Bx muscle at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$379.60
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.
$584.00
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.
$75.26 with Blue Cross vs $6,261.50 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 | BlueSelect | $75.26 | ↓ -80% |
| Blue Cross | Health Options | $75.26 | ↓ -80% |
| Blue Cross | Network Blue | $90.75 | ↓ -76% |
| Blue Cross | Traditional (PPS) | $93.70 | ↓ -75% |
| Blue Cross | Perferred Patient Care | $93.70 | ↓ -75% |
| Miami Childrens Health Plan | Medicare Advantage | $101.06 | ↓ -73% |
| United | Medicare Advantage | $101.06 | ↓ -73% |
| Blue Cross | Medicare Advantage PPO | $101.06 | ↓ -73% |
| Blue Cross | Medicare Advantage HMO | $101.06 | ↓ -73% |
| Avmed | Medicare Advantage | $101.06 | ↓ -73% |
| Careplus | Medicare Advantage | $106.11 | ↓ -72% |
| Freedom Health | Medicare Advantage | $106.11 | ↓ -72% |
| Independent Living Systems | Medicare Advantage | $108.36 | ↓ -71% |
| Clear Spring Health | All Products | $109.14 | ↓ -71% |
| Aetna | Medicare Advantage PCP | $125.31 | ↓ -67% |
| Aetna | Medicare Advantage Specialist | $127.34 | ↓ -66% |
| Avmed | Exchange | $136.01 | ↓ -64% |
| Avmed | Select | $141.24 | ↓ -63% |
| Multiplan | All Products | $151.59 | ↓ -60% |
| Avmed | Broad | $151.70 | ↓ -60% |
| Freedom Health | Managed Medicaid | $163.92 | ↓ -57% |
| AmeriHealth | Managed Medicaid | $168.84 | ↓ -56% |
| Molina | Managed Medicaid | $172.12 | ↓ -55% |
| Sunshine Health | Managed Medicaid | $172.12 | ↓ -55% |
| Miami Childrens Health Plan | Managed Medicaid | $172.12 | ↓ -55% |
| Molina | Florida Kidcare | $172.12 | ↓ -55% |
| Independent Living Systems | Managed Medicaid | $196.70 | ↓ -48% |
| United | All Products | $197.95 | ↓ -48% |
| Cigna | Individual Family Plan Mid-Level | $298.43 | ↓ -21% |
| Cigna | Surefit Mid-Level | $304.15 | ↓ -20% |
| Cigna | All Products Mid-Level | $328.44 | ↓ -13% |
| Cigna | Individual Family Plan Physician | $351.11 | ↓ -8% |
| Cigna | Surefit Physician | $357.82 | ↓ -6% |
| The Legacy Companies | All Products | $379.60 | ↑ +0% |
| Clarity Health | All Products | $379.60 | ↑ +0% |
| Cigna | All Products Physician | $386.44 | ↑ +2% |
| Consociate Health | ALL PRODUCTS | $438.00 | ↑ +15% |
| Aetna | All Products First Health | $525.60 | ↑ +38% |
| Simply | Managed Medicaid | $1,171.53 | ↑ +209% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,171.53 | ↑ +209% |
| SUNSHINE HEALTH | Managed Medicaid | $1,171.53 | ↑ +209% |
| AMERIHEALTH | Managed Medicaid | $1,206.68 | ↑ +218% |
| MOLINA | Managed Medicaid | $1,230.11 | ↑ +224% |
| MOLINA | Florida KidCare | $1,230.11 | ↑ +224% |
| AETNA | Managed Medicaid/CHIP | $1,405.84 | ↑ +270% |
| HUMANA | Medicare Advantage HMO | $1,626.36 | ↑ +328% |
| BLUE CROSS | Medicare Advantage HMO | $1,626.36 | ↑ +328% |
| UNITED | MEDICARE ADVANTAGE | $1,626.36 | ↑ +328% |
| BLUE CROSS | Medicare Advantage PPO | $1,626.36 | ↑ +328% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $1,626.36 | ↑ +328% |
| AVMED | MEDICARE ADVANTAGE | $1,691.42 | ↑ +346% |
| Careplus | MEDICARE ADVANTAGE | $1,707.68 | ↑ +350% |
| Freedom Health | MEDICARE ADVANTAGE | $1,707.68 | ↑ +350% |
| Wellcare | MEDICARE ADVANTAGE | $1,724.73 | ↑ +354% |
| AETNA | MEDICARE ADVANTAGE | $1,724.73 | ↑ +354% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,897.20 | ↑ +400% |
| AVMED | EXCHANGE | $2,846.14 | ↑ +650% |
| AVMED | Select | $4,797.78 | ↑ +1164% |
| AVMED | BROAD | $6,261.50 | ↑ +1549% |
| 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
Bx muscle at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $988.44 – $1,009.25 |
| cleveland clinic florida weston hospital | Weston | $379.60 | $58.27 – $1,897.20 |
| Baptist Hospital | MIAMI | $1,289.60 | $173.17 – $1,931.70 |
| Bethesda Hospital East | BOYNTON BEACH | $1,289.60 | $398.78 – $1,793.72 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $1,289.60 | $345.22 – $1,897.20 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $1,638.49 – $2,878.57 |
| Adventhealth Lake Wales | Lake Wales | not published | $1,724.73 – $3,828.90 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $1,638.49 – $3,683.85 |