Transcath occlusion non-cns at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$42,445.00
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.
$65,300.00
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.
$667.40 with Blue Cross vs $58,770.00 with AETNA — 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 | $667.40 | ↓ -98% |
| Blue Cross | Health Options | $667.40 | ↓ -98% |
| Freedom Health | Managed Medicaid | $692.95 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $713.74 | ↓ -98% |
| Sunshine Health | Managed Medicaid | $727.60 | ↓ -98% |
| Molina | Florida Kidcare | $727.60 | ↓ -98% |
| Molina | Managed Medicaid | $727.60 | ↓ -98% |
| Miami Childrens Health Plan | Managed Medicaid | $727.60 | ↓ -98% |
| Blue Cross | Network Blue | $804.81 | ↓ -98% |
| Blue Cross | Perferred Patient Care | $830.98 | ↓ -98% |
| Blue Cross | Traditional (PPS) | $830.98 | ↓ -98% |
| Independent Living Systems | Managed Medicaid | $831.54 | ↓ -98% |
| Avmed | Medicare Advantage | $869.37 | ↓ -98% |
| Miami Childrens Health Plan | Medicare Advantage | $869.37 | ↓ -98% |
| United | Medicare Advantage | $869.37 | ↓ -98% |
| Blue Cross | Medicare Advantage HMO | $869.37 | ↓ -98% |
| Blue Cross | Medicare Advantage PPO | $869.37 | ↓ -98% |
| Careplus | Medicare Advantage | $912.84 | ↓ -98% |
| Freedom Health | Medicare Advantage | $912.84 | ↓ -98% |
| Clear Spring Health | All Products | $938.92 | ↓ -98% |
| MULTIPLAN | ALL PRODUCTS | $1,014.26 | ↓ -98% |
| Independent Living Systems | Medicare Advantage | $1,028.31 | ↓ -98% |
| Clear Spring Health | ALL PRODUCTS | $1,043.24 | ↓ -98% |
| Aetna | Medicare Advantage PCP | $1,078.02 | ↓ -97% |
| Aetna | Medicare Advantage Specialist | $1,095.41 | ↓ -97% |
| Avmed | Exchange | $1,300.96 | ↓ -97% |
| Multiplan | All Products | $1,304.06 | ↓ -97% |
| Avmed | Select | $1,351.00 | ↓ -97% |
| Avmed | Broad | $1,451.07 | ↓ -97% |
| United | All Products | $1,893.50 | ↓ -96% |
| The Legacy Companies | All Products | $4,316.00 | ↓ -90% |
| Clarity Health | All Products | $4,316.00 | ↓ -90% |
| Consociate Health | ALL PRODUCTS | $4,980.00 | ↓ -88% |
| Aetna | All Products First Health | $5,976.00 | ↓ -86% |
| Cigna | Individual Family Plan Physician | $6,640.00 | ↓ -84% |
| Cigna | Individual Family Plan Mid-Level | $6,640.00 | ↓ -84% |
| Cigna | All Products Mid-Level | $6,640.00 | ↓ -84% |
| Cigna | Surefit Physician | $6,640.00 | ↓ -84% |
| Cigna | Surefit Mid-Level | $6,640.00 | ↓ -84% |
| Cigna | All Products Physician | $6,640.00 | ↓ -84% |
| AETNA | QHP | $6,837.00 | ↓ -84% |
| BLUE CROSS | BSL | $7,992.00 | ↓ -81% |
| AETNA | All Products New Business | $8,265.00 | ↓ -81% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $8,649.15 | ↓ -80% |
| Simply | Managed Medicaid | $8,649.15 | ↓ -80% |
| SUNSHINE HEALTH | Managed Medicaid | $8,649.15 | ↓ -80% |
| AMERIHEALTH | Managed Medicaid | $8,908.62 | ↓ -79% |
| MOLINA | Managed Medicaid | $9,081.61 | ↓ -79% |
| MOLINA | Florida KidCare | $9,081.61 | ↓ -79% |
| AETNA | ALL PRODUCTS | $9,287.00 | ↓ -78% |
| AETNA | Managed Medicaid/CHIP | $10,378.98 | ↓ -76% |
| BLUE CROSS | Medicare Advantage HMO | $11,383.44 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $11,383.44 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $11,383.44 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $11,383.44 | ↓ -73% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $11,383.44 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $11,838.77 | ↓ -72% |
| Careplus | MEDICARE ADVANTAGE | $11,952.61 | ↓ -72% |
| Freedom Health | MEDICARE ADVANTAGE | $11,952.61 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $12,055.35 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $12,055.35 | ↓ -72% |
| DEVOTED HEALTH | Medicare Advantage HMO | $13,260.89 | ↓ -69% |
| CIGNA | Individual Family Plan | $18,479.90 | ↓ -56% |
| AVMED | EXCHANGE | $19,921.02 | ↓ -53% |
| UNITED | NHP | $24,126.00 | ↓ -43% |
| CIGNA | SUREFIT | $26,707.70 | ↓ -37% |
| UNITED | ALL PRODUCTS | $28,910.00 | ↓ -32% |
| UNITED | International | $31,738.00 | ↓ -25% |
| BMI | ALL PRODUCTS | $32,650.00 | ↓ -23% |
| AVMED | Select | $33,581.14 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $34,478.40 | ↓ -19% |
| The Legacy Companies | ALL PRODUCTS | $42,445.00 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $42,445.00 | ↑ +0% |
| AVMED | BROAD | $43,826.23 | ↑ +3% |
| AETNA | All Products First Health | $58,770.00 | ↑ +38% |
| BLUE CROSS | NWB | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| BLUE CROSS | MBN | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Transcath occlusion non-cns at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $1,276.07 – $1,302.93 |
| Adventhealth Daytona Beach | Daytona Beach | $38,624.41 | $11,452.59 – $20,120.39 |
| Adventhealth Tampa | Tampa | $23,236.73 | $12,055.35 – $26,762.89 |
| cleveland clinic florida weston hospital | Weston | $42,445.00 | $692.95 – $55,505.00 |
| indian river hospital | Vero Beach | $42,445.00 | $692.95 – $52,240.00 |
| Baptist Hospital | MIAMI | $23,717.20 | $173.17 – $32,839.20 |
| Bethesda Hospital East | BOYNTON BEACH | $23,717.20 | $3,651.00 – $32,839.20 |
| Boca Raton Regional Hospital | BOCA RATON | $28,294.50 | $4,587.00 – $28,425.09 |