Egd/remov tum/polyp/hot bx forcep 43250 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$849.55
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.
$1,307.00
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.
$150.46 with Blue Cross vs $7,331.02 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 | $150.46 | ↓ -82% |
| Blue Cross | Health Options | $150.46 | ↓ -82% |
| Blue Cross | Medicare Advantage PPO | $165.34 | ↓ -81% |
| Blue Cross | Medicare Advantage HMO | $165.34 | ↓ -81% |
| Avmed | Medicare Advantage | $165.34 | ↓ -81% |
| United | Medicare Advantage | $165.34 | ↓ -81% |
| Miami Childrens Health Plan | Medicare Advantage | $165.34 | ↓ -81% |
| Freedom Health | Medicare Advantage | $173.61 | ↓ -80% |
| Careplus | Medicare Advantage | $173.61 | ↓ -80% |
| Clear Spring Health | All Products | $178.57 | ↓ -79% |
| Blue Cross | Network Blue | $181.43 | ↓ -79% |
| Independent Living Systems | Medicare Advantage | $183.26 | ↓ -78% |
| Blue Cross | Perferred Patient Care | $187.33 | ↓ -78% |
| Blue Cross | Traditional (PPS) | $187.33 | ↓ -78% |
| Aetna | Medicare Advantage PCP | $205.02 | ↓ -76% |
| Aetna | Medicare Advantage Specialist | $208.33 | ↓ -75% |
| Avmed | Exchange | $231.86 | ↓ -73% |
| Freedom Health | Managed Medicaid | $238.54 | ↓ -72% |
| Avmed | Select | $240.77 | ↓ -72% |
| AmeriHealth | Managed Medicaid | $245.70 | ↓ -71% |
| Multiplan | All Products | $248.01 | ↓ -71% |
| Miami Childrens Health Plan | Managed Medicaid | $250.47 | ↓ -71% |
| Sunshine Health | Managed Medicaid | $250.47 | ↓ -71% |
| Molina | Managed Medicaid | $250.47 | ↓ -71% |
| Molina | Florida Kidcare | $250.47 | ↓ -71% |
| Avmed | Broad | $258.61 | ↓ -70% |
| Independent Living Systems | Managed Medicaid | $286.25 | ↓ -66% |
| United | All Products | $337.46 | ↓ -60% |
| Cigna | Individual Family Plan Mid-Level | $599.52 | ↓ -29% |
| Cigna | Surefit Mid-Level | $610.99 | ↓ -28% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $648.98 | ↓ -24% |
| Simply | Managed Medicaid | $648.98 | ↓ -24% |
| SUNSHINE HEALTH | Managed Medicaid | $648.98 | ↓ -24% |
| Cigna | All Products Mid-Level | $659.80 | ↓ -22% |
| AMERIHEALTH | Managed Medicaid | $668.45 | ↓ -21% |
| MOLINA | Managed Medicaid | $681.43 | ↓ -20% |
| MOLINA | Florida KidCare | $681.43 | ↓ -20% |
| Cigna | Individual Family Plan Physician | $705.30 | ↓ -17% |
| Cigna | Surefit Physician | $718.80 | ↓ -15% |
| Cigna | All Products Physician | $776.22 | ↓ -9% |
| AETNA | Managed Medicaid/CHIP | $778.78 | ↓ -8% |
| The Legacy Companies | All Products | $849.55 | ↑ +0% |
| Clarity Health | All Products | $849.55 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $980.25 | ↑ +15% |
| Aetna | All Products First Health | $1,176.30 | ↑ +38% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $1,904.16 | ↑ +124% |
| BLUE CROSS | Medicare Advantage PPO | $1,904.16 | ↑ +124% |
| BLUE CROSS | Medicare Advantage HMO | $1,904.16 | ↑ +124% |
| HUMANA | Medicare Advantage HMO | $1,904.16 | ↑ +124% |
| UNITED | MEDICARE ADVANTAGE | $1,904.16 | ↑ +124% |
| AVMED | MEDICARE ADVANTAGE | $1,980.33 | ↑ +133% |
| Freedom Health | MEDICARE ADVANTAGE | $1,999.37 | ↑ +135% |
| Careplus | MEDICARE ADVANTAGE | $1,999.37 | ↑ +135% |
| AETNA | MEDICARE ADVANTAGE | $2,003.87 | ↑ +136% |
| Wellcare | MEDICARE ADVANTAGE | $2,003.87 | ↑ +136% |
| DEVOTED HEALTH | Medicare Advantage HMO | $2,204.26 | ↑ +159% |
| AVMED | EXCHANGE | $3,332.28 | ↑ +292% |
| AVMED | Select | $5,617.27 | ↑ +561% |
| AVMED | BROAD | $7,331.02 | ↑ +763% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
Visitor-reported prices
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Egd/remov tum/polyp/hot bx forcep 43250 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $1,821.31 – $1,859.65 |
| cleveland clinic florida weston hospital | Weston | $7,090.20 | $153.15 – $9,271.80 |
| indian river hospital | Vero Beach | $7,090.20 | $153.15 – $8,726.40 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $1,903.68 – $3,344.47 |
| Adventhealth Lake Wales | Lake Wales | not published | $2,003.87 – $4,448.60 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $1,903.68 – $4,280.08 |
| Adventhealth Tampa | Tampa | not published | $537.00 – $4,448.60 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $1,903.68 – $4,377.46 |