Incision of tibia at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$2,823.60
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.
$4,344.00
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.
$579.33 with Freedom Health vs $27,607.32 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 |
|---|---|---|---|
| Freedom Health | Managed Medicaid | $579.33 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $596.71 | ↓ -79% |
| Blue Cross | Health Options | $597.85 | ↓ -79% |
| Blue Cross | BlueSelect | $597.85 | ↓ -79% |
| Molina | Managed Medicaid | $608.30 | ↓ -78% |
| Sunshine Health | Managed Medicaid | $608.30 | ↓ -78% |
| Miami Childrens Health Plan | Managed Medicaid | $608.30 | ↓ -78% |
| Molina | Florida Kidcare | $608.30 | ↓ -78% |
| Independent Living Systems | Managed Medicaid | $695.20 | ↓ -75% |
| Blue Cross | Network Blue | $720.93 | ↓ -74% |
| Blue Cross | Perferred Patient Care | $744.38 | ↓ -74% |
| Blue Cross | Traditional (PPS) | $744.38 | ↓ -74% |
| Avmed | Medicare Advantage | $752.92 | ↓ -73% |
| United | Medicare Advantage | $752.92 | ↓ -73% |
| Blue Cross | Medicare Advantage HMO | $752.92 | ↓ -73% |
| Blue Cross | Medicare Advantage PPO | $752.92 | ↓ -73% |
| Miami Childrens Health Plan | Medicare Advantage | $752.92 | ↓ -73% |
| Freedom Health | Medicare Advantage | $790.57 | ↓ -72% |
| Careplus | Medicare Advantage | $790.57 | ↓ -72% |
| Clear Spring Health | All Products | $813.15 | ↓ -71% |
| Independent Living Systems | Medicare Advantage | $820.18 | ↓ -71% |
| Aetna | Medicare Advantage PCP | $933.62 | ↓ -67% |
| Aetna | Medicare Advantage Specialist | $948.68 | ↓ -66% |
| Avmed | Exchange | $1,047.44 | ↓ -63% |
| Avmed | Select | $1,087.72 | ↓ -61% |
| Multiplan | All Products | $1,129.38 | ↓ -60% |
| Avmed | Broad | $1,168.29 | ↓ -59% |
| United | All Products | $1,524.50 | ↓ -46% |
| The Legacy Companies | All Products | $2,823.60 | ↑ +0% |
| Clarity Health | All Products | $2,823.60 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $3,258.00 | ↑ +15% |
| Aetna | All Products First Health | $3,909.60 | ↑ +38% |
| Cigna | Individual Family Plan Mid-Level | $4,344.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $4,344.00 | ↑ +54% |
| Cigna | All Products Physician | $4,344.00 | ↑ +54% |
| Cigna | Surefit Physician | $4,344.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $4,344.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $4,344.00 | ↑ +54% |
| Simply | Managed Medicaid | $4,890.44 | ↑ +73% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $4,890.44 | ↑ +73% |
| SUNSHINE HEALTH | Managed Medicaid | $4,890.44 | ↑ +73% |
| AMERIHEALTH | Managed Medicaid | $5,037.15 | ↑ +78% |
| MOLINA | Managed Medicaid | $5,134.96 | ↑ +82% |
| MOLINA | Florida KidCare | $5,134.96 | ↑ +82% |
| AETNA | Managed Medicaid/CHIP | $5,868.53 | ↑ +108% |
| HUMANA | Medicare Advantage HMO | $7,170.73 | ↑ +154% |
| BLUE CROSS | Medicare Advantage PPO | $7,170.73 | ↑ +154% |
| UNITED | MEDICARE ADVANTAGE | $7,170.73 | ↑ +154% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $7,170.73 | ↑ +154% |
| BLUE CROSS | Medicare Advantage HMO | $7,170.73 | ↑ +154% |
| AVMED | MEDICARE ADVANTAGE | $7,457.56 | ↑ +164% |
| Freedom Health | MEDICARE ADVANTAGE | $7,529.27 | ↑ +167% |
| Careplus | MEDICARE ADVANTAGE | $7,529.27 | ↑ +167% |
| Wellcare | MEDICARE ADVANTAGE | $7,577.51 | ↑ +168% |
| AETNA | MEDICARE ADVANTAGE | $7,577.51 | ↑ +168% |
| DEVOTED HEALTH | Medicare Advantage HMO | $8,335.26 | ↑ +195% |
| AVMED | EXCHANGE | $12,548.78 | ↑ +344% |
| AVMED | Select | $21,153.66 | ↑ +649% |
| AVMED | BROAD | $27,607.32 | ↑ +878% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Incision of tibia at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $3,221.43 – $3,289.25 |
| cleveland clinic florida weston hospital | Weston | $2,823.60 | $577.88 – $8,335.26 |
| indian river hospital | Vero Beach | $2,823.60 | $577.88 – $8,335.26 |
| AdventHealth Orlando | Orlando | $24,234.00 | $7,577.51 – $20,080.41 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $7,198.64 – $12,646.87 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $7,198.64 – $16,184.81 |
| Adventhealth Tampa | Tampa | not published | $537.00 – $16,822.08 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $7,198.64 – $16,553.08 |