Excise max/zygoma b9 tumor at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,276.60
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.
$1,964.00
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.
$321.37 with Blue Cross vs $22,861.38 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 | $321.37 | ↓ -75% |
| Blue Cross | Health Options | $321.37 | ↓ -75% |
| Freedom Health | Managed Medicaid | $354.65 | ↓ -72% |
| United | Medicare Advantage | $356.41 | ↓ -72% |
| Avmed | Medicare Advantage | $356.41 | ↓ -72% |
| Miami Childrens Health Plan | Medicare Advantage | $356.41 | ↓ -72% |
| Blue Cross | Medicare Advantage HMO | $356.41 | ↓ -72% |
| Blue Cross | Medicare Advantage PPO | $356.41 | ↓ -72% |
| AmeriHealth | Managed Medicaid | $365.29 | ↓ -71% |
| Miami Childrens Health Plan | Managed Medicaid | $372.38 | ↓ -71% |
| Molina | Florida Kidcare | $372.38 | ↓ -71% |
| Molina | Managed Medicaid | $372.38 | ↓ -71% |
| Sunshine Health | Managed Medicaid | $372.38 | ↓ -71% |
| Careplus | Medicare Advantage | $374.23 | ↓ -71% |
| Freedom Health | Medicare Advantage | $374.23 | ↓ -71% |
| Clear Spring Health | All Products | $384.92 | ↓ -70% |
| Independent Living Systems | Medicare Advantage | $386.98 | ↓ -70% |
| Blue Cross | Network Blue | $387.53 | ↓ -70% |
| Blue Cross | Perferred Patient Care | $400.14 | ↓ -69% |
| Blue Cross | Traditional (PPS) | $400.14 | ↓ -69% |
| Independent Living Systems | Managed Medicaid | $425.58 | ↓ -67% |
| Aetna | Medicare Advantage PCP | $441.95 | ↓ -65% |
| Aetna | Medicare Advantage Specialist | $449.08 | ↓ -65% |
| Avmed | Exchange | $484.61 | ↓ -62% |
| Avmed | Select | $503.25 | ↓ -61% |
| Multiplan | All Products | $534.62 | ↓ -58% |
| Avmed | Broad | $540.53 | ↓ -58% |
| United | All Products | $705.34 | ↓ -45% |
| Cigna | Individual Family Plan Mid-Level | $750.07 | ↓ -41% |
| Cigna | Surefit Mid-Level | $764.44 | ↓ -40% |
| Cigna | All Products Mid-Level | $825.50 | ↓ -35% |
| Cigna | Individual Family Plan Physician | $882.49 | ↓ -31% |
| Cigna | Surefit Physician | $899.35 | ↓ -30% |
| Cigna | All Products Physician | $971.27 | ↓ -24% |
| Clarity Health | All Products | $1,276.60 | ↑ +0% |
| The Legacy Companies | All Products | $1,276.60 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $1,473.00 | ↑ +15% |
| SUNSHINE HEALTH | Managed Medicaid | $1,752.25 | ↑ +37% |
| Simply | Managed Medicaid | $1,752.25 | ↑ +37% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,752.25 | ↑ +37% |
| Aetna | All Products First Health | $1,767.60 | ↑ +38% |
| AMERIHEALTH | Managed Medicaid | $1,804.82 | ↑ +41% |
| MOLINA | Managed Medicaid | $1,839.86 | ↑ +44% |
| MOLINA | Florida KidCare | $1,839.86 | ↑ +44% |
| AETNA | Managed Medicaid/CHIP | $2,102.70 | ↑ +65% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $5,938.02 | ↑ +365% |
| UNITED | MEDICARE ADVANTAGE | $5,938.02 | ↑ +365% |
| HUMANA | Medicare Advantage HMO | $5,938.02 | ↑ +365% |
| BLUE CROSS | Medicare Advantage PPO | $5,938.02 | ↑ +365% |
| BLUE CROSS | Medicare Advantage HMO | $5,938.02 | ↑ +365% |
| AVMED | MEDICARE ADVANTAGE | $6,175.54 | ↑ +384% |
| Wellcare | MEDICARE ADVANTAGE | $6,181.95 | ↑ +384% |
| AETNA | MEDICARE ADVANTAGE | $6,181.95 | ↑ +384% |
| Freedom Health | MEDICARE ADVANTAGE | $6,234.92 | ↑ +388% |
| Careplus | MEDICARE ADVANTAGE | $6,234.92 | ↑ +388% |
| DEVOTED HEALTH | Medicare Advantage HMO | $6,800.15 | ↑ +433% |
| AVMED | EXCHANGE | $10,391.54 | ↑ +714% |
| AVMED | Select | $17,517.16 | ↑ +1272% |
| AVMED | BROAD | $22,861.38 | ↑ +1691% |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Excise max/zygoma b9 tumor at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $5,440.42 – $5,554.96 |
| cleveland clinic florida weston hospital | Weston | $1,276.60 | $199.38 – $6,800.15 |
| indian river hospital | Vero Beach | $22,109.75 | $199.38 – $27,212.00 |
| Baptist Hospital | MIAMI | $31,662.15 | $173.17 – $21,920.40 |
| Boca Raton Regional Hospital | BOCA RATON | $15,382.90 | $476.00 – $15,453.90 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $5,872.86 – $10,317.68 |
| Adventhealth Tampa | Tampa | not published | $6,181.95 – $13,723.94 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $5,221.38 – $5,331.30 |