healthcosts.net
Total Hip Replacement at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$5,605.60
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.
$8,624.00
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.
$993.98 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 | $993.98 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $1,023.80 | ↓ -82% |
| Miami Childrens Health Plan | Managed Medicaid | $1,043.68 | ↓ -81% |
| Molina | Managed Medicaid | $1,043.68 | ↓ -81% |
| Molina | Florida Kidcare | $1,043.68 | ↓ -81% |
| Sunshine Health | Managed Medicaid | $1,043.68 | ↓ -81% |
| Blue Cross | Health Options | $1,136.60 | ↓ -80% |
| Blue Cross | BlueSelect | $1,136.60 | ↓ -80% |
| Independent Living Systems | Managed Medicaid | $1,192.78 | ↓ -79% |
| United | Medicare Advantage | $1,282.73 | ↓ -77% |
| Avmed | Medicare Advantage | $1,282.73 | ↓ -77% |
| Blue Cross | Medicare Advantage PPO | $1,282.73 | ↓ -77% |
| Miami Childrens Health Plan | Medicare Advantage | $1,282.73 | ↓ -77% |
| Blue Cross | Medicare Advantage HMO | $1,282.73 | ↓ -77% |
| Freedom Health | Medicare Advantage | $1,346.87 | ↓ -76% |
| Careplus | Medicare Advantage | $1,346.87 | ↓ -76% |
| Blue Cross | Network Blue | $1,370.60 | ↓ -76% |
| Clear Spring Health | All Products | $1,385.35 | ↓ -75% |
| Blue Cross | Traditional (PPS) | $1,415.18 | ↓ -75% |
| Blue Cross | Perferred Patient Care | $1,415.18 | ↓ -75% |
| Independent Living Systems | Medicare Advantage | $1,425.52 | ↓ -75% |
| Aetna | Medicare Advantage PCP | $1,590.59 | ↓ -72% |
| Aetna | Medicare Advantage Specialist | $1,616.24 | ↓ -71% |
| Avmed | Exchange | $1,804.65 | ↓ -68% |
| Avmed | Select | $1,874.06 | ↓ -67% |
| Multiplan | All Products | $1,924.10 | ↓ -66% |
| Avmed | Broad | $2,012.88 | ↓ -64% |
| United | All Products | $2,626.59 | ↓ -53% |
| Clarity Health | All Products | $5,605.60 | ↑ +0% |
| The Legacy Companies | All Products | $5,605.60 | ↑ +0% |
| Simply | Managed Medicaid | $5,957.96 | ↑ +6% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $5,957.96 | ↑ +6% |
| SUNSHINE HEALTH | Managed Medicaid | $5,957.96 | ↑ +6% |
| AMERIHEALTH | Managed Medicaid | $6,136.70 | ↑ +9% |
| MOLINA | Florida KidCare | $6,255.86 | ↑ +12% |
| MOLINA | Managed Medicaid | $6,255.86 | ↑ +12% |
| Consociate Health | ALL PRODUCTS | $6,468.00 | ↑ +15% |
| AETNA | QHP | $6,837.00 | ↑ +22% |
| AETNA | Managed Medicaid/CHIP | $7,149.55 | ↑ +28% |
| Aetna | All Products First Health | $7,761.60 | ↑ +38% |
| BLUE CROSS | BSL | $7,992.00 | ↑ +43% |
| Cigna | Individual Family Plan Mid-Level | $8,624.00 | ↑ +54% |
| Cigna | Surefit Physician | $8,624.00 | ↑ +54% |
| Cigna | All Products Physician | $8,624.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $8,624.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $8,624.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $8,624.00 | ↑ +54% |
| AETNA | ALL PRODUCTS | $9,287.00 | ↑ +66% |
| UNITED | MEDICARE ADVANTAGE | $12,915.46 | ↑ +130% |
| BLUE CROSS | Medicare Advantage HMO | $12,915.46 | ↑ +130% |
| HUMANA | Medicare Advantage HMO | $12,915.46 | ↑ +130% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $12,915.46 | ↑ +130% |
| BLUE CROSS | Medicare Advantage PPO | $12,915.46 | ↑ +130% |
| Wellcare | MEDICARE ADVANTAGE | $13,407.17 | ↑ +139% |
| AETNA | MEDICARE ADVANTAGE | $13,407.17 | ↑ +139% |
| AVMED | MEDICARE ADVANTAGE | $13,432.07 | ↑ +140% |
| Careplus | MEDICARE ADVANTAGE | $13,561.23 | ↑ +142% |
| Freedom Health | MEDICARE ADVANTAGE | $13,561.23 | ↑ +142% |
| DEVOTED HEALTH | Medicare Advantage HMO | $14,747.88 | ↑ +163% |
| AVMED | EXCHANGE | $22,602.05 | ↑ +303% |
| UNITED | NHP | $24,126.00 | ↑ +330% |
| UNITED | ALL PRODUCTS | $28,910.00 | ↑ +416% |
| AVMED | Select | $38,100.60 | ↑ +580% |
| AVMED | BROAD | $49,724.51 | ↑ +787% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
Visitor-reported prices
Comments
Total Hip Replacement at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $5,605.60 | $993.98 – $14,747.88 |
| indian river hospital | Vero Beach | $5,605.60 | $993.98 – $14,747.88 |
| Bethesda Hospital East | BOYNTON BEACH | not published | not published |
| Boca Raton Regional Hospital | BOCA RATON | not published | not published |
| Doctors Hospital | CORAL GABLES | not published | not published |
| Baptist Health Hospital Doral | SOUTH MIAMI | not published | not published |
| Fishermens Community Hospital | MARATHON | not published | not published |
| Homestead Hospital | HOMESTEAD | not published | not published |