Biopsy finger joint lining at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$949.00
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.
$1,460.00
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.
$247.63 with Blue Cross vs $6,184.87 with AVMED — 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 | Health Options | $247.63 | ↓ -74% |
| Blue Cross | BlueSelect | $247.63 | ↓ -74% |
| Freedom Health | Managed Medicaid | $258.90 | ↓ -73% |
| AmeriHealth | Managed Medicaid | $266.67 | ↓ -72% |
| Molina | Managed Medicaid | $271.85 | ↓ -71% |
| Miami Childrens Health Plan | Managed Medicaid | $271.85 | ↓ -71% |
| Molina | Florida Kidcare | $271.85 | ↓ -71% |
| Sunshine Health | Managed Medicaid | $271.85 | ↓ -71% |
| Blue Cross | Network Blue | $298.62 | ↓ -69% |
| Blue Cross | Traditional (PPS) | $308.33 | ↓ -68% |
| Blue Cross | Perferred Patient Care | $308.33 | ↓ -68% |
| Independent Living Systems | Managed Medicaid | $310.68 | ↓ -67% |
| United | Medicare Advantage | $340.31 | ↓ -64% |
| Miami Childrens Health Plan | Medicare Advantage | $340.31 | ↓ -64% |
| Blue Cross | Medicare Advantage PPO | $340.31 | ↓ -64% |
| Avmed | Medicare Advantage | $340.31 | ↓ -64% |
| Blue Cross | Medicare Advantage HMO | $340.31 | ↓ -64% |
| Freedom Health | Medicare Advantage | $357.33 | ↓ -62% |
| Careplus | Medicare Advantage | $357.33 | ↓ -62% |
| Independent Living Systems | Medicare Advantage | $362.04 | ↓ -62% |
| Clear Spring Health | All Products | $367.53 | ↓ -61% |
| Aetna | Medicare Advantage PCP | $421.98 | ↓ -56% |
| Aetna | Medicare Advantage Specialist | $428.79 | ↓ -55% |
| Avmed | Exchange | $457.30 | ↓ -52% |
| Avmed | Select | $474.89 | ↓ -50% |
| Avmed | Broad | $510.07 | ↓ -46% |
| Multiplan | All Products | $510.47 | ↓ -46% |
| United | All Products | $665.58 | ↓ -30% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $858.15 | ↓ -10% |
| Simply | Managed Medicaid | $858.15 | ↓ -10% |
| SUNSHINE HEALTH | Managed Medicaid | $858.15 | ↓ -10% |
| AMERIHEALTH | Managed Medicaid | $883.89 | ↓ -7% |
| MOLINA | Florida KidCare | $901.06 | ↓ -5% |
| MOLINA | Managed Medicaid | $901.06 | ↓ -5% |
| The Legacy Companies | All Products | $949.00 | ↑ +0% |
| Clarity Health | All Products | $949.00 | ↑ +0% |
| AETNA | Managed Medicaid/CHIP | $1,029.78 | ↑ +9% |
| Consociate Health | ALL PRODUCTS | $1,095.00 | ↑ +15% |
| Aetna | All Products First Health | $1,314.00 | ↑ +38% |
| Cigna | All Products Physician | $1,460.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $1,460.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $1,460.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $1,460.00 | ↑ +54% |
| Cigna | Surefit Physician | $1,460.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $1,460.00 | ↑ +54% |
| BLUE CROSS | Medicare Advantage HMO | $1,606.46 | ↑ +69% |
| BLUE CROSS | Medicare Advantage PPO | $1,606.46 | ↑ +69% |
| HUMANA | Medicare Advantage HMO | $1,606.46 | ↑ +69% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $1,606.46 | ↑ +69% |
| UNITED | MEDICARE ADVANTAGE | $1,606.46 | ↑ +69% |
| AVMED | MEDICARE ADVANTAGE | $1,670.72 | ↑ +76% |
| AETNA | MEDICARE ADVANTAGE | $1,679.19 | ↑ +77% |
| Wellcare | MEDICARE ADVANTAGE | $1,679.19 | ↑ +77% |
| Freedom Health | MEDICARE ADVANTAGE | $1,686.78 | ↑ +78% |
| Careplus | MEDICARE ADVANTAGE | $1,686.78 | ↑ +78% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,847.11 | ↑ +95% |
| AVMED | EXCHANGE | $2,811.30 | ↑ +196% |
| AVMED | Select | $4,739.06 | ↑ +399% |
| AVMED | BROAD | $6,184.87 | ↑ +552% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | 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 | $949.00 | $200.86 – $1,847.11 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $1,595.23 – $2,802.57 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $1,595.23 – $3,586.59 |
| Adventhealth Tampa | Tampa | not published | $401.00 – $3,727.81 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $1,595.23 – $3,668.20 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $2,995.71 – $3,058.78 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $1,679.19 – $3,066.20 |