Biopsy finger joint lining at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$995.80
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.
$1,532.00
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.
$259.99 with Blue Cross vs $12,538.97 with AVMED — 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 |
|---|---|---|---|
| Blue Cross | BlueSelect | $259.99 | ↓ -74% |
| Blue Cross | Health Options | $259.99 | ↓ -74% |
| Freedom Health | Managed Medicaid | $270.38 | ↓ -73% |
| AmeriHealth | Managed Medicaid | $278.49 | ↓ -72% |
| Molina | Florida Kidcare | $283.90 | ↓ -71% |
| Miami Childrens Health Plan | Managed Medicaid | $283.90 | ↓ -71% |
| Sunshine Health | Managed Medicaid | $283.90 | ↓ -71% |
| Molina | Managed Medicaid | $283.90 | ↓ -71% |
| Blue Cross | Network Blue | $313.52 | ↓ -69% |
| Blue Cross | Traditional (PPS) | $323.71 | ↓ -67% |
| Blue Cross | Perferred Patient Care | $323.71 | ↓ -67% |
| Independent Living Systems | Managed Medicaid | $324.46 | ↓ -67% |
| Avmed | Medicare Advantage | $366.22 | ↓ -63% |
| United | Medicare Advantage | $366.22 | ↓ -63% |
| Miami Childrens Health Plan | Medicare Advantage | $366.22 | ↓ -63% |
| Blue Cross | Medicare Advantage HMO | $366.22 | ↓ -63% |
| Blue Cross | Medicare Advantage PPO | $366.22 | ↓ -63% |
| Independent Living Systems | Medicare Advantage | $382.90 | ↓ -62% |
| Careplus | Medicare Advantage | $384.53 | ↓ -61% |
| Freedom Health | Medicare Advantage | $384.53 | ↓ -61% |
| Clear Spring Health | All Products | $395.52 | ↓ -60% |
| Aetna | Medicare Advantage PCP | $454.11 | ↓ -54% |
| Aetna | Medicare Advantage Specialist | $461.44 | ↓ -54% |
| Avmed | Exchange | $482.01 | ↓ -52% |
| Avmed | Select | $500.55 | ↓ -50% |
| Avmed | Broad | $537.63 | ↓ -46% |
| Multiplan | All Products | $549.33 | ↓ -45% |
| United | All Products | $701.55 | ↓ -30% |
| Simply | Managed Medicaid | $858.15 | ↓ -14% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $858.15 | ↓ -14% |
| SUNSHINE HEALTH | Managed Medicaid | $858.15 | ↓ -14% |
| AMERIHEALTH | Managed Medicaid | $883.89 | ↓ -11% |
| MOLINA | Florida KidCare | $901.06 | ↓ -10% |
| MOLINA | Managed Medicaid | $901.06 | ↓ -10% |
| The Legacy Companies | All Products | $995.80 | ↑ +0% |
| Clarity Health | All Products | $995.80 | ↑ +0% |
| AETNA | Managed Medicaid/CHIP | $1,029.78 | ↑ +3% |
| Consociate Health | ALL PRODUCTS | $1,149.00 | ↑ +15% |
| Aetna | All Products First Health | $1,378.80 | ↑ +38% |
| Cigna | All Products Physician | $1,532.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $1,532.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $1,532.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $1,532.00 | ↑ +54% |
| Cigna | Surefit Physician | $1,532.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $1,532.00 | ↑ +54% |
| BLUE CROSS | Medicare Advantage HMO | $3,256.87 | ↑ +227% |
| UNITED | MEDICARE ADVANTAGE | $3,256.87 | ↑ +227% |
| BLUE CROSS | Medicare Advantage PPO | $3,256.87 | ↑ +227% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $3,256.87 | ↑ +227% |
| HUMANA | Medicare Advantage HMO | $3,256.87 | ↑ +227% |
| AVMED | MEDICARE ADVANTAGE | $3,387.15 | ↑ +240% |
| Wellcare | MEDICARE ADVANTAGE | $3,416.88 | ↑ +243% |
| AETNA | MEDICARE ADVANTAGE | $3,416.88 | ↑ +243% |
| Freedom Health | MEDICARE ADVANTAGE | $3,419.72 | ↑ +243% |
| Careplus | MEDICARE ADVANTAGE | $3,419.72 | ↑ +243% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,758.57 | ↑ +277% |
| AVMED | EXCHANGE | $5,699.53 | ↑ +472% |
| AVMED | Select | $9,607.78 | ↑ +865% |
| AVMED | BROAD | $12,538.97 | ↑ +1159% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy finger joint lining at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $3,121.39 – $3,187.10 |
| cleveland clinic florida weston hospital | Weston | $995.80 | $246.86 – $3,758.57 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,246.04 – $5,702.77 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $3,246.04 – $7,298.12 |
| Adventhealth Tampa | Tampa | not published | $401.00 – $7,585.48 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $3,246.04 – $7,464.18 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $2,995.71 – $3,058.78 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $3,416.88 – $6,239.22 |