Closed treatment of femoral fracture proximal end neck; wi at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$3,959.15
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.
$6,091.00
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.
$326.35 with Simply vs $15,852.00 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 |
|---|---|---|---|
| Simply | Managed Medicaid | $326.35 | ↓ -92% |
| Freedom Health | Managed Medicaid | $326.35 | ↓ -92% |
| SUNSHINE HEALTH | Managed Medicaid | $326.35 | ↓ -92% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $326.35 | ↓ -92% |
| AMERIHEALTH | Managed Medicaid | $336.14 | ↓ -92% |
| MOLINA | Florida KidCare | $342.67 | ↓ -91% |
| MOLINA | Managed Medicaid | $342.67 | ↓ -91% |
| Miami Childrens Health Plan | Managed Medicaid | $342.67 | ↓ -91% |
| AETNA | Managed Medicaid/CHIP | $391.62 | ↓ -90% |
| Independent Living Systems | Managed Medicaid | $391.62 | ↓ -90% |
| MULTIPLAN | ALL PRODUCTS | $908.26 | ↓ -77% |
| Clear Spring Health | ALL PRODUCTS | $934.21 | ↓ -76% |
| AETNA | MEDICARE ADVANTAGE | $1,679.19 | ↓ -58% |
| Wellcare | MEDICARE ADVANTAGE | $1,679.19 | ↓ -58% |
| CIGNA | Individual Family Plan | $1,723.75 | ↓ -56% |
| AVMED | Select | $1,827.30 | ↓ -54% |
| AVMED | EXCHANGE | $1,827.30 | ↓ -54% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,847.11 | ↓ -53% |
| AETNA | QHP | $2,001.00 | ↓ -49% |
| AETNA | All Products New Business | $2,200.00 | ↓ -44% |
| UNITED | NHP | $2,235.00 | ↓ -44% |
| AVMED | BROAD | $2,314.58 | ↓ -42% |
| AETNA | ALL PRODUCTS | $2,472.00 | ↓ -38% |
| CIGNA | SUREFIT | $2,491.22 | ↓ -37% |
| UNITED | ALL PRODUCTS | $2,667.00 | ↓ -33% |
| UNITED | International | $2,942.00 | ↓ -26% |
| BMI | ALL PRODUCTS | $3,045.50 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $3,216.05 | ↓ -19% |
| The Legacy Companies | ALL PRODUCTS | $3,959.15 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $3,959.15 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $4,568.25 | ↑ +15% |
| AETNA | All Products First Health | $5,481.90 | ↑ +38% |
| BLUE CROSS | MBN | $7,368.00 | ↑ +86% |
| BLUE CROSS | PPO | $9,687.00 | ↑ +145% |
| BLUE CROSS | HMO | $9,701.00 | ↑ +145% |
| BLUE CROSS | NWB | $12,317.00 | ↑ +211% |
| BLUE CROSS | NWBI | $12,317.00 | ↑ +211% |
| BLUE CROSS | PHS | $15,508.00 | ↑ +292% |
| BLUE CROSS | BSL | $15,852.00 | ↑ +300% |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Closed treatment of femoral fracture proximal end neck; wi at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $1,101.99 – $1,125.19 |
| cleveland clinic florida weston hospital | Weston | $3,959.15 | $310.03 – $5,678.00 |
| indian river hospital | Vero Beach | $3,959.15 | $310.03 – $5,233.00 |
| AdventHealth Orlando | Orlando | $6,883.00 | $1,679.19 – $4,449.86 |
| Adventhealth Carrollwood | Tampa | $7,546.82 | $1,679.19 – $3,727.81 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $1,595.23 – $2,802.57 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $1,595.23 – $3,586.59 |
| Adventhealth Tampa | Tampa | not published | $1,679.19 – $3,727.81 |