Repair elbow w/deb open at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$1,731.60
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.
$2,664.00
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.
$407.00 with Blue Cross vs $12,538.97 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 |
|---|---|---|---|
| Blue Cross | Health Options | $407.00 | ↓ -76% |
| Blue Cross | BlueSelect | $407.00 | ↓ -76% |
| Freedom Health | Managed Medicaid | $419.24 | ↓ -76% |
| AmeriHealth | Managed Medicaid | $431.82 | ↓ -75% |
| Sunshine Health | Managed Medicaid | $440.20 | ↓ -75% |
| Miami Childrens Health Plan | Managed Medicaid | $440.20 | ↓ -75% |
| Molina | Florida Kidcare | $440.20 | ↓ -75% |
| Molina | Managed Medicaid | $440.20 | ↓ -75% |
| Blue Cross | Network Blue | $490.79 | ↓ -72% |
| Independent Living Systems | Managed Medicaid | $503.09 | ↓ -71% |
| Blue Cross | Perferred Patient Care | $506.75 | ↓ -71% |
| Blue Cross | Traditional (PPS) | $506.75 | ↓ -71% |
| Avmed | Medicare Advantage | $540.36 | ↓ -69% |
| Miami Childrens Health Plan | Medicare Advantage | $540.36 | ↓ -69% |
| Blue Cross | Medicare Advantage HMO | $540.36 | ↓ -69% |
| Blue Cross | Medicare Advantage PPO | $540.36 | ↓ -69% |
| United | Medicare Advantage | $540.36 | ↓ -69% |
| Freedom Health | Medicare Advantage | $567.38 | ↓ -67% |
| Careplus | Medicare Advantage | $567.38 | ↓ -67% |
| Clear Spring Health | All Products | $583.59 | ↓ -66% |
| Independent Living Systems | Medicare Advantage | $590.58 | ↓ -66% |
| Aetna | Medicare Advantage PCP | $670.05 | ↓ -61% |
| Aetna | Medicare Advantage Specialist | $680.85 | ↓ -61% |
| Avmed | Exchange | $744.60 | ↓ -57% |
| Avmed | Select | $773.24 | ↓ -55% |
| Multiplan | All Products | $810.54 | ↓ -53% |
| Avmed | Broad | $830.52 | ↓ -52% |
| United | All Products | $1,083.74 | ↓ -37% |
| Simply | Managed Medicaid | $1,131.16 | ↓ -35% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,131.16 | ↓ -35% |
| SUNSHINE HEALTH | Managed Medicaid | $1,131.16 | ↓ -35% |
| AMERIHEALTH | Managed Medicaid | $1,165.09 | ↓ -33% |
| MOLINA | Managed Medicaid | $1,187.72 | ↓ -31% |
| MOLINA | Florida KidCare | $1,187.72 | ↓ -31% |
| AETNA | Managed Medicaid/CHIP | $1,357.39 | ↓ -22% |
| The Legacy Companies | All Products | $1,731.60 | ↑ +0% |
| Clarity Health | All Products | $1,731.60 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $1,998.00 | ↑ +15% |
| Aetna | All Products First Health | $2,397.60 | ↑ +38% |
| Cigna | Individual Family Plan Physician | $2,664.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $2,664.00 | ↑ +54% |
| Cigna | All Products Physician | $2,664.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $2,664.00 | ↑ +54% |
| Cigna | Surefit Physician | $2,664.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $2,664.00 | ↑ +54% |
| BLUE CROSS | Medicare Advantage PPO | $3,256.87 | ↑ +88% |
| UNITED | MEDICARE ADVANTAGE | $3,256.87 | ↑ +88% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $3,256.87 | ↑ +88% |
| HUMANA | Medicare Advantage HMO | $3,256.87 | ↑ +88% |
| BLUE CROSS | Medicare Advantage HMO | $3,256.87 | ↑ +88% |
| AVMED | MEDICARE ADVANTAGE | $3,387.15 | ↑ +96% |
| AETNA | MEDICARE ADVANTAGE | $3,416.88 | ↑ +97% |
| Wellcare | MEDICARE ADVANTAGE | $3,416.88 | ↑ +97% |
| Careplus | MEDICARE ADVANTAGE | $3,419.72 | ↑ +97% |
| Freedom Health | MEDICARE ADVANTAGE | $3,419.72 | ↑ +97% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,758.57 | ↑ +117% |
| AVMED | EXCHANGE | $5,699.53 | ↑ +229% |
| AVMED | Select | $9,607.78 | ↑ +455% |
| AVMED | BROAD | $12,538.97 | ↑ +624% |
| 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
Repair elbow w/deb open at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $4,268.90 – $4,358.77 |
| cleveland clinic florida weston hospital | Weston | $1,731.60 | $311.35 – $3,758.57 |
| indian river hospital | Vero Beach | $1,731.60 | $311.35 – $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 | $4,097.03 – $4,183.28 |