Optx prox humrl fx w/int fix at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$3,198.00
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.
$4,920.00
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.
$689.89 with Freedom Health vs $49,724.51 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 | $689.89 | ↓ -78% |
| Blue Cross | BlueSelect | $692.37 | ↓ -78% |
| Blue Cross | Health Options | $692.37 | ↓ -78% |
| AmeriHealth | Managed Medicaid | $710.59 | ↓ -78% |
| Miami Childrens Health Plan | Managed Medicaid | $724.38 | ↓ -77% |
| Molina | Managed Medicaid | $724.38 | ↓ -77% |
| Molina | Florida Kidcare | $724.38 | ↓ -77% |
| Sunshine Health | Managed Medicaid | $724.38 | ↓ -77% |
| Independent Living Systems | Managed Medicaid | $827.87 | ↓ -74% |
| Blue Cross | Network Blue | $834.91 | ↓ -74% |
| Blue Cross | Traditional (PPS) | $862.06 | ↓ -73% |
| Blue Cross | Perferred Patient Care | $862.06 | ↓ -73% |
| Blue Cross | Medicare Advantage PPO | $899.75 | ↓ -72% |
| Miami Childrens Health Plan | Medicare Advantage | $899.75 | ↓ -72% |
| Blue Cross | Medicare Advantage HMO | $899.75 | ↓ -72% |
| United | Medicare Advantage | $899.75 | ↓ -72% |
| Avmed | Medicare Advantage | $899.75 | ↓ -72% |
| Freedom Health | Medicare Advantage | $944.74 | ↓ -70% |
| Careplus | Medicare Advantage | $944.74 | ↓ -70% |
| Clear Spring Health | All Products | $971.73 | ↓ -70% |
| Independent Living Systems | Medicare Advantage | $980.68 | ↓ -69% |
| Aetna | Medicare Advantage PCP | $1,115.69 | ↓ -65% |
| Aetna | Medicare Advantage Specialist | $1,133.69 | ↓ -65% |
| Avmed | Exchange | $1,240.56 | ↓ -61% |
| Avmed | Select | $1,288.28 | ↓ -60% |
| Multiplan | All Products | $1,349.63 | ↓ -58% |
| Avmed | Broad | $1,383.71 | ↓ -57% |
| United | All Products | $1,805.59 | ↓ -44% |
| The Legacy Companies | All Products | $3,198.00 | ↑ +0% |
| Clarity Health | All Products | $3,198.00 | ↑ +0% |
| SUNSHINE HEALTH | Managed Medicaid | $3,543.94 | ↑ +11% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $3,543.94 | ↑ +11% |
| Simply | Managed Medicaid | $3,543.94 | ↑ +11% |
| AMERIHEALTH | Managed Medicaid | $3,650.26 | ↑ +14% |
| Consociate Health | ALL PRODUCTS | $3,690.00 | ↑ +15% |
| MOLINA | Florida KidCare | $3,721.14 | ↑ +16% |
| MOLINA | Managed Medicaid | $3,721.14 | ↑ +16% |
| AETNA | Managed Medicaid/CHIP | $4,252.73 | ↑ +33% |
| Aetna | All Products First Health | $4,428.00 | ↑ +38% |
| Cigna | Individual Family Plan Physician | $4,920.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $4,920.00 | ↑ +54% |
| Cigna | All Products Physician | $4,920.00 | ↑ +54% |
| Cigna | Surefit Physician | $4,920.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $4,920.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $4,920.00 | ↑ +54% |
| AETNA | QHP | $6,289.00 | ↑ +97% |
| UNITED | MEDICARE ADVANTAGE | $12,915.46 | ↑ +304% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $12,915.46 | ↑ +304% |
| BLUE CROSS | Medicare Advantage PPO | $12,915.46 | ↑ +304% |
| HUMANA | Medicare Advantage HMO | $12,915.46 | ↑ +304% |
| BLUE CROSS | Medicare Advantage HMO | $12,915.46 | ↑ +304% |
| AETNA | MEDICARE ADVANTAGE | $13,407.17 | ↑ +319% |
| Wellcare | MEDICARE ADVANTAGE | $13,407.17 | ↑ +319% |
| AVMED | MEDICARE ADVANTAGE | $13,432.07 | ↑ +320% |
| Freedom Health | MEDICARE ADVANTAGE | $13,561.23 | ↑ +324% |
| Careplus | MEDICARE ADVANTAGE | $13,561.23 | ↑ +324% |
| DEVOTED HEALTH | Medicare Advantage HMO | $14,747.88 | ↑ +361% |
| AVMED | EXCHANGE | $22,602.05 | ↑ +607% |
| AVMED | Select | $38,100.60 | ↑ +1091% |
| AVMED | BROAD | $49,724.51 | ↑ +1455% |
| 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
Optx prox humrl fx w/int fix at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $14,376.40 – $14,679.06 |
| cleveland clinic florida weston hospital | Weston | $3,198.00 | $536.65 – $14,747.88 |
| indian river hospital | Vero Beach | $3,198.00 | $536.65 – $14,747.88 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $12,736.81 – $22,376.56 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $12,736.81 – $28,636.36 |
| Adventhealth Tampa | Tampa | not published | $758.00 – $29,763.91 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $12,736.81 – $29,287.95 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $13,797.57 – $14,088.05 |