Bronchoscopy w/tumor excise at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,281.80
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.
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What you pay up front if you don't use insurance.
$1,972.00
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.
$184.85 with Freedom Health vs $14,248.41 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 |
|---|---|---|---|
| Freedom Health | Managed Medicaid | $184.85 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $190.40 | ↓ -85% |
| Molina | Florida Kidcare | $194.09 | ↓ -85% |
| Sunshine Health | Managed Medicaid | $194.09 | ↓ -85% |
| Miami Childrens Health Plan | Managed Medicaid | $194.09 | ↓ -85% |
| Molina | Managed Medicaid | $194.09 | ↓ -85% |
| Blue Cross | Health Options | $203.20 | ↓ -84% |
| Blue Cross | BlueSelect | $203.20 | ↓ -84% |
| Independent Living Systems | Managed Medicaid | $221.82 | ↓ -83% |
| United | Medicare Advantage | $231.69 | ↓ -82% |
| Blue Cross | Medicare Advantage HMO | $231.69 | ↓ -82% |
| Miami Childrens Health Plan | Medicare Advantage | $231.69 | ↓ -82% |
| Blue Cross | Medicare Advantage PPO | $231.69 | ↓ -82% |
| Avmed | Medicare Advantage | $231.69 | ↓ -82% |
| Freedom Health | Medicare Advantage | $243.27 | ↓ -81% |
| Careplus | Medicare Advantage | $243.27 | ↓ -81% |
| Blue Cross | Network Blue | $245.03 | ↓ -81% |
| Clear Spring Health | All Products | $250.23 | ↓ -80% |
| Blue Cross | Perferred Patient Care | $253.00 | ↓ -80% |
| Blue Cross | Traditional (PPS) | $253.00 | ↓ -80% |
| Independent Living Systems | Medicare Advantage | $258.33 | ↓ -80% |
| Aetna | Medicare Advantage PCP | $287.30 | ↓ -78% |
| Aetna | Medicare Advantage Specialist | $291.93 | ↓ -77% |
| Avmed | Exchange | $329.81 | ↓ -74% |
| Avmed | Select | $342.50 | ↓ -73% |
| Multiplan | All Products | $347.54 | ↓ -73% |
| Avmed | Broad | $367.87 | ↓ -71% |
| United | All Products | $480.03 | ↓ -63% |
| Clarity Health | All Products | $1,281.80 | ↑ +0% |
| The Legacy Companies | All Products | $1,281.80 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $1,479.00 | ↑ +15% |
| Aetna | All Products First Health | $1,774.80 | ↑ +38% |
| Cigna | Individual Family Plan Mid-Level | $1,972.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $1,972.00 | ↑ +54% |
| Cigna | All Products Physician | $1,972.00 | ↑ +54% |
| Cigna | Surefit Physician | $1,972.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $1,972.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $1,972.00 | ↑ +54% |
| Simply | Managed Medicaid | $2,656.40 | ↑ +107% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $2,656.40 | ↑ +107% |
| SUNSHINE HEALTH | Managed Medicaid | $2,656.40 | ↑ +107% |
| AMERIHEALTH | Managed Medicaid | $2,736.09 | ↑ +113% |
| MOLINA | Managed Medicaid | $2,789.22 | ↑ +118% |
| MOLINA | Florida KidCare | $2,789.22 | ↑ +118% |
| AETNA | Managed Medicaid/CHIP | $3,187.68 | ↑ +149% |
| HUMANA | Medicare Advantage HMO | $3,700.89 | ↑ +189% |
| BLUE CROSS | Medicare Advantage HMO | $3,700.89 | ↑ +189% |
| UNITED | MEDICARE ADVANTAGE | $3,700.89 | ↑ +189% |
| BLUE CROSS | Medicare Advantage PPO | $3,700.89 | ↑ +189% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $3,700.89 | ↑ +189% |
| AVMED | MEDICARE ADVANTAGE | $3,848.92 | ↑ +200% |
| Careplus | MEDICARE ADVANTAGE | $3,885.93 | ↑ +203% |
| Freedom Health | MEDICARE ADVANTAGE | $3,885.93 | ↑ +203% |
| Wellcare | MEDICARE ADVANTAGE | $3,893.43 | ↑ +204% |
| AETNA | MEDICARE ADVANTAGE | $3,893.43 | ↑ +204% |
| DEVOTED HEALTH | Medicare Advantage HMO | $4,282.78 | ↑ +234% |
| AVMED | EXCHANGE | $6,476.55 | ↑ +405% |
| AVMED | Select | $10,917.62 | ↑ +752% |
| AVMED | BROAD | $14,248.41 | ↑ +1012% |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Bronchoscopy w/tumor excise 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 | $13,780.00 | $184.85 – $18,020.00 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,698.76 – $6,498.14 |
| Adventhealth Tampa | Tampa | not published | $537.00 – $8,643.42 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $2,535.80 – $2,589.18 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $3,893.43 – $7,109.41 |
| indian river hospital | Vero Beach | not published | $2,523.58 – $4,282.78 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $2,574.19 – $2,628.38 |