Biospy of bladder at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$7,656.35
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.
$11,779.00
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.
$57.24 with Freedom Health vs $14,047.00 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 |
|---|---|---|---|
| Freedom Health | Managed Medicaid | $57.24 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $58.96 | ↓ -99% |
| Sunshine Health | Managed Medicaid | $60.10 | ↓ -99% |
| Miami Childrens Health Plan | Managed Medicaid | $60.10 | ↓ -99% |
| Molina | Florida Kidcare | $60.10 | ↓ -99% |
| Molina | Managed Medicaid | $60.10 | ↓ -99% |
| Independent Living Systems | Managed Medicaid | $68.69 | ↓ -99% |
| CIGNA | Individual Family Plan | $97.92 | ↓ -99% |
| CIGNA | SUREFIT | $141.51 | ↓ -98% |
| BMI | ALL PRODUCTS | $173.00 | ↓ -98% |
| CIGNA | ALL PRODUCTS | $182.69 | ↓ -98% |
| Clarity Health | ALL PRODUCTS | $224.90 | ↓ -97% |
| The Legacy Companies | ALL PRODUCTS | $224.90 | ↓ -97% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $244.13 | ↓ -97% |
| UNITED | MEDICARE ADVANTAGE | $244.13 | ↓ -97% |
| BLUE CROSS | Medicare Advantage HMO | $244.13 | ↓ -97% |
| HUMANA | Medicare Advantage HMO | $244.13 | ↓ -97% |
| BLUE CROSS | Medicare Advantage PPO | $244.13 | ↓ -97% |
| AVMED | MEDICARE ADVANTAGE | $253.89 | ↓ -97% |
| Careplus | MEDICARE ADVANTAGE | $256.34 | ↓ -97% |
| Freedom Health | MEDICARE ADVANTAGE | $256.34 | ↓ -97% |
| Consociate Health | ALL PRODUCTS | $259.50 | ↓ -97% |
| Wellcare | MEDICARE ADVANTAGE | $260.91 | ↓ -97% |
| AETNA | MEDICARE ADVANTAGE | $260.91 | ↓ -97% |
| DEVOTED HEALTH | Medicare Advantage HMO | $287.00 | ↓ -96% |
| AETNA | All Products First Health | $311.40 | ↓ -96% |
| The Legacy Companies | All Products | $312.00 | ↓ -96% |
| Clarity Health | All Products | $312.00 | ↓ -96% |
| AVMED | EXCHANGE | $427.23 | ↓ -94% |
| Aetna | All Products First Health | $432.00 | ↓ -94% |
| UNITED | NHP | $474.00 | ↓ -94% |
| Cigna | All Products Mid-Level | $480.00 | ↓ -94% |
| Cigna | Surefit Mid-Level | $480.00 | ↓ -94% |
| Cigna | Individual Family Plan Physician | $480.00 | ↓ -94% |
| Cigna | Individual Family Plan Mid-Level | $480.00 | ↓ -94% |
| Cigna | All Products Physician | $480.00 | ↓ -94% |
| Cigna | Surefit Physician | $480.00 | ↓ -94% |
| UNITED | ALL PRODUCTS | $568.00 | ↓ -93% |
| UNITED | International | $625.00 | ↓ -92% |
| AVMED | Select | $720.18 | ↓ -91% |
| AVMED | BROAD | $939.90 | ↓ -88% |
| Simply | Managed Medicaid | $966.36 | ↓ -87% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $966.36 | ↓ -87% |
| SUNSHINE HEALTH | Managed Medicaid | $966.36 | ↓ -87% |
| AMERIHEALTH | Managed Medicaid | $995.35 | ↓ -87% |
| MOLINA | Florida KidCare | $1,014.68 | ↓ -87% |
| MOLINA | Managed Medicaid | $1,014.68 | ↓ -87% |
| AETNA | Managed Medicaid/CHIP | $1,159.63 | ↓ -85% |
| BLUE CROSS | BSL | $1,669.00 | ↓ -78% |
| AETNA | QHP | $2,001.00 | ↓ -74% |
| AETNA | All Products New Business | $2,200.00 | ↓ -71% |
| AETNA | ALL PRODUCTS | $2,472.00 | ↓ -68% |
| BLUE CROSS | MBN | $5,736.00 | ↓ -25% |
| BLUE CROSS | HMO | $7,574.00 | ↓ -1% |
| BLUE CROSS | PPO | $8,450.00 | ↑ +10% |
| BLUE CROSS | NWBI | $10,615.00 | ↑ +39% |
| BLUE CROSS | NWB | $10,615.00 | ↑ +39% |
| BLUE CROSS | PHS | $14,047.00 | ↑ +83% |
| Avmed | Medicare Advantage | not published by hospital | — |
| Independent Living Systems | Medicare Advantage | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Avmed | Exchange | not published by hospital | — |
| Miami Childrens Health Plan | Medicare Advantage | not published by hospital | — |
| Avmed | Broad | not published by hospital | — |
| Multiplan | All Products | not published by hospital | — |
| MULTIPLAN | ALL PRODUCTS | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| United | All Products | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage Specialist | not published by hospital | — |
| Aetna | Medicare Advantage PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Careplus | Medicare Advantage | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Clear Spring Health | All Products | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
| Blue Cross | Medicare Advantage PPO | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Blue Cross | Medicare Advantage HMO | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Freedom Health | Medicare Advantage | not published by hospital | — |
| Blue Cross | BlueSelect | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Avmed | Select | not published by hospital | — |
Visitor-reported prices
Comments
Biospy of bladder at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $7,901.51 – $8,067.86 |
| Adventhealth Daytona Beach | Daytona Beach | $943.82 | not published |
| cleveland clinic florida weston hospital | Weston | $7,656.35 | $57.24 – $2,587.00 |
| indian river hospital | Vero Beach | $7,656.35 | $57.24 – $3,596.00 |
| Baptist Hospital | MIAMI | $6,089.20 | $98.44 – $991.71 |
| Bethesda Hospital East | BOYNTON BEACH | $6,089.20 | $160.46 – $991.71 |
| Boca Raton Regional Hospital | BOCA RATON | $315.25 | $174.60 – $485.00 |
| Doctors Hospital | CORAL GABLES | $6,089.20 | $99.58 – $988.82 |