Clsd tx trimall ankle fx without manip 27816 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$896.35
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.
$1,379.00
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.
$218.85 with Blue Cross vs $9,033.00 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 | Health Options | $218.85 | ↓ -76% |
| Blue Cross | BlueSelect | $218.85 | ↓ -76% |
| UNITED | MEDICARE ADVANTAGE | $240.79 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $240.79 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $240.79 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $240.79 | ↓ -73% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $240.79 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $250.42 | ↓ -72% |
| Careplus | MEDICARE ADVANTAGE | $252.83 | ↓ -72% |
| Freedom Health | MEDICARE ADVANTAGE | $252.83 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $257.59 | ↓ -71% |
| AETNA | MEDICARE ADVANTAGE | $257.59 | ↓ -71% |
| Blue Cross | Network Blue | $263.91 | ↓ -71% |
| Freedom Health | Managed Medicaid | $267.32 | ↓ -70% |
| Blue Cross | Perferred Patient Care | $272.49 | ↓ -70% |
| Blue Cross | Traditional (PPS) | $272.49 | ↓ -70% |
| AmeriHealth | Managed Medicaid | $275.34 | ↓ -69% |
| Molina | Florida Kidcare | $280.69 | ↓ -69% |
| Molina | Managed Medicaid | $280.69 | ↓ -69% |
| Miami Childrens Health Plan | Managed Medicaid | $280.69 | ↓ -69% |
| Sunshine Health | Managed Medicaid | $280.69 | ↓ -69% |
| DEVOTED HEALTH | Medicare Advantage HMO | $283.35 | ↓ -68% |
| Independent Living Systems | Managed Medicaid | $320.78 | ↓ -64% |
| Simply | Managed Medicaid | $326.35 | ↓ -64% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $326.35 | ↓ -64% |
| SUNSHINE HEALTH | Managed Medicaid | $326.35 | ↓ -64% |
| Independent Living Systems | Medicare Advantage | $331.17 | ↓ -63% |
| Blue Cross | Medicare Advantage PPO | $334.54 | ↓ -63% |
| United | Medicare Advantage | $334.54 | ↓ -63% |
| Blue Cross | Medicare Advantage HMO | $334.54 | ↓ -63% |
| Avmed | Medicare Advantage | $334.54 | ↓ -63% |
| Miami Childrens Health Plan | Medicare Advantage | $334.54 | ↓ -63% |
| AMERIHEALTH | Managed Medicaid | $336.14 | ↓ -62% |
| MOLINA | Florida KidCare | $342.67 | ↓ -62% |
| MOLINA | Managed Medicaid | $342.67 | ↓ -62% |
| Freedom Health | Medicare Advantage | $351.27 | ↓ -61% |
| Careplus | Medicare Advantage | $351.27 | ↓ -61% |
| Clear Spring Health | All Products | $361.30 | ↓ -60% |
| CIGNA | Individual Family Plan | $390.26 | ↓ -56% |
| AETNA | Managed Medicaid/CHIP | $391.62 | ↓ -56% |
| AETNA | QHP | $404.05 | ↓ -55% |
| Aetna | Medicare Advantage PCP | $414.83 | ↓ -54% |
| Avmed | Exchange | $417.73 | ↓ -53% |
| MULTIPLAN | ALL PRODUCTS | $420.36 | ↓ -53% |
| AVMED | EXCHANGE | $421.38 | ↓ -53% |
| Aetna | Medicare Advantage Specialist | $421.52 | ↓ -53% |
| AETNA | ALL PRODUCTS | $430.25 | ↓ -52% |
| Clear Spring Health | ALL PRODUCTS | $432.37 | ↓ -52% |
| Avmed | Select | $433.80 | ↓ -52% |
| AETNA | All Products New Business | $450.93 | ↓ -50% |
| Cigna | Individual Family Plan Mid-Level | $459.98 | ↓ -49% |
| Avmed | Broad | $465.93 | ↓ -48% |
| Cigna | Surefit Mid-Level | $468.80 | ↓ -48% |
| Multiplan | All Products | $501.81 | ↓ -44% |
| Cigna | All Products Mid-Level | $506.24 | ↓ -44% |
| Cigna | Individual Family Plan Physician | $541.19 | ↓ -40% |
| Cigna | Surefit Physician | $551.53 | ↓ -38% |
| CIGNA | SUREFIT | $564.01 | ↓ -37% |
| Cigna | All Products Physician | $595.64 | ↓ -34% |
| United | All Products | $607.99 | ↓ -32% |
| BMI | ALL PRODUCTS | $689.50 | ↓ -23% |
| AVMED | Select | $710.32 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $728.11 | ↓ -19% |
| Clarity Health | All Products | $878.15 | ↓ -2% |
| The Legacy Companies | All Products | $878.15 | ↓ -2% |
| The Legacy Companies | ALL PRODUCTS | $896.35 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $896.35 | ↑ +0% |
| AVMED | BROAD | $927.03 | ↑ +3% |
| Consociate Health | ALL PRODUCTS | $1,013.25 | ↑ +13% |
| Aetna | All Products First Health | $1,215.90 | ↑ +36% |
| AETNA | All Products First Health | $1,241.10 | ↑ +38% |
| BLUE CROSS | MBN | $1,529.00 | ↑ +71% |
| BLUE CROSS | BSL | $1,669.00 | ↑ +86% |
| BLUE CROSS | HMO | $2,046.00 | ↑ +128% |
| UNITED | NHP | $2,235.00 | ↑ +149% |
| UNITED | ALL PRODUCTS | $2,667.00 | ↑ +198% |
| UNITED | International | $2,942.00 | ↑ +228% |
| BLUE CROSS | PPO | $3,235.00 | ↑ +261% |
| BLUE CROSS | NWB | $3,986.00 | ↑ +345% |
| BLUE CROSS | NWBI | $3,986.00 | ↑ +345% |
| BLUE CROSS | PHS | $9,033.00 | ↑ +908% |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx trimall ankle fx without manip 27816 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $770.35 – $786.56 |
| Adventhealth Tampa | Tampa | $2,536.71 | $257.59 – $571.85 |
| cleveland clinic florida weston hospital | Weston | $896.35 | $181.70 – $1,172.15 |
| indian river hospital | Vero Beach | $896.35 | $181.70 – $1,148.35 |
| Boca Raton Regional Hospital | BOCA RATON | $760.50 | $252.96 – $1,170.00 |
| AdventHealth Orlando | Orlando | $777.00 | $257.59 – $682.61 |
| Adventhealth Riverview | Riverview | $2,536.71 | not published |
| Adventhealth Zephyrhills | Zephyrhills | $2,536.71 | $257.59 – $597.38 |