Removal of hip joint lining at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$2,394.60
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.
?
What you pay up front if you don't use insurance.
$3,684.00
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.
$534.05 with Blue Cross vs $3,758.57 with DEVOTED HEALTH — 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 | $534.05 | ↓ -78% |
| Blue Cross | BlueSelect | $534.05 | ↓ -78% |
| Freedom Health | Managed Medicaid | $540.01 | ↓ -77% |
| AmeriHealth | Managed Medicaid | $556.21 | ↓ -77% |
| Molina | Managed Medicaid | $567.01 | ↓ -76% |
| Miami Childrens Health Plan | Managed Medicaid | $567.01 | ↓ -76% |
| Sunshine Health | Managed Medicaid | $567.01 | ↓ -76% |
| Molina | Florida Kidcare | $567.01 | ↓ -76% |
| Blue Cross | Network Blue | $644.00 | ↓ -73% |
| Independent Living Systems | Managed Medicaid | $648.01 | ↓ -73% |
| Blue Cross | Traditional (PPS) | $664.95 | ↓ -72% |
| Blue Cross | Perferred Patient Care | $664.95 | ↓ -72% |
| Miami Childrens Health Plan | Medicare Advantage | $710.13 | ↓ -70% |
| United | Medicare Advantage | $710.13 | ↓ -70% |
| Avmed | Medicare Advantage | $710.13 | ↓ -70% |
| Blue Cross | Medicare Advantage PPO | $710.13 | ↓ -70% |
| Blue Cross | Medicare Advantage HMO | $710.13 | ↓ -70% |
| Careplus | Medicare Advantage | $745.64 | ↓ -69% |
| Freedom Health | Medicare Advantage | $745.64 | ↓ -69% |
| Clear Spring Health | All Products | $766.94 | ↓ -68% |
| Independent Living Systems | Medicare Advantage | $767.08 | ↓ -68% |
| Aetna | Medicare Advantage PCP | $880.56 | ↓ -63% |
| Aetna | Medicare Advantage Specialist | $894.76 | ↓ -63% |
| Avmed | Exchange | $968.81 | ↓ -60% |
| Avmed | Select | $1,006.07 | ↓ -58% |
| Multiplan | All Products | $1,065.20 | ↓ -56% |
| Avmed | Broad | $1,080.60 | ↓ -55% |
| United | All Products | $1,410.07 | ↓ -41% |
| The Legacy Companies | All Products | $2,394.60 | ↑ +0% |
| Clarity Health | All Products | $2,394.60 | ↑ +0% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $2,516.64 | ↑ +5% |
| SUNSHINE HEALTH | Managed Medicaid | $2,516.64 | ↑ +5% |
| Simply | Managed Medicaid | $2,516.64 | ↑ +5% |
| AMERIHEALTH | Managed Medicaid | $2,592.14 | ↑ +8% |
| MOLINA | Managed Medicaid | $2,642.47 | ↑ +10% |
| MOLINA | Florida KidCare | $2,642.47 | ↑ +10% |
| Consociate Health | ALL PRODUCTS | $2,763.00 | ↑ +15% |
| AETNA | Managed Medicaid/CHIP | $3,019.97 | ↑ +26% |
| Aetna | All Products First Health | $3,315.60 | ↑ +38% |
| AETNA | MEDICARE ADVANTAGE | $3,416.88 | ↑ +43% |
| Wellcare | MEDICARE ADVANTAGE | $3,416.88 | ↑ +43% |
| Cigna | All Products Physician | $3,684.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $3,684.00 | ↑ +54% |
| Cigna | Surefit Physician | $3,684.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $3,684.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $3,684.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $3,684.00 | ↑ +54% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,758.57 | ↑ +57% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
Visitor-reported prices
Comments
Removal of hip joint lining at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $1,101.99 – $1,125.19 |
| cleveland clinic florida weston hospital | Weston | $2,394.60 | $510.50 – $3,758.57 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,246.04 – $5,702.77 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $3,246.04 – $7,298.12 |
| Adventhealth Tampa | Tampa | not published | $3,416.88 – $7,585.48 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $3,246.04 – $7,464.18 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $1,057.63 – $1,079.89 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $3,416.88 – $6,239.22 |