Biopsy eyelid & lid margin at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,117.35
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.
?
What you pay up front if you don't use insurance.
$1,719.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$58.54 with Avmed vs $9,364.00 with BLUE CROSS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Avmed | Medicare Advantage | $58.54 | ↓ -95% |
| United | Medicare Advantage | $58.54 | ↓ -95% |
| Blue Cross | Medicare Advantage PPO | $58.54 | ↓ -95% |
| Blue Cross | Medicare Advantage HMO | $58.54 | ↓ -95% |
| Miami Childrens Health Plan | Medicare Advantage | $58.54 | ↓ -95% |
| Freedom Health | Medicare Advantage | $61.47 | ↓ -94% |
| Careplus | Medicare Advantage | $61.47 | ↓ -94% |
| Clear Spring Health | All Products | $63.22 | ↓ -94% |
| Blue Cross | BlueSelect | $70.79 | ↓ -94% |
| Blue Cross | Health Options | $70.79 | ↓ -94% |
| Independent Living Systems | Medicare Advantage | $72.38 | ↓ -94% |
| Aetna | Medicare Advantage PCP | $72.59 | ↓ -94% |
| Aetna | Medicare Advantage Specialist | $73.76 | ↓ -93% |
| MULTIPLAN | ALL PRODUCTS | $77.19 | ↓ -93% |
| Clear Spring Health | ALL PRODUCTS | $79.39 | ↓ -93% |
| Blue Cross | Network Blue | $85.37 | ↓ -92% |
| Multiplan | All Products | $87.81 | ↓ -92% |
| Blue Cross | Traditional (PPS) | $88.14 | ↓ -92% |
| Blue Cross | Perferred Patient Care | $88.14 | ↓ -92% |
| Avmed | Exchange | $90.58 | ↓ -92% |
| Avmed | Select | $94.07 | ↓ -92% |
| Avmed | Broad | $101.04 | ↓ -91% |
| United | All Products | $131.84 | ↓ -88% |
| Freedom Health | Managed Medicaid | $138.13 | ↓ -88% |
| AmeriHealth | Managed Medicaid | $142.27 | ↓ -87% |
| Molina | Florida Kidcare | $145.04 | ↓ -87% |
| Miami Childrens Health Plan | Managed Medicaid | $145.04 | ↓ -87% |
| Molina | Managed Medicaid | $145.04 | ↓ -87% |
| Sunshine Health | Managed Medicaid | $145.04 | ↓ -87% |
| Cigna | Individual Family Plan Mid-Level | $163.99 | ↓ -85% |
| Independent Living Systems | Managed Medicaid | $165.76 | ↓ -85% |
| Cigna | Surefit Mid-Level | $167.11 | ↓ -85% |
| Simply | Managed Medicaid | $178.62 | ↓ -84% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $178.62 | ↓ -84% |
| SUNSHINE HEALTH | Managed Medicaid | $178.62 | ↓ -84% |
| Cigna | All Products Mid-Level | $180.46 | ↓ -84% |
| AMERIHEALTH | Managed Medicaid | $183.98 | ↓ -84% |
| MOLINA | Florida KidCare | $187.55 | ↓ -83% |
| MOLINA | Managed Medicaid | $187.55 | ↓ -83% |
| Cigna | Individual Family Plan Physician | $192.91 | ↓ -83% |
| Cigna | Surefit Physician | $196.61 | ↓ -82% |
| Cigna | All Products Physician | $212.32 | ↓ -81% |
| AETNA | Managed Medicaid/CHIP | $214.34 | ↓ -81% |
| UNITED | MEDICARE ADVANTAGE | $300.06 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $300.06 | ↓ -73% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $300.06 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $300.06 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $300.06 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $312.06 | ↓ -72% |
| Freedom Health | MEDICARE ADVANTAGE | $315.06 | ↓ -72% |
| Careplus | MEDICARE ADVANTAGE | $315.06 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $331.46 | ↓ -70% |
| Wellcare | MEDICARE ADVANTAGE | $331.46 | ↓ -70% |
| The Legacy Companies | All Products | $337.35 | ↓ -70% |
| Clarity Health | All Products | $337.35 | ↓ -70% |
| DEVOTED HEALTH | Medicare Advantage HMO | $364.61 | ↓ -67% |
| Consociate Health | ALL PRODUCTS | $389.25 | ↓ -65% |
| Aetna | All Products First Health | $467.10 | ↓ -58% |
| CIGNA | Individual Family Plan | $486.48 | ↓ -56% |
| AETNA | QHP | $503.67 | ↓ -55% |
| AVMED | EXCHANGE | $525.11 | ↓ -53% |
| AETNA | ALL PRODUCTS | $536.33 | ↓ -52% |
| AETNA | All Products New Business | $562.11 | ↓ -50% |
| CIGNA | SUREFIT | $703.07 | ↓ -37% |
| BMI | ALL PRODUCTS | $859.50 | ↓ -23% |
| AVMED | Select | $885.18 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $907.63 | ↓ -19% |
| The Legacy Companies | ALL PRODUCTS | $1,117.35 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $1,117.35 | ↑ +0% |
| AVMED | BROAD | $1,155.23 | ↑ +3% |
| AETNA | All Products First Health | $1,547.10 | ↑ +38% |
| BLUE CROSS | BSL | $1,669.00 | ↑ +49% |
| BLUE CROSS | MBN | $1,719.00 | ↑ +54% |
| BLUE CROSS | HMO | $2,276.00 | ↑ +104% |
| BLUE CROSS | PPO | $3,381.00 | ↑ +203% |
| BLUE CROSS | NWB | $4,249.00 | ↑ +280% |
| BLUE CROSS | NWBI | $4,249.00 | ↑ +280% |
| BLUE CROSS | PHS | $9,364.00 | ↑ +738% |
| Aetna | All Products Specialist | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy eyelid & lid margin at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $1,448.65 – $1,479.14 |
| cleveland clinic florida weston hospital | Weston | $1,117.35 | $51.23 – $1,461.15 |
| indian river hospital | Vero Beach | $1,117.35 | $51.23 – $1,375.20 |
| Baptist Hospital | MIAMI | $436.80 | $58.13 – $371.23 |
| AdventHealth Orlando | Orlando | $896.00 | $331.46 – $878.37 |
| Adventhealth Carrollwood | Tampa | $892.78 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $1,390.32 – $1,419.59 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $1,411.37 – $1,441.08 |