlando | Orlando | $2,433.00 | $318.22 – $843.29 |
| Adventhealth Carrollwood | Tampa | $3,770.08 | $318.22 – $706.45 |
| Adventhealth Sebring | Sebring | $4,350.43 | not published |
| Adventhealth Tampa | Tampa | not published | $318.22 – $706.45 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $302.31 – $695.16 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $308.21 – $314.70 |