Bronchoscopy w/biopsy(s) 31625 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$6,445.40
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.
$9,916.00
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.
$132.09 with Blue Cross vs $14,382.00 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 | BlueSelect | $132.09 | ↓ -98% |
| Blue Cross | Health Options | $132.09 | ↓ -98% |
| Avmed | Medicare Advantage | $149.84 | ↓ -98% |
| United | Medicare Advantage | $149.84 | ↓ -98% |
| Blue Cross | Medicare Advantage HMO | $149.84 | ↓ -98% |
| Miami Childrens Health Plan | Medicare Advantage | $149.84 | ↓ -98% |
| Blue Cross | Medicare Advantage PPO | $149.84 | ↓ -98% |
| Freedom Health | Medicare Advantage | $157.33 | ↓ -98% |
| Careplus | Medicare Advantage | $157.33 | ↓ -98% |
| Blue Cross | Network Blue | $159.29 | ↓ -98% |
| Clear Spring Health | All Products | $161.83 | ↓ -97% |
| Independent Living Systems | Medicare Advantage | $163.05 | ↓ -97% |
| Blue Cross | Perferred Patient Care | $164.47 | ↓ -97% |
| Blue Cross | Traditional (PPS) | $164.47 | ↓ -97% |
| Aetna | Medicare Advantage PCP | $185.80 | ↓ -97% |
| Aetna | Medicare Advantage Specialist | $188.80 | ↓ -97% |
| MULTIPLAN | ALL PRODUCTS | $198.06 | ↓ -97% |
| Clear Spring Health | ALL PRODUCTS | $203.72 | ↓ -97% |
| Avmed | Exchange | $208.09 | ↓ -97% |
| Avmed | Select | $216.09 | ↓ -97% |
| Multiplan | All Products | $224.76 | ↓ -97% |
| Avmed | Broad | $232.10 | ↓ -96% |
| Freedom Health | Managed Medicaid | $263.75 | ↓ -96% |
| AmeriHealth | Managed Medicaid | $271.66 | ↓ -96% |
| Miami Childrens Health Plan | Managed Medicaid | $276.94 | ↓ -96% |
| Molina | Florida Kidcare | $276.94 | ↓ -96% |
| Molina | Managed Medicaid | $276.94 | ↓ -96% |
| Sunshine Health | Managed Medicaid | $276.94 | ↓ -96% |
| United | All Products | $302.87 | ↓ -95% |
| Independent Living Systems | Managed Medicaid | $316.50 | ↓ -95% |
| Cigna | Individual Family Plan Mid-Level | $401.59 | ↓ -94% |
| Cigna | Surefit Mid-Level | $409.26 | ↓ -94% |
| Cigna | All Products Mid-Level | $442.06 | ↓ -93% |
| Cigna | Individual Family Plan Physician | $472.50 | ↓ -93% |
| Cigna | Surefit Physician | $481.51 | ↓ -93% |
| Cigna | All Products Physician | $520.07 | ↓ -92% |
| Clarity Health | All Products | $889.20 | ↓ -86% |
| The Legacy Companies | All Products | $889.20 | ↓ -86% |
| Consociate Health | ALL PRODUCTS | $1,026.00 | ↓ -84% |
| Simply | Managed Medicaid | $1,213.44 | ↓ -81% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,213.44 | ↓ -81% |
| SUNSHINE HEALTH | Managed Medicaid | $1,213.44 | ↓ -81% |
| Aetna | All Products First Health | $1,231.20 | ↓ -81% |
| AMERIHEALTH | Managed Medicaid | $1,249.84 | ↓ -81% |
| MOLINA | Managed Medicaid | $1,274.11 | ↓ -80% |
| MOLINA | Florida KidCare | $1,274.11 | ↓ -80% |
| AETNA | Managed Medicaid/CHIP | $1,456.13 | ↓ -77% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $1,730.99 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $1,730.99 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $1,730.99 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $1,730.99 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $1,730.99 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $1,800.23 | ↓ -72% |
| Careplus | MEDICARE ADVANTAGE | $1,817.54 | ↓ -72% |
| Freedom Health | MEDICARE ADVANTAGE | $1,817.54 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $1,858.71 | ↓ -71% |
| Wellcare | MEDICARE ADVANTAGE | $1,858.71 | ↓ -71% |
| DEVOTED HEALTH | Medicare Advantage HMO | $2,044.58 | ↓ -68% |
| CIGNA | Individual Family Plan | $2,806.23 | ↓ -56% |
| AVMED | EXCHANGE | $3,029.23 | ↓ -53% |
| AETNA | QHP | $3,806.00 | ↓ -41% |
| AETNA | All Products New Business | $4,025.00 | ↓ -38% |
| CIGNA | SUREFIT | $4,055.64 | ↓ -37% |
| AETNA | ALL PRODUCTS | $4,523.00 | ↓ -30% |
| BMI | ALL PRODUCTS | $4,958.00 | ↓ -23% |
| AVMED | Select | $5,106.42 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $5,235.65 | ↓ -19% |
| BLUE CROSS | MBN | $5,924.00 | ↓ -8% |
| BLUE CROSS | BSL | $6,260.00 | ↓ -3% |
| The Legacy Companies | ALL PRODUCTS | $6,445.40 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $6,445.40 | ↑ +0% |
| AVMED | BROAD | $6,664.31 | ↑ +3% |
| BLUE CROSS | HMO | $7,828.00 | ↑ +21% |
| BLUE CROSS | PPO | $8,632.00 | ↑ +34% |
| AETNA | All Products First Health | $8,924.40 | ↑ +38% |
| BLUE CROSS | NWB | $10,923.00 | ↑ +69% |
| BLUE CROSS | NWBI | $10,923.00 | ↑ +69% |
| BLUE CROSS | PHS | $14,382.00 | ↑ +123% |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | All Products Specialist | 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 | International | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Bronchoscopy w/biopsy(s) 31625 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $2,642.18 – $2,697.80 |
| cleveland clinic florida weston hospital | Weston | $6,445.40 | $75.13 – $8,428.60 |
| indian river hospital | Vero Beach | $6,445.40 | $75.13 – $7,932.80 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City | $1,852.80 | $2,997.00 – $2,997.00 |
| HCA FLORIDA OSCEOLA HOSPITAL | ORLANDO | $2,274.80 | $2,539.81 – $2,673.48 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $1,765.77 – $3,102.19 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $1,765.77 – $3,970.02 |
| Adventhealth Tampa | Tampa | not published | $537.00 – $4,126.34 |