Knee arthroscopy/surgery at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$4,089.80
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.
$6,292.00
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.
$755.76 with Freedom Health vs $27,607.32 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 |
|---|---|---|---|
| Freedom Health | Managed Medicaid | $755.76 | ↓ -82% |
| Blue Cross | BlueSelect | $778.06 | ↓ -81% |
| Blue Cross | Health Options | $778.06 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $778.43 | ↓ -81% |
| Miami Childrens Health Plan | Managed Medicaid | $793.55 | ↓ -81% |
| Molina | Managed Medicaid | $793.55 | ↓ -81% |
| Molina | Florida Kidcare | $793.55 | ↓ -81% |
| Sunshine Health | Managed Medicaid | $793.55 | ↓ -81% |
| Independent Living Systems | Managed Medicaid | $906.91 | ↓ -78% |
| Blue Cross | Network Blue | $938.24 | ↓ -77% |
| Blue Cross | Traditional (PPS) | $968.76 | ↓ -76% |
| Blue Cross | Perferred Patient Care | $968.76 | ↓ -76% |
| Blue Cross | Medicare Advantage PPO | $972.56 | ↓ -76% |
| Avmed | Medicare Advantage | $972.56 | ↓ -76% |
| Miami Childrens Health Plan | Medicare Advantage | $972.56 | ↓ -76% |
| Blue Cross | Medicare Advantage HMO | $972.56 | ↓ -76% |
| United | Medicare Advantage | $972.56 | ↓ -76% |
| Careplus | Medicare Advantage | $1,021.19 | ↓ -75% |
| Freedom Health | Medicare Advantage | $1,021.19 | ↓ -75% |
| Clear Spring Health | All Products | $1,050.36 | ↓ -74% |
| Independent Living Systems | Medicare Advantage | $1,075.87 | ↓ -74% |
| Aetna | Medicare Advantage PCP | $1,205.97 | ↓ -71% |
| Aetna | Medicare Advantage Specialist | $1,225.43 | ↓ -70% |
| Avmed | Exchange | $1,364.34 | ↓ -67% |
| Avmed | Select | $1,416.81 | ↓ -65% |
| Multiplan | All Products | $1,458.84 | ↓ -64% |
| Avmed | Broad | $1,521.76 | ↓ -63% |
| United | All Products | $1,985.74 | ↓ -51% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $3,587.24 | ↓ -12% |
| SUNSHINE HEALTH | Managed Medicaid | $3,587.24 | ↓ -12% |
| Simply | Managed Medicaid | $3,587.24 | ↓ -12% |
| AMERIHEALTH | Managed Medicaid | $3,694.86 | ↓ -10% |
| MOLINA | Florida KidCare | $3,766.60 | ↓ -8% |
| MOLINA | Managed Medicaid | $3,766.60 | ↓ -8% |
| The Legacy Companies | All Products | $4,089.80 | ↑ +0% |
| Clarity Health | All Products | $4,089.80 | ↑ +0% |
| AETNA | Managed Medicaid/CHIP | $4,304.69 | ↑ +5% |
| Consociate Health | ALL PRODUCTS | $4,719.00 | ↑ +15% |
| Aetna | All Products First Health | $5,662.80 | ↑ +38% |
| Cigna | All Products Physician | $6,292.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $6,292.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $6,292.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $6,292.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $6,292.00 | ↑ +54% |
| Cigna | Surefit Physician | $6,292.00 | ↑ +54% |
| BLUE CROSS | Medicare Advantage HMO | $7,170.73 | ↑ +75% |
| UNITED | MEDICARE ADVANTAGE | $7,170.73 | ↑ +75% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $7,170.73 | ↑ +75% |
| BLUE CROSS | Medicare Advantage PPO | $7,170.73 | ↑ +75% |
| HUMANA | Medicare Advantage HMO | $7,170.73 | ↑ +75% |
| AVMED | MEDICARE ADVANTAGE | $7,457.56 | ↑ +82% |
| Freedom Health | MEDICARE ADVANTAGE | $7,529.27 | ↑ +84% |
| Careplus | MEDICARE ADVANTAGE | $7,529.27 | ↑ +84% |
| Wellcare | MEDICARE ADVANTAGE | $7,577.51 | ↑ +85% |
| AETNA | MEDICARE ADVANTAGE | $7,577.51 | ↑ +85% |
| BLUE CROSS | BSL | $7,992.00 | ↑ +95% |
| DEVOTED HEALTH | Medicare Advantage HMO | $8,335.26 | ↑ +104% |
| AVMED | EXCHANGE | $12,548.78 | ↑ +207% |
| UNITED | ALL PRODUCTS | $17,125.00 | ↑ +319% |
| AVMED | Select | $21,153.66 | ↑ +417% |
| AVMED | BROAD | $27,607.32 | ↑ +575% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Knee arthroscopy/surgery at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $5,882.62 – $6,006.46 |
| Adventhealth Tampa | Tampa | $54,655.25 | $614.00 – $16,822.08 |
| cleveland clinic florida weston hospital | Weston | $4,089.80 | $755.76 – $8,335.26 |
| indian river hospital | Vero Beach | $4,089.80 | $755.76 – $8,335.26 |
| AdventHealth Orlando | Orlando | $20,422.00 | $7,577.51 – $20,080.41 |
| Adventhealth Riverview | Riverview | $54,655.25 | not published |
| Adventhealth Wesley Chapel | Wesley Chapel | $54,655.25 | $7,577.51 – $16,822.08 |
| Adventhealth Zephyrhills | Zephyrhills | $54,655.25 | $7,577.51 – $17,573.01 |