Excision floor mouth lesion 41116 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$655.20
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.
$1,008.00
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.
$173.65 with Blue Cross vs $12,533.02 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 | Health Options | $173.65 | ↓ -73% |
| Blue Cross | BlueSelect | $173.65 | ↓ -73% |
| Blue Cross | Network Blue | $209.40 | ↓ -68% |
| Blue Cross | Medicare Advantage PPO | $213.58 | ↓ -67% |
| Blue Cross | Medicare Advantage HMO | $213.58 | ↓ -67% |
| Avmed | Medicare Advantage | $213.58 | ↓ -67% |
| United | Medicare Advantage | $213.58 | ↓ -67% |
| Miami Childrens Health Plan | Medicare Advantage | $213.58 | ↓ -67% |
| Blue Cross | Traditional (PPS) | $216.21 | ↓ -67% |
| Blue Cross | Perferred Patient Care | $216.21 | ↓ -67% |
| Freedom Health | Medicare Advantage | $224.26 | ↓ -66% |
| Careplus | Medicare Advantage | $224.26 | ↓ -66% |
| Clear Spring Health | All Products | $230.67 | ↓ -65% |
| Independent Living Systems | Medicare Advantage | $232.12 | ↓ -65% |
| Freedom Health | Managed Medicaid | $254.81 | ↓ -61% |
| AmeriHealth | Managed Medicaid | $262.45 | ↓ -60% |
| Aetna | Medicare Advantage PCP | $264.84 | ↓ -60% |
| Miami Childrens Health Plan | Managed Medicaid | $267.55 | ↓ -59% |
| Sunshine Health | Managed Medicaid | $267.55 | ↓ -59% |
| Molina | Florida Kidcare | $267.55 | ↓ -59% |
| Molina | Managed Medicaid | $267.55 | ↓ -59% |
| Aetna | Medicare Advantage Specialist | $269.11 | ↓ -59% |
| Avmed | Exchange | $294.02 | ↓ -55% |
| Avmed | Select | $305.33 | ↓ -53% |
| Independent Living Systems | Managed Medicaid | $305.77 | ↓ -53% |
| Multiplan | All Products | $320.37 | ↓ -51% |
| Avmed | Broad | $327.95 | ↓ -50% |
| Cigna | Individual Family Plan Mid-Level | $410.42 | ↓ -37% |
| Cigna | Surefit Mid-Level | $418.26 | ↓ -36% |
| United | All Products | $427.94 | ↓ -35% |
| Cigna | All Products Mid-Level | $451.78 | ↓ -31% |
| Cigna | Individual Family Plan Physician | $482.88 | ↓ -26% |
| Cigna | Surefit Physician | $492.10 | ↓ -25% |
| Cigna | All Products Physician | $531.51 | ↓ -19% |
| Clarity Health | All Products | $655.20 | ↑ +0% |
| The Legacy Companies | All Products | $655.20 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $756.00 | ↑ +15% |
| Aetna | All Products First Health | $907.20 | ↑ +38% |
| SUNSHINE HEALTH | Managed Medicaid | $1,273.61 | ↑ +94% |
| Simply | Managed Medicaid | $1,273.61 | ↑ +94% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,273.61 | ↑ +94% |
| AMERIHEALTH | Managed Medicaid | $1,311.82 | ↑ +100% |
| MOLINA | Managed Medicaid | $1,337.29 | ↑ +104% |
| MOLINA | Florida KidCare | $1,337.29 | ↑ +104% |
| AETNA | Managed Medicaid/CHIP | $1,528.33 | ↑ +133% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $3,255.33 | ↑ +397% |
| UNITED | MEDICARE ADVANTAGE | $3,255.33 | ↑ +397% |
| HUMANA | Medicare Advantage HMO | $3,255.33 | ↑ +397% |
| BLUE CROSS | Medicare Advantage PPO | $3,255.33 | ↑ +397% |
| BLUE CROSS | Medicare Advantage HMO | $3,255.33 | ↑ +397% |
| AVMED | MEDICARE ADVANTAGE | $3,385.54 | ↑ +417% |
| Freedom Health | MEDICARE ADVANTAGE | $3,418.10 | ↑ +422% |
| Careplus | MEDICARE ADVANTAGE | $3,418.10 | ↑ +422% |
| Wellcare | MEDICARE ADVANTAGE | $3,462.26 | ↑ +428% |
| AETNA | MEDICARE ADVANTAGE | $3,462.26 | ↑ +428% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,808.49 | ↑ +481% |
| AVMED | EXCHANGE | $5,696.83 | ↑ +769% |
| AVMED | Select | $9,603.22 | ↑ +1366% |
| AVMED | BROAD | $12,533.02 | ↑ +1813% |
| 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
Excision floor mouth lesion 41116 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $1,082.48 – $1,105.27 |
| cleveland clinic florida weston hospital | Weston | $12,121.20 | $134.57 – $15,850.80 |
| indian river hospital | Vero Beach | $12,121.20 | $134.57 – $14,918.40 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,289.15 – $5,778.52 |
| Adventhealth Tampa | Tampa | not published | $401.00 – $7,686.23 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $1,038.90 – $1,060.77 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $3,462.26 – $6,322.09 |
| Baptist Hospital | MIAMI | not published | not published |