X-ray sinus tract/fistula/abscess at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$3,073.85
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.
$4,729.00
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.
$19.95 with Blue Cross vs $4,256.10 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 | $19.95 | ↓ -99% |
| Blue Cross | Health Options | $19.95 | ↓ -99% |
| Blue Cross | Network Blue | $24.06 | ↓ -99% |
| Blue Cross | Traditional (PPS) | $24.84 | ↓ -99% |
| Blue Cross | Perferred Patient Care | $24.84 | ↓ -99% |
| Avmed | Medicare Advantage | $25.32 | ↓ -99% |
| United | Medicare Advantage | $25.32 | ↓ -99% |
| Blue Cross | Medicare Advantage PPO | $25.32 | ↓ -99% |
| Blue Cross | Medicare Advantage HMO | $25.32 | ↓ -99% |
| Miami Childrens Health Plan | Medicare Advantage | $25.32 | ↓ -99% |
| Independent Living Systems | Medicare Advantage | $26.17 | ↓ -99% |
| Careplus | Medicare Advantage | $26.59 | ↓ -99% |
| Freedom Health | Medicare Advantage | $26.59 | ↓ -99% |
| Clear Spring Health | All Products | $27.35 | ↓ -99% |
| Aetna | Medicare Advantage PCP | $31.40 | ↓ -99% |
| Aetna | Medicare Advantage Specialist | $31.90 | ↓ -99% |
| United | All Products | $32.51 | ↓ -99% |
| Avmed | Exchange | $32.92 | ↓ -99% |
| Avmed | Select | $34.18 | ↓ -99% |
| Avmed | Broad | $36.71 | ↓ -99% |
| Multiplan | All Products | $37.98 | ↓ -99% |
| Aetna | All Products Anesthesia | $39.92 | ↓ -99% |
| Aetna | All Products PCP | $51.56 | ↓ -98% |
| Aetna | All Products Specialist | $63.41 | ↓ -98% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $75.04 | ↓ -98% |
| Simply | Managed Medicaid | $75.04 | ↓ -98% |
| SUNSHINE HEALTH | Managed Medicaid | $75.04 | ↓ -98% |
| Freedom Health | Managed Medicaid | $75.04 | ↓ -98% |
| AMERIHEALTH | Managed Medicaid | $77.29 | ↓ -97% |
| MOLINA | Florida KidCare | $78.79 | ↓ -97% |
| Miami Childrens Health Plan | Managed Medicaid | $78.79 | ↓ -97% |
| MOLINA | Managed Medicaid | $78.79 | ↓ -97% |
| MULTIPLAN | ALL PRODUCTS | $81.25 | ↓ -97% |
| Clear Spring Health | ALL PRODUCTS | $83.57 | ↓ -97% |
| Independent Living Systems | Managed Medicaid | $90.05 | ↓ -97% |
| AETNA | Managed Medicaid/CHIP | $90.05 | ↓ -97% |
| Clarity Health | All Products | $140.40 | ↓ -95% |
| The Legacy Companies | All Products | $140.40 | ↓ -95% |
| BLUE CROSS | MBN | $146.00 | ↓ -95% |
| BLUE CROSS | BSL | $146.00 | ↓ -95% |
| Consociate Health | ALL PRODUCTS | $162.00 | ↓ -95% |
| BLUE CROSS | HMO | $185.00 | ↓ -94% |
| Aetna | All Products First Health | $194.40 | ↓ -94% |
| BLUE CROSS | NWBI | $203.00 | ↓ -93% |
| BLUE CROSS | NWB | $203.00 | ↓ -93% |
| Cigna | Individual Family Plan Mid-Level | $216.00 | ↓ -93% |
| Cigna | Individual Family Plan Physician | $216.00 | ↓ -93% |
| Cigna | Surefit Physician | $216.00 | ↓ -93% |
| Cigna | All Products Mid-Level | $216.00 | ↓ -93% |
| Cigna | Surefit Mid-Level | $216.00 | ↓ -93% |
| Cigna | All Products Physician | $216.00 | ↓ -93% |
| BLUE CROSS | PHS | $295.00 | ↓ -90% |
| BLUE CROSS | PPO | $528.00 | ↓ -83% |
| BLUE CROSS | Medicare Advantage PPO | $550.37 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $550.37 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $550.37 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $550.37 | ↓ -82% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $550.37 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $570.61 | ↓ -81% |
| Wellcare | MEDICARE ADVANTAGE | $570.61 | ↓ -81% |
| AVMED | MEDICARE ADVANTAGE | $572.39 | ↓ -81% |
| Careplus | MEDICARE ADVANTAGE | $577.89 | ↓ -81% |
| Freedom Health | MEDICARE ADVANTAGE | $577.89 | ↓ -81% |
| DEVOTED HEALTH | Medicare Advantage HMO | $627.67 | ↓ -80% |
| AVMED | EXCHANGE | $963.15 | ↓ -69% |
| UNITED | ALL PRODUCTS | $1,083.56 | ↓ -65% |
| UNITED | International | $1,083.56 | ↓ -65% |
| UNITED | NHP | $1,083.56 | ↓ -65% |
| CIGNA | Individual Family Plan | $1,338.31 | ↓ -56% |
| AETNA | QHP | $1,385.60 | ↓ -55% |
| AETNA | ALL PRODUCTS | $1,475.45 | ↓ -52% |
| AETNA | All Products New Business | $1,546.38 | ↓ -50% |
| AVMED | Select | $1,623.60 | ↓ -47% |
| CIGNA | SUREFIT | $1,934.16 | ↓ -37% |
| AVMED | BROAD | $2,118.93 | ↓ -31% |
| BMI | ALL PRODUCTS | $2,364.50 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $2,496.91 | ↓ -19% |
| Clarity Health | ALL PRODUCTS | $3,073.85 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $3,073.85 | ↑ +0% |
| AETNA | All Products First Health | $4,256.10 | ↑ +38% |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Sunshine Health | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
X-ray sinus tract/fistula/abscess at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $590.26 – $1,086.50 |
| Adventhealth Daytona Beach | Daytona Beach | $781.96 | $523.23 – $952.35 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,025.42 | $472.40 – $1,218.77 |
| Adventhealth Tampa | Tampa | $1,837.79 | $394.93 – $1,266.75 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $446.60 | $542.08 – $1,246.50 |
| Adventhealth Port Charlotte | Port Charlotte | $1,378.20 | $394.93 – $1,041.93 |
| cleveland clinic florida weston hospital | Weston | $3,214.25 | $22.30 – $4,019.65 |
| indian river hospital | Vero Beach | $3,073.85 | $19.68 – $3,783.20 |