Bx vag mucos smpl (sep proc) at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$3,253.90
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.
$5,006.00
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.
$52.40 with Blue Cross vs $8,696.00 with BLUE CROSS — 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 | $52.40 | ↓ -98% |
| Blue Cross | Health Options | $52.40 | ↓ -98% |
| Blue Cross | Network Blue | $63.19 | ↓ -98% |
| Avmed | Medicare Advantage | $64.87 | ↓ -98% |
| Blue Cross | Medicare Advantage PPO | $64.87 | ↓ -98% |
| Blue Cross | Medicare Advantage HMO | $64.87 | ↓ -98% |
| United | Medicare Advantage | $64.87 | ↓ -98% |
| Miami Childrens Health Plan | Medicare Advantage | $64.87 | ↓ -98% |
| Blue Cross | Perferred Patient Care | $65.25 | ↓ -98% |
| Blue Cross | Traditional (PPS) | $65.25 | ↓ -98% |
| Careplus | Medicare Advantage | $68.11 | ↓ -98% |
| Freedom Health | Medicare Advantage | $68.11 | ↓ -98% |
| Clear Spring Health | All Products | $70.06 | ↓ -98% |
| Independent Living Systems | Medicare Advantage | $72.10 | ↓ -98% |
| Freedom Health | Managed Medicaid | $79.15 | ↓ -98% |
| MULTIPLAN | ALL PRODUCTS | $79.24 | ↓ -98% |
| Aetna | Medicare Advantage PCP | $80.44 | ↓ -98% |
| Clear Spring Health | ALL PRODUCTS | $81.51 | ↓ -97% |
| AmeriHealth | Managed Medicaid | $81.52 | ↓ -97% |
| Aetna | Medicare Advantage Specialist | $81.74 | ↓ -97% |
| Miami Childrens Health Plan | Managed Medicaid | $83.11 | ↓ -97% |
| Molina | Florida Kidcare | $83.11 | ↓ -97% |
| Molina | Managed Medicaid | $83.11 | ↓ -97% |
| Sunshine Health | Managed Medicaid | $83.11 | ↓ -97% |
| Avmed | Exchange | $91.43 | ↓ -97% |
| Avmed | Select | $94.95 | ↓ -97% |
| Independent Living Systems | Managed Medicaid | $94.98 | ↓ -97% |
| Multiplan | All Products | $97.31 | ↓ -97% |
| Avmed | Broad | $101.98 | ↓ -97% |
| Cigna | Individual Family Plan Mid-Level | $109.70 | ↓ -97% |
| Cigna | Surefit Mid-Level | $111.79 | ↓ -97% |
| Cigna | All Products Mid-Level | $120.73 | ↓ -96% |
| Cigna | Individual Family Plan Physician | $129.05 | ↓ -96% |
| Cigna | Surefit Physician | $131.52 | ↓ -96% |
| United | All Products | $133.07 | ↓ -96% |
| Cigna | All Products Physician | $142.04 | ↓ -96% |
| Clarity Health | All Products | $312.00 | ↓ -90% |
| The Legacy Companies | All Products | $312.00 | ↓ -90% |
| Simply | Managed Medicaid | $343.07 | ↓ -89% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $343.07 | ↓ -89% |
| SUNSHINE HEALTH | Managed Medicaid | $343.07 | ↓ -89% |
| AMERIHEALTH | Managed Medicaid | $353.36 | ↓ -89% |
| Consociate Health | ALL PRODUCTS | $360.00 | ↓ -89% |
| MOLINA | Managed Medicaid | $360.22 | ↓ -89% |
| MOLINA | Florida KidCare | $360.22 | ↓ -89% |
| AETNA | Managed Medicaid/CHIP | $411.68 | ↓ -87% |
| Aetna | All Products First Health | $432.00 | ↓ -87% |
| HUMANA | Medicare Advantage HMO | $874.03 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $874.03 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $874.03 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $874.03 | ↓ -73% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $874.03 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $908.99 | ↓ -72% |
| Freedom Health | MEDICARE ADVANTAGE | $917.73 | ↓ -72% |
| Careplus | MEDICARE ADVANTAGE | $917.73 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $961.83 | ↓ -70% |
| Wellcare | MEDICARE ADVANTAGE | $961.83 | ↓ -70% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,058.02 | ↓ -67% |
| BLUE CROSS | MBN | $1,339.00 | ↓ -59% |
| CIGNA | Individual Family Plan | $1,416.70 | ↓ -56% |
| AETNA | QHP | $1,466.76 | ↓ -55% |
| AVMED | EXCHANGE | $1,529.55 | ↓ -53% |
| AETNA | ALL PRODUCTS | $1,561.87 | ↓ -52% |
| AETNA | All Products New Business | $1,636.96 | ↓ -50% |
| BLUE CROSS | HMO | $1,789.00 | ↓ -45% |
| UNITED | NHP | $1,901.00 | ↓ -42% |
| CIGNA | SUREFIT | $2,047.45 | ↓ -37% |
| BLUE CROSS | BSL | $2,091.00 | ↓ -36% |
| UNITED | ALL PRODUCTS | $2,277.00 | ↓ -30% |
| UNITED | International | $2,500.00 | ↓ -23% |
| BMI | ALL PRODUCTS | $2,503.00 | ↓ -23% |
| AVMED | Select | $2,578.39 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $2,643.17 | ↓ -19% |
| BLUE CROSS | PPO | $3,029.00 | ↓ -7% |
| The Legacy Companies | ALL PRODUCTS | $3,253.90 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $3,253.90 | ↑ +0% |
| AVMED | BROAD | $3,365.02 | ↑ +3% |
| BLUE CROSS | NWBI | $3,680.00 | ↑ +13% |
| BLUE CROSS | NWB | $3,680.00 | ↑ +13% |
| AETNA | All Products First Health | $4,505.40 | ↑ +38% |
| BLUE CROSS | PHS | $8,696.00 | ↑ +167% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Bx vag mucos smpl (sep proc) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $9,870.39 – $10,078.18 |
| cleveland clinic florida weston hospital | Weston | $3,253.90 | $37.55 – $4,255.10 |
| indian river hospital | Vero Beach | $3,253.90 | $37.55 – $4,004.80 |
| Baptist Hospital | MIAMI | $2,395.90 | $173.17 – $3,317.40 |
| AdventHealth Orlando | Orlando | $4,947.00 | $961.83 – $2,548.86 |
| Adventhealth Carrollwood | Tampa | $7,684.95 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $9,472.99 – $9,672.42 |
| West Kendall Baptist Hospital | MIAMI | not published | not published |