Revision of knee joint at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$4,453.80
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.
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What you pay up front if you don't use insurance.
$6,852.00
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.
$871.54 with Blue Cross 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 |
|---|---|---|---|
| Blue Cross | BlueSelect | $871.54 | ↓ -80% |
| Blue Cross | Health Options | $871.54 | ↓ -80% |
| Freedom Health | Managed Medicaid | $890.32 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $917.03 | ↓ -79% |
| Molina | Florida Kidcare | $934.84 | ↓ -79% |
| Miami Childrens Health Plan | Managed Medicaid | $934.84 | ↓ -79% |
| Sunshine Health | Managed Medicaid | $934.84 | ↓ -79% |
| Molina | Managed Medicaid | $934.84 | ↓ -79% |
| Blue Cross | Network Blue | $1,050.98 | ↓ -76% |
| Independent Living Systems | Managed Medicaid | $1,068.38 | ↓ -76% |
| Blue Cross | Perferred Patient Care | $1,085.16 | ↓ -76% |
| Blue Cross | Traditional (PPS) | $1,085.16 | ↓ -76% |
| Blue Cross | Medicare Advantage HMO | $1,153.28 | ↓ -74% |
| United | Medicare Advantage | $1,153.28 | ↓ -74% |
| Blue Cross | Medicare Advantage PPO | $1,153.28 | ↓ -74% |
| Miami Childrens Health Plan | Medicare Advantage | $1,153.28 | ↓ -74% |
| Avmed | Medicare Advantage | $1,153.28 | ↓ -74% |
| Careplus | Medicare Advantage | $1,210.94 | ↓ -73% |
| Freedom Health | Medicare Advantage | $1,210.94 | ↓ -73% |
| Clear Spring Health | All Products | $1,245.54 | ↓ -72% |
| Independent Living Systems | Medicare Advantage | $1,274.10 | ↓ -71% |
| Aetna | Medicare Advantage PCP | $1,430.07 | ↓ -68% |
| Aetna | Medicare Advantage Specialist | $1,453.13 | ↓ -67% |
| Avmed | Exchange | $1,612.59 | ↓ -64% |
| Avmed | Select | $1,674.61 | ↓ -62% |
| Multiplan | All Products | $1,729.92 | ↓ -61% |
| Avmed | Broad | $1,798.65 | ↓ -60% |
| United | All Products | $2,347.06 | ↓ -47% |
| The Legacy Companies | All Products | $4,453.80 | ↑ +0% |
| Clarity Health | All Products | $4,453.80 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $5,139.00 | ↑ +15% |
| Simply | Managed Medicaid | $5,957.96 | ↑ +34% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $5,957.96 | ↑ +34% |
| SUNSHINE HEALTH | Managed Medicaid | $5,957.96 | ↑ +34% |
| AMERIHEALTH | Managed Medicaid | $6,136.70 | ↑ +38% |
| Aetna | All Products First Health | $6,166.80 | ↑ +38% |
| MOLINA | Managed Medicaid | $6,255.86 | ↑ +40% |
| MOLINA | Florida KidCare | $6,255.86 | ↑ +40% |
| Cigna | Individual Family Plan Physician | $6,852.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $6,852.00 | ↑ +54% |
| Cigna | All Products Physician | $6,852.00 | ↑ +54% |
| Cigna | Surefit Physician | $6,852.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $6,852.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $6,852.00 | ↑ +54% |
| AETNA | Managed Medicaid/CHIP | $7,149.55 | ↑ +61% |
| AETNA | ALL PRODUCTS | $8,980.00 | ↑ +102% |
| HUMANA | Medicare Advantage HMO | $12,915.46 | ↑ +190% |
| UNITED | MEDICARE ADVANTAGE | $12,915.46 | ↑ +190% |
| BLUE CROSS | Medicare Advantage HMO | $12,915.46 | ↑ +190% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $12,915.46 | ↑ +190% |
| BLUE CROSS | Medicare Advantage PPO | $12,915.46 | ↑ +190% |
| AETNA | MEDICARE ADVANTAGE | $13,407.17 | ↑ +201% |
| Wellcare | MEDICARE ADVANTAGE | $13,407.17 | ↑ +201% |
| AVMED | MEDICARE ADVANTAGE | $13,432.07 | ↑ +202% |
| Careplus | MEDICARE ADVANTAGE | $13,561.23 | ↑ +204% |
| Freedom Health | MEDICARE ADVANTAGE | $13,561.23 | ↑ +204% |
| DEVOTED HEALTH | Medicare Advantage HMO | $14,747.88 | ↑ +231% |
| AVMED | EXCHANGE | $22,602.05 | ↑ +407% |
| UNITED | ALL PRODUCTS | $28,910.00 | ↑ +549% |
| AVMED | Select | $38,100.60 | ↑ +755% |
| AVMED | BROAD | $49,724.51 | ↑ +1016% |
| 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
Revision of knee joint at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $6,095.71 – $17,429.32 |
| cleveland clinic florida weston hospital | Weston | $4,453.80 | $873.20 – $14,747.88 |
| indian river hospital | Vero Beach | $4,453.80 | $873.20 – $14,747.88 |
| AdventHealth Orlando | Orlando | $55,651.00 | $13,407.17 – $35,528.99 |
| Adventhealth Carrollwood | Tampa | $81,144.13 | $13,407.17 – $29,763.91 |
| 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 | $13,407.17 – $29,763.91 |