Bx perianal mass at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$18,103.80
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.
?
What you pay up front if you don't use insurance.
$27,852.00
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.
$153.40 with The Legacy Companies 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 |
|---|---|---|---|
| The Legacy Companies | All Products | $153.40 | ↓ -99% |
| Clarity Health | All Products | $153.40 | ↓ -99% |
| Consociate Health | ALL PRODUCTS | $177.00 | ↓ -99% |
| Aetna | All Products First Health | $212.40 | ↓ -99% |
| Freedom Health | Managed Medicaid | $219.02 | ↓ -99% |
| CIGNA | Individual Family Plan | $219.89 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $225.59 | ↓ -99% |
| AETNA | QHP | $227.66 | ↓ -99% |
| Sunshine Health | Managed Medicaid | $229.97 | ↓ -99% |
| Miami Childrens Health Plan | Managed Medicaid | $229.97 | ↓ -99% |
| Molina | Florida Kidcare | $229.97 | ↓ -99% |
| Molina | Managed Medicaid | $229.97 | ↓ -99% |
| Cigna | All Products Mid-Level | $236.00 | ↓ -99% |
| Cigna | Surefit Mid-Level | $236.00 | ↓ -99% |
| Cigna | All Products Physician | $236.00 | ↓ -99% |
| Cigna | Individual Family Plan Mid-Level | $236.00 | ↓ -99% |
| Cigna | Surefit Physician | $236.00 | ↓ -99% |
| Cigna | Individual Family Plan Physician | $236.00 | ↓ -99% |
| AETNA | ALL PRODUCTS | $242.42 | ↓ -99% |
| AETNA | All Products New Business | $254.08 | ↓ -99% |
| Independent Living Systems | Managed Medicaid | $262.82 | ↓ -99% |
| CIGNA | SUREFIT | $317.79 | ↓ -98% |
| BMI | ALL PRODUCTS | $388.50 | ↓ -98% |
| CIGNA | ALL PRODUCTS | $410.26 | ↓ -98% |
| The Legacy Companies | ALL PRODUCTS | $505.05 | ↓ -97% |
| Clarity Health | ALL PRODUCTS | $505.05 | ↓ -97% |
| AETNA | All Products First Health | $699.30 | ↓ -96% |
| HUMANA | Medicare Advantage HMO | $915.16 | ↓ -95% |
| UNITED | MEDICARE ADVANTAGE | $915.16 | ↓ -95% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $915.16 | ↓ -95% |
| BLUE CROSS | Medicare Advantage HMO | $915.16 | ↓ -95% |
| BLUE CROSS | Medicare Advantage PPO | $915.16 | ↓ -95% |
| Simply | Managed Medicaid | $948.60 | ↓ -95% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $948.60 | ↓ -95% |
| SUNSHINE HEALTH | Managed Medicaid | $948.60 | ↓ -95% |
| AVMED | MEDICARE ADVANTAGE | $951.76 | ↓ -95% |
| Careplus | MEDICARE ADVANTAGE | $960.91 | ↓ -95% |
| Freedom Health | MEDICARE ADVANTAGE | $960.91 | ↓ -95% |
| AETNA | MEDICARE ADVANTAGE | $971.14 | ↓ -95% |
| Wellcare | MEDICARE ADVANTAGE | $971.14 | ↓ -95% |
| AMERIHEALTH | Managed Medicaid | $977.06 | ↓ -95% |
| MOLINA | Managed Medicaid | $996.03 | ↓ -94% |
| MOLINA | Florida KidCare | $996.03 | ↓ -94% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,068.25 | ↓ -94% |
| AETNA | Managed Medicaid/CHIP | $1,138.32 | ↓ -94% |
| AVMED | EXCHANGE | $1,601.52 | ↓ -91% |
| BLUE CROSS | BSL | $2,091.00 | ↓ -88% |
| AVMED | Select | $2,699.71 | ↓ -85% |
| AVMED | BROAD | $3,523.35 | ↓ -81% |
| BLUE CROSS | MBN | $6,115.00 | ↓ -66% |
| BLUE CROSS | HMO | $8,083.00 | ↓ -55% |
| BLUE CROSS | PPO | $8,933.00 | ↓ -51% |
| BLUE CROSS | NWBI | $11,223.00 | ↓ -38% |
| BLUE CROSS | NWB | $11,223.00 | ↓ -38% |
| BLUE CROSS | PHS | $14,715.00 | ↓ -19% |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
| Clear Spring Health | All Products | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Blue Cross | BlueSelect | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Freedom Health | Medicare Advantage | not published by hospital | — |
| Blue Cross | Medicare Advantage HMO | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Avmed | Select | not published by hospital | — |
| Avmed | Medicare Advantage | not published by hospital | — |
| Independent Living Systems | Medicare Advantage | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Avmed | Exchange | not published by hospital | — |
| Miami Childrens Health Plan | Medicare Advantage | not published by hospital | — |
| Avmed | Broad | not published by hospital | — |
| Blue Cross | Medicare Advantage PPO | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Multiplan | All Products | not published by hospital | — |
| MULTIPLAN | ALL PRODUCTS | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Aetna | Medicare Advantage Specialist | not published by hospital | — |
| Aetna | Medicare Advantage PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| United | All Products | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| Careplus | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Bx perianal mass at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $1,201.53 – $1,226.83 |
| Boca Raton Regional Hospital | BOCA RATON | $2,397.20 | $476.00 – $2,408.26 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $922.58 – $1,620.82 |
| Adventhealth Lake Wales | Lake Wales | not published | $971.14 – $2,155.92 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $922.58 – $2,074.25 |
| Adventhealth Tampa | Tampa | not published | $971.14 – $2,155.92 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $922.58 – $2,121.44 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $1,153.16 – $1,177.43 |