Exc im tumor/back/flank/ < 5 cm 21932 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$2,553.20
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.
$3,928.00
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.
$517.54 with Freedom Health vs $11,060.54 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 |
|---|---|---|---|
| Freedom Health | Managed Medicaid | $517.54 | ↓ -80% |
| Blue Cross | Health Options | $523.83 | ↓ -79% |
| Blue Cross | BlueSelect | $523.83 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $533.07 | ↓ -79% |
| Sunshine Health | Managed Medicaid | $543.42 | ↓ -79% |
| Molina | Managed Medicaid | $543.42 | ↓ -79% |
| Molina | Florida Kidcare | $543.42 | ↓ -79% |
| Miami Childrens Health Plan | Managed Medicaid | $543.42 | ↓ -79% |
| Independent Living Systems | Managed Medicaid | $621.05 | ↓ -76% |
| Blue Cross | Network Blue | $631.68 | ↓ -75% |
| Blue Cross | Perferred Patient Care | $652.22 | ↓ -74% |
| Blue Cross | Traditional (PPS) | $652.22 | ↓ -74% |
| Miami Childrens Health Plan | Medicare Advantage | $694.46 | ↓ -73% |
| United | Medicare Advantage | $694.46 | ↓ -73% |
| Blue Cross | Medicare Advantage PPO | $694.46 | ↓ -73% |
| Blue Cross | Medicare Advantage HMO | $694.46 | ↓ -73% |
| Avmed | Medicare Advantage | $694.46 | ↓ -73% |
| Careplus | Medicare Advantage | $729.18 | ↓ -71% |
| Freedom Health | Medicare Advantage | $729.18 | ↓ -71% |
| Independent Living Systems | Medicare Advantage | $746.47 | ↓ -71% |
| Clear Spring Health | All Products | $750.02 | ↓ -71% |
| Aetna | Medicare Advantage PCP | $861.13 | ↓ -66% |
| Aetna | Medicare Advantage Specialist | $875.02 | ↓ -66% |
| Avmed | Exchange | $940.49 | ↓ -63% |
| Avmed | Select | $976.66 | ↓ -62% |
| Multiplan | All Products | $1,041.69 | ↓ -59% |
| Avmed | Broad | $1,049.00 | ↓ -59% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,171.53 | ↓ -54% |
| Simply | Managed Medicaid | $1,171.53 | ↓ -54% |
| SUNSHINE HEALTH | Managed Medicaid | $1,171.53 | ↓ -54% |
| AMERIHEALTH | Managed Medicaid | $1,206.68 | ↓ -53% |
| MOLINA | Managed Medicaid | $1,230.11 | ↓ -52% |
| MOLINA | Florida KidCare | $1,230.11 | ↓ -52% |
| United | All Products | $1,368.84 | ↓ -46% |
| AETNA | Managed Medicaid/CHIP | $1,405.84 | ↓ -45% |
| The Legacy Companies | All Products | $2,553.20 | ↑ +0% |
| Clarity Health | All Products | $2,553.20 | ↑ +0% |
| HUMANA | Medicare Advantage HMO | $2,872.87 | ↑ +13% |
| UNITED | MEDICARE ADVANTAGE | $2,872.87 | ↑ +13% |
| BLUE CROSS | Medicare Advantage HMO | $2,872.87 | ↑ +13% |
| BLUE CROSS | Medicare Advantage PPO | $2,872.87 | ↑ +13% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $2,872.87 | ↑ +13% |
| Consociate Health | ALL PRODUCTS | $2,946.00 | ↑ +15% |
| AVMED | MEDICARE ADVANTAGE | $2,987.78 | ↑ +17% |
| Careplus | MEDICARE ADVANTAGE | $3,016.51 | ↑ +18% |
| Freedom Health | MEDICARE ADVANTAGE | $3,016.51 | ↑ +18% |
| AETNA | MEDICARE ADVANTAGE | $3,033.33 | ↑ +19% |
| Wellcare | MEDICARE ADVANTAGE | $3,033.33 | ↑ +19% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,336.67 | ↑ +31% |
| Aetna | All Products First Health | $3,535.20 | ↑ +38% |
| Cigna | All Products Mid-Level | $3,928.00 | ↑ +54% |
| Cigna | Surefit Physician | $3,928.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $3,928.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $3,928.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $3,928.00 | ↑ +54% |
| Cigna | All Products Physician | $3,928.00 | ↑ +54% |
| AVMED | EXCHANGE | $5,027.52 | ↑ +97% |
| AVMED | Select | $8,474.96 | ↑ +232% |
| AVMED | BROAD | $11,060.54 | ↑ +333% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Exc im tumor/back/flank/ < 5 cm 21932 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $10,696.40 | $371.55 – $13,987.60 |
| indian river hospital | Vero Beach | $2,553.20 | $371.55 – $3,928.00 |
| Baptist Hospital | MIAMI | $5,096.65 | $173.17 – $7,056.90 |
| Bethesda Hospital East | BOYNTON BEACH | $5,096.65 | $1,156.74 – $7,056.90 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $5,096.65 | $1,121.34 – $7,056.90 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $2,881.67 – $5,062.63 |
| Adventhealth Lake Wales | Lake Wales | not published | $3,033.33 – $6,734.00 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $2,881.67 – $6,478.90 |