Amputation toe metatarsophalangeal joint at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,003.60
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.
$1,544.00
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.
$174.29 with Blue Cross vs $12,538.97 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 | Medicare Advantage PPO | $174.29 | ↓ -83% |
| United | Medicare Advantage | $174.29 | ↓ -83% |
| Avmed | Medicare Advantage | $174.29 | ↓ -83% |
| Miami Childrens Health Plan | Medicare Advantage | $174.29 | ↓ -83% |
| Blue Cross | Medicare Advantage HMO | $174.29 | ↓ -83% |
| Freedom Health | Medicare Advantage | $183.00 | ↓ -82% |
| Careplus | Medicare Advantage | $183.00 | ↓ -82% |
| Clear Spring Health | All Products | $188.23 | ↓ -81% |
| Independent Living Systems | Medicare Advantage | $191.39 | ↓ -81% |
| Aetna | Medicare Advantage PCP | $216.12 | ↓ -78% |
| Aetna | Medicare Advantage Specialist | $219.61 | ↓ -78% |
| Freedom Health | Managed Medicaid | $241.49 | ↓ -76% |
| Avmed | Exchange | $242.89 | ↓ -76% |
| AmeriHealth | Managed Medicaid | $248.73 | ↓ -75% |
| Avmed | Select | $252.23 | ↓ -75% |
| Sunshine Health | Managed Medicaid | $253.56 | ↓ -75% |
| Molina | Managed Medicaid | $253.56 | ↓ -75% |
| Molina | Florida Kidcare | $253.56 | ↓ -75% |
| Miami Childrens Health Plan | Managed Medicaid | $253.56 | ↓ -75% |
| Multiplan | All Products | $261.44 | ↓ -74% |
| Avmed | Broad | $270.92 | ↓ -73% |
| Independent Living Systems | Managed Medicaid | $289.79 | ↓ -71% |
| Blue Cross | BlueSelect | $309.29 | ↓ -69% |
| Blue Cross | Health Options | $309.29 | ↓ -69% |
| United | All Products | $353.52 | ↓ -65% |
| Blue Cross | Network Blue | $372.97 | ↓ -63% |
| Blue Cross | Perferred Patient Care | $385.10 | ↓ -62% |
| Blue Cross | Traditional (PPS) | $385.10 | ↓ -62% |
| Cigna | Individual Family Plan Mid-Level | $816.79 | ↓ -19% |
| Cigna | Surefit Mid-Level | $832.44 | ↓ -17% |
| Cigna | All Products Mid-Level | $898.93 | ↓ -10% |
| Cigna | Individual Family Plan Physician | $960.99 | ↓ -4% |
| Cigna | Surefit Physician | $979.35 | ↓ -2% |
| The Legacy Companies | All Products | $1,003.60 | ↑ +0% |
| Clarity Health | All Products | $1,003.60 | ↑ +0% |
| Cigna | All Products Physician | $1,057.67 | ↑ +5% |
| Consociate Health | ALL PRODUCTS | $1,158.00 | ↑ +15% |
| Aetna | All Products First Health | $1,389.60 | ↑ +38% |
| Simply | Managed Medicaid | $1,413.02 | ↑ +41% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,413.02 | ↑ +41% |
| SUNSHINE HEALTH | Managed Medicaid | $1,413.02 | ↑ +41% |
| AMERIHEALTH | Managed Medicaid | $1,455.41 | ↑ +45% |
| MOLINA | Managed Medicaid | $1,483.67 | ↑ +48% |
| MOLINA | Florida KidCare | $1,483.67 | ↑ +48% |
| AETNA | Managed Medicaid/CHIP | $1,695.62 | ↑ +69% |
| BLUE CROSS | Medicare Advantage HMO | $3,256.87 | ↑ +225% |
| UNITED | MEDICARE ADVANTAGE | $3,256.87 | ↑ +225% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $3,256.87 | ↑ +225% |
| HUMANA | Medicare Advantage HMO | $3,256.87 | ↑ +225% |
| BLUE CROSS | Medicare Advantage PPO | $3,256.87 | ↑ +225% |
| AVMED | MEDICARE ADVANTAGE | $3,387.15 | ↑ +238% |
| Wellcare | MEDICARE ADVANTAGE | $3,416.88 | ↑ +240% |
| AETNA | MEDICARE ADVANTAGE | $3,416.88 | ↑ +240% |
| Careplus | MEDICARE ADVANTAGE | $3,419.72 | ↑ +241% |
| Freedom Health | MEDICARE ADVANTAGE | $3,419.72 | ↑ +241% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,758.57 | ↑ +275% |
| AVMED | EXCHANGE | $5,699.53 | ↑ +468% |
| AVMED | Select | $9,607.78 | ↑ +857% |
| AVMED | BROAD | $12,538.97 | ↑ +1149% |
| 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
Amputation toe metatarsophalangeal joint at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $4,872.17 – $4,974.74 |
| Adventhealth Port Charlotte | Port Charlotte | $6,154.89 | $3,416.88 – $6,239.22 |
| cleveland clinic florida weston hospital | Weston | $1,003.60 | $133.97 – $3,758.57 |
| Bethesda Hospital East | BOYNTON BEACH | $5,731.05 | $1,385.21 – $7,935.30 |
| Boca Raton Regional Hospital | BOCA RATON | $4,544.80 | $2,517.12 – $5,053.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $5,731.05 | $1,342.82 – $7,935.30 |
| AdventHealth Orlando | Orlando | $12,209.00 | $3,416.88 – $9,054.74 |
| Adventhealth Carrollwood | Tampa | $31,045.79 | $537.00 – $7,585.48 |