Bx soft tiss pelvis/hip deep 27041 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$2,646.80
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.
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What you pay up front if you don't use insurance.
$4,072.00
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.
$530.34 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 | $530.34 | ↓ -80% |
| Blue Cross | BlueSelect | $530.34 | ↓ -80% |
| Freedom Health | Managed Medicaid | $550.99 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $567.52 | ↓ -79% |
| Sunshine Health | Managed Medicaid | $578.54 | ↓ -78% |
| Molina | Managed Medicaid | $578.54 | ↓ -78% |
| Molina | Florida Kidcare | $578.54 | ↓ -78% |
| Miami Childrens Health Plan | Managed Medicaid | $578.54 | ↓ -78% |
| Blue Cross | Network Blue | $639.52 | ↓ -76% |
| Blue Cross | Perferred Patient Care | $660.32 | ↓ -75% |
| Blue Cross | Traditional (PPS) | $660.32 | ↓ -75% |
| Independent Living Systems | Managed Medicaid | $661.19 | ↓ -75% |
| Miami Childrens Health Plan | Medicare Advantage | $716.12 | ↓ -73% |
| United | Medicare Advantage | $716.12 | ↓ -73% |
| Blue Cross | Medicare Advantage PPO | $716.12 | ↓ -73% |
| Blue Cross | Medicare Advantage HMO | $716.12 | ↓ -73% |
| Avmed | Medicare Advantage | $716.12 | ↓ -73% |
| Careplus | Medicare Advantage | $751.93 | ↓ -72% |
| Freedom Health | Medicare Advantage | $751.93 | ↓ -72% |
| Clear Spring Health | All Products | $773.41 | ↓ -71% |
| Independent Living Systems | Medicare Advantage | $783.55 | ↓ -70% |
| Aetna | Medicare Advantage PCP | $887.99 | ↓ -66% |
| Aetna | Medicare Advantage Specialist | $902.31 | ↓ -66% |
| Avmed | Exchange | $994.83 | ↓ -62% |
| Avmed | Select | $1,033.09 | ↓ -61% |
| Multiplan | All Products | $1,074.18 | ↓ -59% |
| Avmed | Broad | $1,109.61 | ↓ -58% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,171.53 | ↓ -56% |
| Simply | Managed Medicaid | $1,171.53 | ↓ -56% |
| SUNSHINE HEALTH | Managed Medicaid | $1,171.53 | ↓ -56% |
| AMERIHEALTH | Managed Medicaid | $1,206.68 | ↓ -54% |
| MOLINA | Florida KidCare | $1,230.11 | ↓ -54% |
| MOLINA | Managed Medicaid | $1,230.11 | ↓ -54% |
| AETNA | Managed Medicaid/CHIP | $1,405.84 | ↓ -47% |
| United | All Products | $1,447.93 | ↓ -45% |
| HUMANA | Medicare Advantage HMO | $1,626.36 | ↓ -39% |
| BLUE CROSS | Medicare Advantage PPO | $1,626.36 | ↓ -39% |
| UNITED | MEDICARE ADVANTAGE | $1,626.36 | ↓ -39% |
| BLUE CROSS | Medicare Advantage HMO | $1,626.36 | ↓ -39% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $1,626.36 | ↓ -39% |
| AVMED | MEDICARE ADVANTAGE | $1,691.42 | ↓ -36% |
| Careplus | MEDICARE ADVANTAGE | $1,707.68 | ↓ -35% |
| Freedom Health | MEDICARE ADVANTAGE | $1,707.68 | ↓ -35% |
| AETNA | MEDICARE ADVANTAGE | $1,724.73 | ↓ -35% |
| Wellcare | MEDICARE ADVANTAGE | $1,724.73 | ↓ -35% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,897.20 | ↓ -28% |
| Clarity Health | All Products | $2,646.80 | ↑ +0% |
| The Legacy Companies | All Products | $2,646.80 | ↑ +0% |
| AVMED | EXCHANGE | $2,846.14 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $3,054.00 | ↑ +15% |
| Aetna | All Products First Health | $3,664.80 | ↑ +38% |
| Cigna | All Products Mid-Level | $4,072.00 | ↑ +54% |
| Cigna | Surefit Physician | $4,072.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $4,072.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $4,072.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $4,072.00 | ↑ +54% |
| Cigna | All Products Physician | $4,072.00 | ↑ +54% |
| AVMED | Select | $4,797.78 | ↑ +81% |
| AVMED | BROAD | $6,261.50 | ↑ +137% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
Visitor-reported prices
Comments
Bx soft tiss pelvis/hip deep 27041 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $1,101.99 – $1,125.19 |
| Adventhealth Daytona Beach | Daytona Beach | $2,873.17 | $1,638.49 – $2,878.57 |
| Adventhealth Palm Coast Parkway | Palm Coast | $2,380.54 | $1,638.49 – $3,683.85 |
| Adventhealth Tampa | Tampa | $1,132.82 | $537.00 – $3,828.90 |
| cleveland clinic florida weston hospital | Weston | $6,055.40 | $370.69 – $7,918.60 |
| Baptist Hospital | MIAMI | $3,227.90 | $173.17 – $4,469.40 |
| Bethesda Hospital East | BOYNTON BEACH | $3,227.90 | $998.17 – $4,469.40 |
| Doctors Hospital | CORAL GABLES | $3,227.90 | $869.05 – $4,469.40 |