Fixation of knee joint at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$465.40
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.
?
What you pay up front if you don't use insurance.
$716.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$116.37 with Blue Cross vs $6,184.87 with AVMED — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $116.37 | ↓ -75% |
| Blue Cross | BlueSelect | $116.37 | ↓ -75% |
| Freedom Health | Managed Medicaid | $121.79 | ↓ -74% |
| AmeriHealth | Managed Medicaid | $125.44 | ↓ -73% |
| Sunshine Health | Managed Medicaid | $127.88 | ↓ -73% |
| Miami Childrens Health Plan | Managed Medicaid | $127.88 | ↓ -73% |
| Molina | Florida Kidcare | $127.88 | ↓ -73% |
| Molina | Managed Medicaid | $127.88 | ↓ -73% |
| Blue Cross | Network Blue | $140.33 | ↓ -70% |
| Blue Cross | Perferred Patient Care | $144.89 | ↓ -69% |
| Blue Cross | Traditional (PPS) | $144.89 | ↓ -69% |
| Independent Living Systems | Managed Medicaid | $146.15 | ↓ -69% |
| Avmed | Medicare Advantage | $161.79 | ↓ -65% |
| Blue Cross | Medicare Advantage HMO | $161.79 | ↓ -65% |
| United | Medicare Advantage | $161.79 | ↓ -65% |
| Blue Cross | Medicare Advantage PPO | $161.79 | ↓ -65% |
| Miami Childrens Health Plan | Medicare Advantage | $161.79 | ↓ -65% |
| Freedom Health | Medicare Advantage | $169.88 | ↓ -63% |
| Careplus | Medicare Advantage | $169.88 | ↓ -63% |
| Independent Living Systems | Medicare Advantage | $171.77 | ↓ -63% |
| Clear Spring Health | All Products | $174.73 | ↓ -62% |
| Aetna | Medicare Advantage PCP | $200.62 | ↓ -57% |
| Aetna | Medicare Advantage Specialist | $203.86 | ↓ -56% |
| Avmed | Exchange | $215.50 | ↓ -54% |
| Avmed | Select | $223.79 | ↓ -52% |
| Avmed | Broad | $240.37 | ↓ -48% |
| Multiplan | All Products | $242.69 | ↓ -48% |
| United | All Products | $313.65 | ↓ -33% |
| The Legacy Companies | All Products | $465.40 | ↑ +0% |
| Clarity Health | All Products | $465.40 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $537.00 | ↑ +15% |
| Aetna | All Products First Health | $644.40 | ↑ +38% |
| Simply | Managed Medicaid | $666.04 | ↑ +43% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $666.04 | ↑ +43% |
| SUNSHINE HEALTH | Managed Medicaid | $666.04 | ↑ +43% |
| AMERIHEALTH | Managed Medicaid | $686.02 | ↑ +47% |
| MOLINA | Managed Medicaid | $699.34 | ↑ +50% |
| MOLINA | Florida KidCare | $699.34 | ↑ +50% |
| Cigna | All Products Physician | $716.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $716.00 | ↑ +54% |
| Cigna | Surefit Physician | $716.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $716.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $716.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $716.00 | ↑ +54% |
| AETNA | Managed Medicaid/CHIP | $799.25 | ↑ +72% |
| BLUE CROSS | Medicare Advantage HMO | $1,606.46 | ↑ +245% |
| BLUE CROSS | Medicare Advantage PPO | $1,606.46 | ↑ +245% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $1,606.46 | ↑ +245% |
| UNITED | MEDICARE ADVANTAGE | $1,606.46 | ↑ +245% |
| HUMANA | Medicare Advantage HMO | $1,606.46 | ↑ +245% |
| AVMED | MEDICARE ADVANTAGE | $1,670.72 | ↑ +259% |
| Wellcare | MEDICARE ADVANTAGE | $1,679.19 | ↑ +261% |
| AETNA | MEDICARE ADVANTAGE | $1,679.19 | ↑ +261% |
| Freedom Health | MEDICARE ADVANTAGE | $1,686.78 | ↑ +262% |
| Careplus | MEDICARE ADVANTAGE | $1,686.78 | ↑ +262% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,847.11 | ↑ +297% |
| AVMED | EXCHANGE | $2,811.30 | ↑ +504% |
| AVMED | Select | $4,739.06 | ↑ +918% |
| AVMED | BROAD | $6,184.87 | ↑ +1229% |
| 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
Fixation of knee joint at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $6,095.71 – $6,224.04 |
| cleveland clinic florida weston hospital | Weston | $465.40 | $101.53 – $1,847.11 |
| indian river hospital | Vero Beach | $465.40 | $101.53 – $1,847.11 |
| AdventHealth Orlando | Orlando | $10,356.00 | $1,679.19 – $4,449.86 |
| Adventhealth Carrollwood | Tampa | $16,347.39 | $401.00 – $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 | $401.00 – $3,727.81 |