Bx of breast open 19101 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$9,334.00
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.
$14,360.00
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.
$172.88 with Blue Cross vs $14,798.46 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 | Health Options | $172.88 | ↓ -98% |
| Blue Cross | BlueSelect | $172.88 | ↓ -98% |
| Blue Cross | Network Blue | $208.47 | ↓ -98% |
| Blue Cross | Perferred Patient Care | $215.25 | ↓ -98% |
| Blue Cross | Traditional (PPS) | $215.25 | ↓ -98% |
| Blue Cross | Medicare Advantage PPO | $240.05 | ↓ -97% |
| United | Medicare Advantage | $240.05 | ↓ -97% |
| Miami Childrens Health Plan | Medicare Advantage | $240.05 | ↓ -97% |
| Avmed | Medicare Advantage | $240.05 | ↓ -97% |
| Blue Cross | Medicare Advantage HMO | $240.05 | ↓ -97% |
| Freedom Health | Managed Medicaid | $244.86 | ↓ -97% |
| Independent Living Systems | Medicare Advantage | $251.35 | ↓ -97% |
| Freedom Health | Medicare Advantage | $252.05 | ↓ -97% |
| Careplus | Medicare Advantage | $252.05 | ↓ -97% |
| AmeriHealth | Managed Medicaid | $252.21 | ↓ -97% |
| Molina | Managed Medicaid | $257.10 | ↓ -97% |
| Molina | Florida Kidcare | $257.10 | ↓ -97% |
| Miami Childrens Health Plan | Managed Medicaid | $257.10 | ↓ -97% |
| Sunshine Health | Managed Medicaid | $257.10 | ↓ -97% |
| Clear Spring Health | All Products | $259.25 | ↓ -97% |
| MULTIPLAN | ALL PRODUCTS | $275.85 | ↓ -97% |
| Clear Spring Health | ALL PRODUCTS | $283.73 | ↓ -97% |
| Independent Living Systems | Managed Medicaid | $293.83 | ↓ -97% |
| Aetna | Medicare Advantage PCP | $297.66 | ↓ -97% |
| Aetna | Medicare Advantage Specialist | $302.46 | ↓ -97% |
| Avmed | Exchange | $317.76 | ↓ -97% |
| Avmed | Select | $329.98 | ↓ -96% |
| Avmed | Broad | $354.42 | ↓ -96% |
| Multiplan | All Products | $360.08 | ↓ -96% |
| Cigna | Individual Family Plan Mid-Level | $452.40 | ↓ -95% |
| Cigna | Surefit Mid-Level | $461.06 | ↓ -95% |
| United | All Products | $462.49 | ↓ -95% |
| Cigna | All Products Mid-Level | $497.89 | ↓ -95% |
| Cigna | Individual Family Plan Physician | $532.23 | ↓ -94% |
| Cigna | Surefit Physician | $542.41 | ↓ -94% |
| Cigna | All Products Physician | $585.74 | ↓ -94% |
| Clarity Health | All Products | $839.80 | ↓ -91% |
| The Legacy Companies | All Products | $839.80 | ↓ -91% |
| Simply | Managed Medicaid | $859.57 | ↓ -91% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $859.57 | ↓ -91% |
| SUNSHINE HEALTH | Managed Medicaid | $859.57 | ↓ -91% |
| AMERIHEALTH | Managed Medicaid | $885.36 | ↓ -91% |
| MOLINA | Managed Medicaid | $902.55 | ↓ -90% |
| MOLINA | Florida KidCare | $902.55 | ↓ -90% |
| Consociate Health | ALL PRODUCTS | $969.00 | ↓ -90% |
| AETNA | Managed Medicaid/CHIP | $1,031.48 | ↓ -89% |
| Aetna | All Products First Health | $1,162.80 | ↓ -88% |
| AETNA | QHP | $3,806.00 | ↓ -59% |
| HUMANA | Medicare Advantage HMO | $3,843.75 | ↓ -59% |
| UNITED | MEDICARE ADVANTAGE | $3,843.75 | ↓ -59% |
| BLUE CROSS | Medicare Advantage PPO | $3,843.75 | ↓ -59% |
| BLUE CROSS | Medicare Advantage HMO | $3,843.75 | ↓ -59% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $3,843.75 | ↓ -59% |
| AVMED | MEDICARE ADVANTAGE | $3,997.50 | ↓ -57% |
| AETNA | All Products New Business | $4,025.00 | ↓ -57% |
| Careplus | MEDICARE ADVANTAGE | $4,035.94 | ↓ -57% |
| Freedom Health | MEDICARE ADVANTAGE | $4,035.94 | ↓ -57% |
| CIGNA | Individual Family Plan | $4,063.88 | ↓ -56% |
| Wellcare | MEDICARE ADVANTAGE | $4,088.81 | ↓ -56% |
| AETNA | MEDICARE ADVANTAGE | $4,088.81 | ↓ -56% |
| DEVOTED HEALTH | Medicare Advantage HMO | $4,497.69 | ↓ -52% |
| AETNA | ALL PRODUCTS | $4,523.00 | ↓ -52% |
| CIGNA | SUREFIT | $5,873.24 | ↓ -37% |
| AVMED | EXCHANGE | $6,726.57 | ↓ -28% |
| BMI | ALL PRODUCTS | $7,180.00 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $7,582.08 | ↓ -19% |
| BLUE CROSS | BSL | $7,992.00 | ↓ -14% |
| The Legacy Companies | ALL PRODUCTS | $9,334.00 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $9,334.00 | ↑ +0% |
| AVMED | Select | $11,339.08 | ↑ +21% |
| AETNA | All Products First Health | $12,924.00 | ↑ +38% |
| AVMED | BROAD | $14,798.46 | ↑ +59% |
| AETNA | NAP | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | MBN | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
Visitor-reported prices
Comments
Bx of breast open 19101 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $4,277.91 – $4,367.97 |
| cleveland clinic florida weston hospital | Weston | $9,334.00 | $109.81 – $12,206.00 |
| indian river hospital | Vero Beach | $9,334.00 | $109.81 – $11,488.00 |
| Baptist Hospital | MIAMI | $21,366.15 | $173.17 – $14,791.50 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,884.37 – $6,824.22 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $3,884.37 – $8,733.28 |
| Adventhealth Tampa | Tampa | not published | $537.00 – $9,077.15 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $3,884.37 – $8,932.00 |