Bx/soft tis/forearm/wrist/superfic 25065 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$530.40
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.
$816.00
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.
$128.48 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 | Health Options | $128.48 | ↓ -76% |
| Blue Cross | BlueSelect | $128.48 | ↓ -76% |
| Blue Cross | Network Blue | $154.94 | ↓ -71% |
| Miami Childrens Health Plan | Medicare Advantage | $155.20 | ↓ -71% |
| United | Medicare Advantage | $155.20 | ↓ -71% |
| Blue Cross | Medicare Advantage PPO | $155.20 | ↓ -71% |
| Blue Cross | Medicare Advantage HMO | $155.20 | ↓ -71% |
| Avmed | Medicare Advantage | $155.20 | ↓ -71% |
| Blue Cross | Perferred Patient Care | $159.98 | ↓ -70% |
| Blue Cross | Traditional (PPS) | $159.98 | ↓ -70% |
| Freedom Health | Medicare Advantage | $162.96 | ↓ -69% |
| Careplus | Medicare Advantage | $162.96 | ↓ -69% |
| Clear Spring Health | All Products | $167.62 | ↓ -68% |
| Independent Living Systems | Medicare Advantage | $170.10 | ↓ -68% |
| Aetna | Medicare Advantage PCP | $192.45 | ↓ -64% |
| Freedom Health | Managed Medicaid | $195.07 | ↓ -63% |
| Aetna | Medicare Advantage Specialist | $195.55 | ↓ -63% |
| AmeriHealth | Managed Medicaid | $200.92 | ↓ -62% |
| Molina | Florida Kidcare | $204.82 | ↓ -61% |
| Miami Childrens Health Plan | Managed Medicaid | $204.82 | ↓ -61% |
| Molina | Managed Medicaid | $204.82 | ↓ -61% |
| Sunshine Health | Managed Medicaid | $204.82 | ↓ -61% |
| Avmed | Exchange | $216.63 | ↓ -59% |
| Avmed | Select | $224.96 | ↓ -58% |
| Multiplan | All Products | $232.80 | ↓ -56% |
| Independent Living Systems | Managed Medicaid | $234.08 | ↓ -56% |
| Avmed | Broad | $241.63 | ↓ -54% |
| United | All Products | $315.30 | ↓ -41% |
| Cigna | Individual Family Plan Mid-Level | $360.58 | ↓ -32% |
| Cigna | Surefit Mid-Level | $367.49 | ↓ -31% |
| Cigna | All Products Mid-Level | $396.84 | ↓ -25% |
| Cigna | Individual Family Plan Physician | $424.24 | ↓ -20% |
| Cigna | Surefit Physician | $432.34 | ↓ -18% |
| Cigna | All Products Physician | $466.92 | ↓ -12% |
| The Legacy Companies | All Products | $530.40 | ↑ +0% |
| Clarity Health | All Products | $530.40 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $612.00 | ↑ +15% |
| Aetna | All Products First Health | $734.40 | ↑ +38% |
| Simply | Managed Medicaid | $1,131.16 | ↑ +113% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,131.16 | ↑ +113% |
| SUNSHINE HEALTH | Managed Medicaid | $1,131.16 | ↑ +113% |
| AMERIHEALTH | Managed Medicaid | $1,165.09 | ↑ +120% |
| MOLINA | Managed Medicaid | $1,187.72 | ↑ +124% |
| MOLINA | Florida KidCare | $1,187.72 | ↑ +124% |
| AETNA | Managed Medicaid/CHIP | $1,357.39 | ↑ +156% |
| HUMANA | Medicare Advantage HMO | $1,626.36 | ↑ +207% |
| BLUE CROSS | Medicare Advantage HMO | $1,626.36 | ↑ +207% |
| UNITED | MEDICARE ADVANTAGE | $1,626.36 | ↑ +207% |
| BLUE CROSS | Medicare Advantage PPO | $1,626.36 | ↑ +207% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $1,626.36 | ↑ +207% |
| AVMED | MEDICARE ADVANTAGE | $1,691.42 | ↑ +219% |
| Careplus | MEDICARE ADVANTAGE | $1,707.68 | ↑ +222% |
| Freedom Health | MEDICARE ADVANTAGE | $1,707.68 | ↑ +222% |
| Wellcare | MEDICARE ADVANTAGE | $1,724.73 | ↑ +225% |
| AETNA | MEDICARE ADVANTAGE | $1,724.73 | ↑ +225% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,897.20 | ↑ +258% |
| AVMED | EXCHANGE | $2,846.14 | ↑ +437% |
| AVMED | Select | $4,797.78 | ↑ +805% |
| AVMED | BROAD | $6,261.50 | ↑ +1081% |
| 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/soft tis/forearm/wrist/superfic 25065 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $4,101.82 – $4,188.18 |
| cleveland clinic florida weston hospital | Weston | $530.40 | $85.00 – $1,897.20 |
| Baptist Hospital | MIAMI | $2,419.95 | $173.17 – $1,931.70 |
| Bethesda Hospital East | BOYNTON BEACH | $2,419.95 | $374.06 – $1,793.72 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $1,209.65 | $323.81 – $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 |