Excision lesion mouth roof at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$559.00
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.
$860.00
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.
$139.76 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 | $139.76 | ↓ -75% |
| Blue Cross | BlueSelect | $139.76 | ↓ -75% |
| United | Medicare Advantage | $158.97 | ↓ -72% |
| Blue Cross | Medicare Advantage PPO | $158.97 | ↓ -72% |
| Avmed | Medicare Advantage | $158.97 | ↓ -72% |
| Blue Cross | Medicare Advantage HMO | $158.97 | ↓ -72% |
| Miami Childrens Health Plan | Medicare Advantage | $158.97 | ↓ -72% |
| Freedom Health | Medicare Advantage | $166.92 | ↓ -70% |
| Careplus | Medicare Advantage | $166.92 | ↓ -70% |
| Blue Cross | Network Blue | $168.54 | ↓ -70% |
| Clear Spring Health | All Products | $171.69 | ↓ -69% |
| Independent Living Systems | Medicare Advantage | $172.19 | ↓ -69% |
| Blue Cross | Traditional (PPS) | $174.02 | ↓ -69% |
| Blue Cross | Perferred Patient Care | $174.02 | ↓ -69% |
| Freedom Health | Managed Medicaid | $193.28 | ↓ -65% |
| Aetna | Medicare Advantage PCP | $197.12 | ↓ -65% |
| AmeriHealth | Managed Medicaid | $199.08 | ↓ -64% |
| Aetna | Medicare Advantage Specialist | $200.30 | ↓ -64% |
| Molina | Florida Kidcare | $202.94 | ↓ -64% |
| Miami Childrens Health Plan | Managed Medicaid | $202.94 | ↓ -64% |
| Sunshine Health | Managed Medicaid | $202.94 | ↓ -64% |
| Molina | Managed Medicaid | $202.94 | ↓ -64% |
| Avmed | Exchange | $216.80 | ↓ -61% |
| Avmed | Select | $225.14 | ↓ -60% |
| Independent Living Systems | Managed Medicaid | $231.94 | ↓ -59% |
| Multiplan | All Products | $238.46 | ↓ -57% |
| Avmed | Broad | $241.82 | ↓ -57% |
| United | All Products | $315.55 | ↓ -44% |
| Cigna | Individual Family Plan Mid-Level | $340.72 | ↓ -39% |
| Cigna | Surefit Mid-Level | $347.23 | ↓ -38% |
| Cigna | All Products Mid-Level | $375.06 | ↓ -33% |
| Cigna | Individual Family Plan Physician | $400.88 | ↓ -28% |
| Cigna | Surefit Physician | $408.53 | ↓ -27% |
| Cigna | All Products Physician | $441.25 | ↓ -21% |
| Clarity Health | All Products | $559.00 | ↑ +0% |
| The Legacy Companies | All Products | $559.00 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $645.00 | ↑ +15% |
| Aetna | All Products First Health | $774.00 | ↑ +38% |
| SUNSHINE HEALTH | Managed Medicaid | $1,720.08 | ↑ +208% |
| Simply | Managed Medicaid | $1,720.08 | ↑ +208% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,720.08 | ↑ +208% |
| AMERIHEALTH | Managed Medicaid | $1,771.68 | ↑ +217% |
| MOLINA | Managed Medicaid | $1,806.08 | ↑ +223% |
| MOLINA | Florida KidCare | $1,806.08 | ↑ +223% |
| AETNA | Managed Medicaid/CHIP | $2,064.10 | ↑ +269% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $3,255.33 | ↑ +482% |
| UNITED | MEDICARE ADVANTAGE | $3,255.33 | ↑ +482% |
| HUMANA | Medicare Advantage HMO | $3,255.33 | ↑ +482% |
| BLUE CROSS | Medicare Advantage PPO | $3,255.33 | ↑ +482% |
| BLUE CROSS | Medicare Advantage HMO | $3,255.33 | ↑ +482% |
| AVMED | MEDICARE ADVANTAGE | $3,385.54 | ↑ +506% |
| Freedom Health | MEDICARE ADVANTAGE | $3,418.10 | ↑ +511% |
| Careplus | MEDICARE ADVANTAGE | $3,418.10 | ↑ +511% |
| Wellcare | MEDICARE ADVANTAGE | $3,462.26 | ↑ +519% |
| AETNA | MEDICARE ADVANTAGE | $3,462.26 | ↑ +519% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,808.49 | ↑ +581% |
| AVMED | EXCHANGE | $5,696.83 | ↑ +919% |
| AVMED | Select | $9,603.22 | ↑ +1618% |
| AVMED | BROAD | $12,533.02 | ↑ +2142% |
| 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 lesion mouth roof at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $521.24 – $532.21 |
| cleveland clinic florida weston hospital | Weston | $559.00 | $115.76 – $3,808.49 |
| indian river hospital | Vero Beach | $559.00 | $115.76 – $3,808.49 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,289.15 – $5,778.52 |
| Adventhealth Tampa | Tampa | not published | $3,462.26 – $7,686.23 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $500.24 – $510.77 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $3,462.26 – $6,322.09 |
| Boca Raton Regional Hospital | BOCA RATON | not published | not published |