Ligation/biopsy of temporal artery 37609 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$7,569.25
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.
$11,645.00
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.
$167.43 with Blue Cross vs $14,715.00 with BLUE CROSS — 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 | $167.43 | ↓ -98% |
| Blue Cross | Health Options | $167.43 | ↓ -98% |
| Blue Cross | Network Blue | $201.91 | ↓ -97% |
| Blue Cross | Medicare Advantage PPO | $207.49 | ↓ -97% |
| Blue Cross | Medicare Advantage HMO | $207.49 | ↓ -97% |
| Miami Childrens Health Plan | Medicare Advantage | $207.49 | ↓ -97% |
| Avmed | Medicare Advantage | $207.49 | ↓ -97% |
| United | Medicare Advantage | $207.49 | ↓ -97% |
| Blue Cross | Perferred Patient Care | $208.47 | ↓ -97% |
| Blue Cross | Traditional (PPS) | $208.47 | ↓ -97% |
| Careplus | Medicare Advantage | $217.86 | ↓ -97% |
| Freedom Health | Medicare Advantage | $217.86 | ↓ -97% |
| Independent Living Systems | Medicare Advantage | $223.76 | ↓ -97% |
| Clear Spring Health | All Products | $224.09 | ↓ -97% |
| Freedom Health | Managed Medicaid | $234.13 | ↓ -97% |
| AmeriHealth | Managed Medicaid | $241.15 | ↓ -97% |
| MULTIPLAN | ALL PRODUCTS | $243.87 | ↓ -97% |
| Molina | Managed Medicaid | $245.84 | ↓ -97% |
| Miami Childrens Health Plan | Managed Medicaid | $245.84 | ↓ -97% |
| Molina | Florida Kidcare | $245.84 | ↓ -97% |
| Sunshine Health | Managed Medicaid | $245.84 | ↓ -97% |
| Clear Spring Health | ALL PRODUCTS | $250.84 | ↓ -97% |
| Aetna | Medicare Advantage PCP | $257.29 | ↓ -97% |
| Aetna | Medicare Advantage Specialist | $261.44 | ↓ -97% |
| Independent Living Systems | Managed Medicaid | $280.96 | ↓ -96% |
| Avmed | Exchange | $285.52 | ↓ -96% |
| Avmed | Select | $296.50 | ↓ -96% |
| Multiplan | All Products | $311.24 | ↓ -96% |
| Avmed | Broad | $318.46 | ↓ -96% |
| Cigna | Individual Family Plan Mid-Level | $414.24 | ↓ -95% |
| United | All Products | $415.56 | ↓ -95% |
| Cigna | Surefit Mid-Level | $422.16 | ↓ -94% |
| Cigna | All Products Mid-Level | $455.89 | ↓ -94% |
| Cigna | Individual Family Plan Physician | $487.33 | ↓ -94% |
| Cigna | Surefit Physician | $496.65 | ↓ -93% |
| Cigna | All Products Physician | $536.33 | ↓ -93% |
| The Legacy Companies | All Products | $793.00 | ↓ -90% |
| Clarity Health | All Products | $793.00 | ↓ -90% |
| Consociate Health | ALL PRODUCTS | $915.00 | ↓ -88% |
| Aetna | All Products First Health | $1,098.00 | ↓ -85% |
| Simply | Managed Medicaid | $1,389.98 | ↓ -82% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,389.98 | ↓ -82% |
| SUNSHINE HEALTH | Managed Medicaid | $1,389.98 | ↓ -82% |
| AMERIHEALTH | Managed Medicaid | $1,431.68 | ↓ -81% |
| MOLINA | Managed Medicaid | $1,459.48 | ↓ -81% |
| MOLINA | Florida KidCare | $1,459.48 | ↓ -81% |
| UNITED | MEDICARE ADVANTAGE | $1,626.36 | ↓ -79% |
| HUMANA | Medicare Advantage HMO | $1,626.36 | ↓ -79% |
| BLUE CROSS | Medicare Advantage PPO | $1,626.36 | ↓ -79% |
| BLUE CROSS | Medicare Advantage HMO | $1,626.36 | ↓ -79% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $1,626.36 | ↓ -79% |
| AETNA | Managed Medicaid/CHIP | $1,667.98 | ↓ -78% |
| AVMED | MEDICARE ADVANTAGE | $1,691.42 | ↓ -78% |
| Careplus | MEDICARE ADVANTAGE | $1,707.68 | ↓ -77% |
| Freedom Health | MEDICARE ADVANTAGE | $1,707.68 | ↓ -77% |
| AETNA | MEDICARE ADVANTAGE | $1,724.73 | ↓ -77% |
| Wellcare | MEDICARE ADVANTAGE | $1,724.73 | ↓ -77% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,897.20 | ↓ -75% |
| AETNA | QHP | $2,038.00 | ↓ -73% |
| UNITED | NHP | $2,235.00 | ↓ -70% |
| AETNA | ALL PRODUCTS | $2,472.00 | ↓ -67% |
| UNITED | ALL PRODUCTS | $2,667.00 | ↓ -65% |
| AVMED | EXCHANGE | $2,846.14 | ↓ -62% |
| UNITED | International | $2,942.00 | ↓ -61% |
| CIGNA | Individual Family Plan | $3,295.54 | ↓ -56% |
| AETNA | All Products New Business | $4,025.00 | ↓ -47% |
| CIGNA | SUREFIT | $4,762.81 | ↓ -37% |
| AVMED | Select | $4,797.78 | ↓ -37% |
| BMI | ALL PRODUCTS | $5,822.50 | ↓ -23% |
| BLUE CROSS | MBN | $6,115.00 | ↓ -19% |
| CIGNA | ALL PRODUCTS | $6,148.56 | ↓ -19% |
| BLUE CROSS | BSL | $6,260.00 | ↓ -17% |
| AVMED | BROAD | $6,261.50 | ↓ -17% |
| The Legacy Companies | ALL PRODUCTS | $7,569.25 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $7,569.25 | ↑ +0% |
| BLUE CROSS | HMO | $8,083.00 | ↑ +7% |
| BLUE CROSS | PPO | $8,933.00 | ↑ +18% |
| AETNA | All Products First Health | $10,480.50 | ↑ +38% |
| BLUE CROSS | NWBI | $11,223.00 | ↑ +48% |
| BLUE CROSS | NWB | $11,223.00 | ↑ +48% |
| BLUE CROSS | PHS | $14,715.00 | ↑ +94% |
| Aetna | All Products PCP | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
Visitor-reported prices
Comments
Ligation/biopsy of temporal artery 37609 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $2,640.17 – $2,695.76 |
| cleveland clinic florida weston hospital | Weston | $7,569.25 | $99.46 – $9,898.25 |
| indian river hospital | Vero Beach | $793.00 | $99.46 – $1,897.20 |
| Baptist Hospital | MIAMI | $11,778.65 | $173.17 – $8,153.10 |
| Bethesda Hospital East | BOYNTON BEACH | $11,778.65 | $1,348.73 – $8,153.10 |
| Doctors Hospital | CORAL GABLES | $11,778.65 | $803.00 – $8,153.10 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $11,778.65 | $803.00 – $8,153.10 |
| Homestead Hospital | HOMESTEAD | $11,778.65 | $167.89 – $8,153.10 |