Benign lesion paring 4+ at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$484.25
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.
$745.00
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.
$26.90 with Blue Cross vs $8,696.00 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 |
|---|---|---|---|
| Blue Cross | Medicare Advantage HMO | $26.90 | ↓ -94% |
| Miami Childrens Health Plan | Medicare Advantage | $26.90 | ↓ -94% |
| United | Medicare Advantage | $26.90 | ↓ -94% |
| Blue Cross | Medicare Advantage PPO | $26.90 | ↓ -94% |
| Avmed | Medicare Advantage | $26.90 | ↓ -94% |
| Blue Cross | Health Options | $27.82 | ↓ -94% |
| Blue Cross | BlueSelect | $27.82 | ↓ -94% |
| Freedom Health | Medicare Advantage | $28.25 | ↓ -94% |
| Careplus | Medicare Advantage | $28.25 | ↓ -94% |
| Clear Spring Health | All Products | $29.05 | ↓ -94% |
| Independent Living Systems | Medicare Advantage | $29.57 | ↓ -94% |
| Aetna | Medicare Advantage PCP | $33.36 | ↓ -93% |
| Blue Cross | Network Blue | $33.54 | ↓ -93% |
| Aetna | Medicare Advantage Specialist | $33.89 | ↓ -93% |
| Blue Cross | Perferred Patient Care | $34.63 | ↓ -93% |
| Blue Cross | Traditional (PPS) | $34.63 | ↓ -93% |
| MULTIPLAN | ALL PRODUCTS | $37.10 | ↓ -92% |
| Clear Spring Health | ALL PRODUCTS | $38.16 | ↓ -92% |
| Avmed | Exchange | $38.44 | ↓ -92% |
| Avmed | Select | $39.92 | ↓ -92% |
| Multiplan | All Products | $40.35 | ↓ -92% |
| Avmed | Broad | $42.88 | ↓ -91% |
| United | All Products | $55.95 | ↓ -88% |
| Freedom Health | Managed Medicaid | $63.72 | ↓ -87% |
| AmeriHealth | Managed Medicaid | $65.63 | ↓ -86% |
| Sunshine Health | Managed Medicaid | $66.91 | ↓ -86% |
| Miami Childrens Health Plan | Managed Medicaid | $66.91 | ↓ -86% |
| Molina | Florida Kidcare | $66.91 | ↓ -86% |
| Molina | Managed Medicaid | $66.91 | ↓ -86% |
| Cigna | Individual Family Plan Mid-Level | $71.24 | ↓ -85% |
| Cigna | Surefit Mid-Level | $72.60 | ↓ -85% |
| Independent Living Systems | Managed Medicaid | $76.46 | ↓ -84% |
| Cigna | All Products Mid-Level | $78.42 | ↓ -84% |
| Cigna | Individual Family Plan Physician | $83.81 | ↓ -83% |
| Cigna | Surefit Physician | $85.42 | ↓ -82% |
| Cigna | All Products Physician | $92.25 | ↓ -81% |
| Simply | Managed Medicaid | $103.50 | ↓ -79% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $103.50 | ↓ -79% |
| SUNSHINE HEALTH | Managed Medicaid | $103.50 | ↓ -79% |
| AMERIHEALTH | Managed Medicaid | $106.61 | ↓ -78% |
| MOLINA | Managed Medicaid | $108.68 | ↓ -78% |
| MOLINA | Florida KidCare | $108.68 | ↓ -78% |
| AETNA | Managed Medicaid/CHIP | $124.20 | ↓ -74% |
| The Legacy Companies | All Products | $185.90 | ↓ -62% |
| Clarity Health | All Products | $185.90 | ↓ -62% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $199.45 | ↓ -59% |
| HUMANA | Medicare Advantage HMO | $199.45 | ↓ -59% |
| UNITED | MEDICARE ADVANTAGE | $199.45 | ↓ -59% |
| BLUE CROSS | Medicare Advantage PPO | $199.45 | ↓ -59% |
| BLUE CROSS | Medicare Advantage HMO | $199.45 | ↓ -59% |
| AVMED | MEDICARE ADVANTAGE | $207.43 | ↓ -57% |
| Freedom Health | MEDICARE ADVANTAGE | $209.42 | ↓ -57% |
| Careplus | MEDICARE ADVANTAGE | $209.42 | ↓ -57% |
| Wellcare | MEDICARE ADVANTAGE | $209.52 | ↓ -57% |
| AETNA | MEDICARE ADVANTAGE | $209.52 | ↓ -57% |
| CIGNA | Individual Family Plan | $210.84 | ↓ -56% |
| Consociate Health | ALL PRODUCTS | $214.50 | ↓ -56% |
| AETNA | QHP | $218.29 | ↓ -55% |
| DEVOTED HEALTH | Medicare Advantage HMO | $230.47 | ↓ -52% |
| AETNA | ALL PRODUCTS | $232.44 | ↓ -52% |
| AETNA | All Products New Business | $243.62 | ↓ -50% |
| Aetna | All Products First Health | $257.40 | ↓ -47% |
| CIGNA | SUREFIT | $304.71 | ↓ -37% |
| AVMED | EXCHANGE | $349.04 | ↓ -28% |
| BMI | ALL PRODUCTS | $372.50 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $393.36 | ↓ -19% |
| Clarity Health | ALL PRODUCTS | $484.25 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $484.25 | ↑ +0% |
| AVMED | Select | $588.38 | ↑ +22% |
| AETNA | All Products First Health | $670.50 | ↑ +38% |
| AVMED | BROAD | $767.89 | ↑ +59% |
| BLUE CROSS | MBN | $1,339.00 | ↑ +177% |
| BLUE CROSS | BSL | $1,669.00 | ↑ +245% |
| BLUE CROSS | HMO | $1,789.00 | ↑ +269% |
| BLUE CROSS | PPO | $3,029.00 | ↑ +526% |
| BLUE CROSS | NWBI | $3,680.00 | ↑ +660% |
| BLUE CROSS | NWB | $3,680.00 | ↑ +660% |
| BLUE CROSS | PHS | $8,696.00 | ↑ +1696% |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Benign lesion paring 4+ at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $302.14 – $308.50 |
| Adventhealth Daytona Beach | Daytona Beach | $806.87 | $199.04 – $349.69 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $398.07 | $199.04 – $457.69 |
| Adventhealth Port Charlotte | Port Charlotte | $1,230.98 | $209.52 – $382.58 |
| cleveland clinic florida weston hospital | Weston | $484.25 | $20.36 – $633.25 |
| indian river hospital | Vero Beach | $484.25 | $20.36 – $596.00 |
| Bethesda Hospital East | BOYNTON BEACH | $704.60 | $110.64 – $975.60 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $704.60 | $107.25 – $975.60 |