Destruction premal lesions 15/> 17004 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$974.35
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.
$1,499.00
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.
$87.21 with Blue Cross vs $9,033.00 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 | Medicare Advantage HMO | $87.21 | ↓ -91% |
| Blue Cross | Medicare Advantage PPO | $87.21 | ↓ -91% |
| Avmed | Medicare Advantage | $87.21 | ↓ -91% |
| Miami Childrens Health Plan | Medicare Advantage | $87.21 | ↓ -91% |
| United | Medicare Advantage | $87.21 | ↓ -91% |
| Freedom Health | Medicare Advantage | $91.57 | ↓ -91% |
| Careplus | Medicare Advantage | $91.57 | ↓ -91% |
| Clear Spring Health | All Products | $94.19 | ↓ -90% |
| Blue Cross | Health Options | $102.88 | ↓ -89% |
| Blue Cross | BlueSelect | $102.88 | ↓ -89% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $103.50 | ↓ -89% |
| SUNSHINE HEALTH | Managed Medicaid | $103.50 | ↓ -89% |
| Freedom Health | Managed Medicaid | $103.50 | ↓ -89% |
| Simply | Managed Medicaid | $103.50 | ↓ -89% |
| Independent Living Systems | Medicare Advantage | $105.29 | ↓ -89% |
| AMERIHEALTH | Managed Medicaid | $106.61 | ↓ -89% |
| Aetna | Medicare Advantage PCP | $108.14 | ↓ -89% |
| MOLINA | Florida KidCare | $108.68 | ↓ -89% |
| MOLINA | Managed Medicaid | $108.68 | ↓ -89% |
| Miami Childrens Health Plan | Managed Medicaid | $108.68 | ↓ -89% |
| Aetna | Medicare Advantage Specialist | $109.88 | ↓ -89% |
| MULTIPLAN | ALL PRODUCTS | $110.73 | ↓ -89% |
| Clear Spring Health | ALL PRODUCTS | $113.90 | ↓ -88% |
| Blue Cross | Network Blue | $124.06 | ↓ -87% |
| Independent Living Systems | Managed Medicaid | $124.20 | ↓ -87% |
| AETNA | Managed Medicaid/CHIP | $124.20 | ↓ -87% |
| Blue Cross | Traditional (PPS) | $128.10 | ↓ -87% |
| Blue Cross | Perferred Patient Care | $128.10 | ↓ -87% |
| Multiplan | All Products | $130.82 | ↓ -87% |
| AmeriHealth | Managed Medicaid | $131.49 | ↓ -87% |
| Avmed | Exchange | $132.54 | ↓ -86% |
| Molina | Florida Kidcare | $134.04 | ↓ -86% |
| Molina | Managed Medicaid | $134.04 | ↓ -86% |
| Sunshine Health | Managed Medicaid | $134.04 | ↓ -86% |
| Avmed | Select | $137.63 | ↓ -86% |
| Avmed | Broad | $147.83 | ↓ -85% |
| Cigna | Individual Family Plan Mid-Level | $165.02 | ↓ -83% |
| Cigna | Surefit Mid-Level | $168.17 | ↓ -83% |
| Cigna | All Products Mid-Level | $181.64 | ↓ -81% |
| United | All Products | $192.90 | ↓ -80% |
| Cigna | Individual Family Plan Physician | $194.15 | ↓ -80% |
| Cigna | Surefit Physician | $197.87 | ↓ -80% |
| Cigna | All Products Physician | $213.69 | ↓ -78% |
| The Legacy Companies | All Products | $391.95 | ↓ -60% |
| Clarity Health | All Products | $391.95 | ↓ -60% |
| HUMANA | Medicare Advantage HMO | $401.04 | ↓ -59% |
| BLUE CROSS | Medicare Advantage HMO | $401.04 | ↓ -59% |
| BLUE CROSS | Medicare Advantage PPO | $401.04 | ↓ -59% |
| UNITED | MEDICARE ADVANTAGE | $401.04 | ↓ -59% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $401.04 | ↓ -59% |
| AVMED | MEDICARE ADVANTAGE | $417.08 | ↓ -57% |
| Freedom Health | MEDICARE ADVANTAGE | $421.09 | ↓ -57% |
| Careplus | MEDICARE ADVANTAGE | $421.09 | ↓ -57% |
| CIGNA | Individual Family Plan | $424.22 | ↓ -56% |
| Wellcare | MEDICARE ADVANTAGE | $424.52 | ↓ -56% |
| AETNA | MEDICARE ADVANTAGE | $424.52 | ↓ -56% |
| AETNA | QHP | $439.21 | ↓ -55% |
| Consociate Health | ALL PRODUCTS | $452.25 | ↓ -54% |
| DEVOTED HEALTH | Medicare Advantage HMO | $466.97 | ↓ -52% |
| AETNA | ALL PRODUCTS | $467.69 | ↓ -52% |
| AETNA | All Products New Business | $490.17 | ↓ -50% |
| Aetna | All Products First Health | $542.70 | ↓ -44% |
| CIGNA | SUREFIT | $613.09 | ↓ -37% |
| AVMED | EXCHANGE | $701.82 | ↓ -28% |
| BMI | ALL PRODUCTS | $749.50 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $791.47 | ↓ -19% |
| Clarity Health | ALL PRODUCTS | $974.35 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $974.35 | ↑ +0% |
| AVMED | Select | $1,183.07 | ↑ +21% |
| AETNA | All Products First Health | $1,349.10 | ↑ +38% |
| BLUE CROSS | MBN | $1,529.00 | ↑ +57% |
| AVMED | BROAD | $1,544.00 | ↑ +58% |
| BLUE CROSS | BSL | $1,876.00 | ↑ +93% |
| BLUE CROSS | HMO | $2,046.00 | ↑ +110% |
| BLUE CROSS | PPO | $3,235.00 | ↑ +232% |
| BLUE CROSS | NWB | $3,986.00 | ↑ +309% |
| BLUE CROSS | NWBI | $3,986.00 | ↑ +309% |
| BLUE CROSS | PHS | $9,033.00 | ↑ +827% |
| Aetna | All Products Specialist | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
Visitor-reported prices
Comments
Destruction premal lesions 15/> 17004 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $513.23 – $524.03 |
| Adventhealth Port Charlotte | Port Charlotte | $2,092.66 | $424.52 – $775.16 |
| cleveland clinic florida weston hospital | Weston | $974.35 | $84.08 – $1,274.15 |
| indian river hospital | Vero Beach | $974.35 | $84.08 – $1,199.20 |
| Baptist Hospital | MIAMI | $306.80 | $81.66 – $475.46 |
| AdventHealth Orlando | Orlando | $114.00 | $424.52 – $1,124.97 |
| Adventhealth Carrollwood | Tampa | $4,243.77 | $424.52 – $942.42 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $403.29 – $708.52 |