Parial mast w/lymph removal 19302 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$3,637.40
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.
$5,596.00
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.
$700.51 with Blue Cross vs $25,202.53 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 | $700.51 | ↓ -81% |
| Blue Cross | BlueSelect | $700.51 | ↓ -81% |
| Freedom Health | Managed Medicaid | $701.89 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $722.95 | ↓ -80% |
| Sunshine Health | Managed Medicaid | $736.98 | ↓ -80% |
| Miami Childrens Health Plan | Managed Medicaid | $736.98 | ↓ -80% |
| Molina | Florida Kidcare | $736.98 | ↓ -80% |
| Molina | Managed Medicaid | $736.98 | ↓ -80% |
| Independent Living Systems | Managed Medicaid | $842.27 | ↓ -77% |
| Blue Cross | Network Blue | $844.73 | ↓ -77% |
| Blue Cross | Perferred Patient Care | $872.20 | ↓ -76% |
| Blue Cross | Traditional (PPS) | $872.20 | ↓ -76% |
| Avmed | Medicare Advantage | $970.80 | ↓ -73% |
| Miami Childrens Health Plan | Medicare Advantage | $970.80 | ↓ -73% |
| Blue Cross | Medicare Advantage HMO | $970.80 | ↓ -73% |
| Blue Cross | Medicare Advantage PPO | $970.80 | ↓ -73% |
| United | Medicare Advantage | $970.80 | ↓ -73% |
| Freedom Health | Medicare Advantage | $1,019.34 | ↓ -72% |
| Careplus | Medicare Advantage | $1,019.34 | ↓ -72% |
| Independent Living Systems | Medicare Advantage | $1,024.52 | ↓ -72% |
| Clear Spring Health | All Products | $1,048.46 | ↓ -71% |
| Aetna | Medicare Advantage PCP | $1,203.79 | ↓ -67% |
| Aetna | Medicare Advantage Specialist | $1,223.21 | ↓ -66% |
| Avmed | Exchange | $1,301.08 | ↓ -64% |
| Avmed | Select | $1,351.12 | ↓ -63% |
| Avmed | Broad | $1,451.20 | ↓ -60% |
| Multiplan | All Products | $1,456.20 | ↓ -60% |
| United | All Products | $1,893.67 | ↓ -48% |
| Simply | Managed Medicaid | $2,244.79 | ↓ -38% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $2,244.79 | ↓ -38% |
| SUNSHINE HEALTH | Managed Medicaid | $2,244.79 | ↓ -38% |
| AMERIHEALTH | Managed Medicaid | $2,312.13 | ↓ -36% |
| MOLINA | Managed Medicaid | $2,357.03 | ↓ -35% |
| MOLINA | Florida KidCare | $2,357.03 | ↓ -35% |
| AETNA | Managed Medicaid/CHIP | $2,693.75 | ↓ -26% |
| The Legacy Companies | All Products | $3,637.40 | ↑ +0% |
| Clarity Health | All Products | $3,637.40 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $4,197.00 | ↑ +15% |
| Aetna | All Products First Health | $5,036.40 | ↑ +38% |
| Cigna | Surefit Mid-Level | $5,596.00 | ↑ +54% |
| Cigna | Surefit Physician | $5,596.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $5,596.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $5,596.00 | ↑ +54% |
| Cigna | All Products Physician | $5,596.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $5,596.00 | ↑ +54% |
| HUMANA | Medicare Advantage HMO | $6,546.11 | ↑ +80% |
| BLUE CROSS | Medicare Advantage PPO | $6,546.11 | ↑ +80% |
| UNITED | MEDICARE ADVANTAGE | $6,546.11 | ↑ +80% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $6,546.11 | ↑ +80% |
| BLUE CROSS | Medicare Advantage HMO | $6,546.11 | ↑ +80% |
| AVMED | MEDICARE ADVANTAGE | $6,807.96 | ↑ +87% |
| Careplus | MEDICARE ADVANTAGE | $6,873.42 | ↑ +89% |
| Freedom Health | MEDICARE ADVANTAGE | $6,873.42 | ↑ +89% |
| Wellcare | MEDICARE ADVANTAGE | $6,934.19 | ↑ +91% |
| AETNA | MEDICARE ADVANTAGE | $6,934.19 | ↑ +91% |
| DEVOTED HEALTH | Medicare Advantage HMO | $7,627.61 | ↑ +110% |
| AVMED | EXCHANGE | $11,455.69 | ↑ +215% |
| AVMED | Select | $19,311.03 | ↑ +431% |
| AVMED | BROAD | $25,202.53 | ↑ +593% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Parial mast w/lymph removal 19302 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $4,277.91 – $4,367.97 |
| cleveland clinic florida weston hospital | Weston | $3,637.40 | $480.32 – $7,627.61 |
| indian river hospital | Vero Beach | $3,637.40 | $480.32 – $7,627.61 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $6,587.48 – $11,573.16 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $6,587.48 – $14,810.73 |
| Adventhealth Tampa | Tampa | not published | $6,934.19 – $15,393.90 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $6,587.48 – $15,147.73 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $4,105.66 – $4,192.10 |