Breast reconstruction tram flap 19367 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$6,968.00
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.
$10,720.00
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.
$1,365.47 with Freedom Health vs $10,720.00 with Cigna — 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 | $1,365.47 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $1,406.43 | ↓ -80% |
| Miami Childrens Health Plan | Managed Medicaid | $1,433.74 | ↓ -79% |
| Molina | Florida Kidcare | $1,433.74 | ↓ -79% |
| Sunshine Health | Managed Medicaid | $1,433.74 | ↓ -79% |
| Molina | Managed Medicaid | $1,433.74 | ↓ -79% |
| Blue Cross | Health Options | $1,439.61 | ↓ -79% |
| Blue Cross | BlueSelect | $1,439.61 | ↓ -79% |
| Independent Living Systems | Managed Medicaid | $1,638.56 | ↓ -76% |
| Blue Cross | Medicare Advantage PPO | $1,705.33 | ↓ -76% |
| United | Medicare Advantage | $1,705.33 | ↓ -76% |
| Avmed | Medicare Advantage | $1,705.33 | ↓ -76% |
| Blue Cross | Medicare Advantage HMO | $1,705.33 | ↓ -76% |
| Miami Childrens Health Plan | Medicare Advantage | $1,705.33 | ↓ -76% |
| Blue Cross | Network Blue | $1,736.00 | ↓ -75% |
| Careplus | Medicare Advantage | $1,790.60 | ↓ -74% |
| Freedom Health | Medicare Advantage | $1,790.60 | ↓ -74% |
| Blue Cross | Perferred Patient Care | $1,792.46 | ↓ -74% |
| Blue Cross | Traditional (PPS) | $1,792.46 | ↓ -74% |
| Clear Spring Health | All Products | $1,841.76 | ↓ -74% |
| Independent Living Systems | Medicare Advantage | $1,943.31 | ↓ -72% |
| Aetna | Medicare Advantage PCP | $2,114.61 | ↓ -70% |
| Aetna | Medicare Advantage Specialist | $2,148.72 | ↓ -69% |
| Avmed | Exchange | $2,456.18 | ↓ -65% |
| Avmed | Select | $2,550.65 | ↓ -63% |
| Multiplan | All Products | $2,558.00 | ↓ -63% |
| Avmed | Broad | $2,739.59 | ↓ -61% |
| United | All Products | $3,574.88 | ↓ -49% |
| SUNSHINE HEALTH | Managed Medicaid | $4,867.98 | ↓ -30% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $4,867.98 | ↓ -30% |
| Simply | Managed Medicaid | $4,867.98 | ↓ -30% |
| AMERIHEALTH | Managed Medicaid | $5,014.02 | ↓ -28% |
| MOLINA | Managed Medicaid | $5,111.38 | ↓ -27% |
| MOLINA | Florida KidCare | $5,111.38 | ↓ -27% |
| AETNA | Managed Medicaid/CHIP | $5,841.58 | ↓ -16% |
| The Legacy Companies | All Products | $6,968.00 | ↑ +0% |
| Clarity Health | All Products | $6,968.00 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $8,040.00 | ↑ +15% |
| Aetna | All Products First Health | $9,648.00 | ↑ +38% |
| Cigna | Individual Family Plan Physician | $10,720.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $10,720.00 | ↑ +54% |
| Cigna | All Products Physician | $10,720.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $10,720.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $10,720.00 | ↑ +54% |
| Cigna | Surefit Physician | $10,720.00 | ↑ +54% |
| 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
Breast reconstruction tram flap 19367 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $4,277.91 – $4,367.97 |
| cleveland clinic florida weston hospital | Weston | $6,968.00 | $1,233.95 – $10,720.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $4,105.66 – $4,192.10 |
| indian river hospital | Vero Beach | not published | $4,624.58 – $5,841.58 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $4,167.82 – $4,255.56 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $4,310.81 – $4,401.56 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $4,476.54 – $4,570.79 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | not published | $3,819.68 – $4,020.72 |