Dest mal lesion tal <0.5 17260 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$274.30
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.
$422.00
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.
$53.55 with Blue Cross vs $767.89 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 | BlueSelect | $53.55 | ↓ -80% |
| Blue Cross | Health Options | $53.55 | ↓ -80% |
| Blue Cross | Medicare Advantage PPO | $61.91 | ↓ -77% |
| Blue Cross | Medicare Advantage HMO | $61.91 | ↓ -77% |
| Avmed | Medicare Advantage | $61.91 | ↓ -77% |
| United | Medicare Advantage | $61.91 | ↓ -77% |
| Miami Childrens Health Plan | Medicare Advantage | $61.91 | ↓ -77% |
| Blue Cross | Network Blue | $64.58 | ↓ -76% |
| Careplus | Medicare Advantage | $65.01 | ↓ -76% |
| Freedom Health | Medicare Advantage | $65.01 | ↓ -76% |
| Blue Cross | Perferred Patient Care | $66.68 | ↓ -76% |
| Blue Cross | Traditional (PPS) | $66.68 | ↓ -76% |
| Clear Spring Health | All Products | $66.86 | ↓ -76% |
| Independent Living Systems | Medicare Advantage | $75.22 | ↓ -73% |
| Freedom Health | Managed Medicaid | $76.60 | ↓ -72% |
| Aetna | Medicare Advantage PCP | $76.77 | ↓ -72% |
| Aetna | Medicare Advantage Specialist | $78.01 | ↓ -72% |
| AmeriHealth | Managed Medicaid | $78.90 | ↓ -71% |
| Sunshine Health | Managed Medicaid | $80.43 | ↓ -71% |
| Molina | Managed Medicaid | $80.43 | ↓ -71% |
| Miami Childrens Health Plan | Managed Medicaid | $80.43 | ↓ -71% |
| Molina | Florida Kidcare | $80.43 | ↓ -71% |
| Independent Living Systems | Managed Medicaid | $91.92 | ↓ -66% |
| Multiplan | All Products | $92.87 | ↓ -66% |
| Avmed | Exchange | $94.98 | ↓ -65% |
| Avmed | Select | $98.63 | ↓ -64% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $103.50 | ↓ -62% |
| Simply | Managed Medicaid | $103.50 | ↓ -62% |
| SUNSHINE HEALTH | Managed Medicaid | $103.50 | ↓ -62% |
| Cigna | Individual Family Plan Mid-Level | $104.38 | ↓ -62% |
| Avmed | Broad | $105.94 | ↓ -61% |
| Cigna | Surefit Mid-Level | $106.37 | ↓ -61% |
| AMERIHEALTH | Managed Medicaid | $106.61 | ↓ -61% |
| MOLINA | Managed Medicaid | $108.68 | ↓ -60% |
| MOLINA | Florida KidCare | $108.68 | ↓ -60% |
| Cigna | All Products Mid-Level | $114.89 | ↓ -58% |
| Cigna | Individual Family Plan Physician | $122.80 | ↓ -55% |
| AETNA | Managed Medicaid/CHIP | $124.20 | ↓ -55% |
| Cigna | Surefit Physician | $125.16 | ↓ -54% |
| Cigna | All Products Physician | $135.16 | ↓ -51% |
| United | All Products | $138.24 | ↓ -50% |
| BLUE CROSS | Medicare Advantage HMO | $199.45 | ↓ -27% |
| HUMANA | Medicare Advantage HMO | $199.45 | ↓ -27% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $199.45 | ↓ -27% |
| UNITED | MEDICARE ADVANTAGE | $199.45 | ↓ -27% |
| BLUE CROSS | Medicare Advantage PPO | $199.45 | ↓ -27% |
| AVMED | MEDICARE ADVANTAGE | $207.43 | ↓ -24% |
| Careplus | MEDICARE ADVANTAGE | $209.42 | ↓ -24% |
| Freedom Health | MEDICARE ADVANTAGE | $209.42 | ↓ -24% |
| Wellcare | MEDICARE ADVANTAGE | $209.52 | ↓ -24% |
| AETNA | MEDICARE ADVANTAGE | $209.52 | ↓ -24% |
| DEVOTED HEALTH | Medicare Advantage HMO | $230.47 | ↓ -16% |
| Clarity Health | All Products | $274.30 | ↑ +0% |
| The Legacy Companies | All Products | $274.30 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $316.50 | ↑ +15% |
| AVMED | EXCHANGE | $349.04 | ↑ +27% |
| Aetna | All Products First Health | $379.80 | ↑ +38% |
| AVMED | Select | $588.38 | ↑ +115% |
| AVMED | BROAD | $767.89 | ↑ +180% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Dest mal lesion tal <0.5 17260 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $513.23 – $524.03 |
| cleveland clinic florida weston hospital | Weston | $274.30 | $47.67 – $316.50 |
| indian river hospital | Vero Beach | $484.25 | $47.67 – $596.00 |
| Baptist Hospital | MIAMI | $604.50 | $110.64 – $837.00 |
| Bethesda Hospital East | BOYNTON BEACH | $604.50 | $110.64 – $837.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $604.50 | $107.25 – $837.00 |
| AdventHealth Orlando | Orlando | $608.00 | $209.52 – $555.22 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $199.04 – $349.69 |