Bx breast add lesion strtctc at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$2,072.20
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.
$3,188.00
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.
$74.56 with Avmed vs $14,715.00 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 |
|---|---|---|---|
| Avmed | Medicare Advantage | $74.56 | ↓ -96% |
| United | Medicare Advantage | $74.56 | ↓ -96% |
| Blue Cross | Medicare Advantage PPO | $74.56 | ↓ -96% |
| Blue Cross | Medicare Advantage HMO | $74.56 | ↓ -96% |
| Miami Childrens Health Plan | Medicare Advantage | $74.56 | ↓ -96% |
| Careplus | Medicare Advantage | $78.29 | ↓ -96% |
| Freedom Health | Medicare Advantage | $78.29 | ↓ -96% |
| Clear Spring Health | All Products | $80.52 | ↓ -96% |
| Independent Living Systems | Medicare Advantage | $86.00 | ↓ -96% |
| Aetna | Medicare Advantage PCP | $92.45 | ↓ -96% |
| Aetna | Medicare Advantage Specialist | $93.95 | ↓ -95% |
| MULTIPLAN | ALL PRODUCTS | $99.18 | ↓ -95% |
| Clear Spring Health | ALL PRODUCTS | $102.02 | ↓ -95% |
| Avmed | Exchange | $109.47 | ↓ -95% |
| Multiplan | All Products | $111.84 | ↓ -95% |
| Avmed | Select | $113.68 | ↓ -95% |
| Avmed | Broad | $122.10 | ↓ -94% |
| United | All Products | $159.33 | ↓ -92% |
| Freedom Health | Managed Medicaid | $282.90 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $291.39 | ↓ -86% |
| Miami Childrens Health Plan | Managed Medicaid | $297.05 | ↓ -86% |
| Sunshine Health | Managed Medicaid | $297.05 | ↓ -86% |
| Molina | Managed Medicaid | $297.05 | ↓ -86% |
| Molina | Florida Kidcare | $297.05 | ↓ -86% |
| Independent Living Systems | Managed Medicaid | $339.48 | ↓ -84% |
| Clarity Health | All Products | $471.90 | ↓ -77% |
| The Legacy Companies | All Products | $471.90 | ↓ -77% |
| UNITED | NHP | $474.00 | ↓ -77% |
| Consociate Health | ALL PRODUCTS | $544.50 | ↓ -74% |
| UNITED | ALL PRODUCTS | $568.00 | ↓ -73% |
| UNITED | International | $625.00 | ↓ -70% |
| Aetna | All Products First Health | $653.40 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $663.10 | ↓ -68% |
| Cigna | Individual Family Plan Mid-Level | $695.69 | ↓ -66% |
| Cigna | Surefit Mid-Level | $709.00 | ↓ -66% |
| Cigna | All Products Mid-Level | $765.64 | ↓ -63% |
| Cigna | Individual Family Plan Physician | $818.44 | ↓ -61% |
| Cigna | Surefit Physician | $834.10 | ↓ -60% |
| SUNSHINE HEALTH | Managed Medicaid | $859.57 | ↓ -59% |
| Simply | Managed Medicaid | $859.57 | ↓ -59% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $859.57 | ↓ -59% |
| AMERIHEALTH | Managed Medicaid | $885.36 | ↓ -57% |
| Cigna | All Products Physician | $900.74 | ↓ -57% |
| CIGNA | Individual Family Plan | $902.20 | ↓ -56% |
| MOLINA | Florida KidCare | $902.55 | ↓ -56% |
| MOLINA | Managed Medicaid | $902.55 | ↓ -56% |
| AVMED | EXCHANGE | $956.40 | ↓ -54% |
| AVMED | Select | $956.40 | ↓ -54% |
| AETNA | Managed Medicaid/CHIP | $1,031.48 | ↓ -50% |
| AVMED | BROAD | $1,211.44 | ↓ -42% |
| CIGNA | SUREFIT | $1,303.89 | ↓ -37% |
| BMI | ALL PRODUCTS | $1,594.00 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $1,683.26 | ↓ -19% |
| The Legacy Companies | ALL PRODUCTS | $2,072.20 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $2,072.20 | ↑ +0% |
| AETNA | All Products First Health | $2,869.20 | ↑ +38% |
| AETNA | QHP | $3,289.00 | ↑ +59% |
| AETNA | All Products New Business | $3,800.00 | ↑ +83% |
| AETNA | ALL PRODUCTS | $4,270.00 | ↑ +106% |
| BLUE CROSS | MBN | $6,115.00 | ↑ +195% |
| BLUE CROSS | HMO | $8,083.00 | ↑ +290% |
| BLUE CROSS | PPO | $8,933.00 | ↑ +331% |
| BLUE CROSS | NWBI | $11,223.00 | ↑ +442% |
| BLUE CROSS | NWB | $11,223.00 | ↑ +442% |
| BLUE CROSS | PHS | $14,715.00 | ↑ +610% |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Blue Cross | BlueSelect | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Bx breast add lesion strtctc at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $4,277.91 – $4,367.97 |
| Adventhealth Palm Coast Parkway | Palm Coast | $2,753.92 | not published |
| Adventhealth Tampa | Tampa | $3,370.90 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $747.60 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $1,604.40 | not published |
| cleveland clinic florida weston hospital | Weston | $2,072.20 | $63.88 – $3,426.00 |
| indian river hospital | Vero Beach | $2,072.20 | $63.88 – $4,328.00 |
| Boca Raton Regional Hospital | BOCA RATON | $1,979.90 | $591.00 – $2,410.00 |