Forehead flap w/vasc pedicle 15731 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$3,738.80
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.
?
What you pay up front if you don't use insurance.
$5,752.00
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.
$805.78 with Blue Cross vs $14,148.01 with AVMED — 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 | BlueSelect | $805.78 | ↓ -78% |
| Blue Cross | Health Options | $805.78 | ↓ -78% |
| Freedom Health | Managed Medicaid | $864.27 | ↓ -77% |
| AmeriHealth | Managed Medicaid | $890.20 | ↓ -76% |
| Molina | Managed Medicaid | $907.48 | ↓ -76% |
| Sunshine Health | Managed Medicaid | $907.48 | ↓ -76% |
| Miami Childrens Health Plan | Managed Medicaid | $907.48 | ↓ -76% |
| Molina | Florida Kidcare | $907.48 | ↓ -76% |
| Avmed | Medicare Advantage | $944.27 | ↓ -75% |
| Miami Childrens Health Plan | Medicare Advantage | $944.27 | ↓ -75% |
| Blue Cross | Medicare Advantage HMO | $944.27 | ↓ -75% |
| Blue Cross | Medicare Advantage PPO | $944.27 | ↓ -75% |
| United | Medicare Advantage | $944.27 | ↓ -75% |
| Blue Cross | Network Blue | $971.67 | ↓ -74% |
| Freedom Health | Medicare Advantage | $991.48 | ↓ -73% |
| Careplus | Medicare Advantage | $991.48 | ↓ -73% |
| Blue Cross | Traditional (PPS) | $1,003.27 | ↓ -73% |
| Blue Cross | Perferred Patient Care | $1,003.27 | ↓ -73% |
| Clear Spring Health | All Products | $1,019.81 | ↓ -73% |
| Independent Living Systems | Managed Medicaid | $1,037.12 | ↓ -72% |
| Independent Living Systems | Medicare Advantage | $1,077.28 | ↓ -71% |
| Aetna | Medicare Advantage PCP | $1,170.89 | ↓ -69% |
| Aetna | Medicare Advantage Specialist | $1,189.78 | ↓ -68% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,243.75 | ↓ -67% |
| SUNSHINE HEALTH | Managed Medicaid | $1,243.75 | ↓ -67% |
| Simply | Managed Medicaid | $1,243.75 | ↓ -67% |
| Cigna | Individual Family Plan Mid-Level | $1,274.09 | ↓ -66% |
| AMERIHEALTH | Managed Medicaid | $1,281.06 | ↓ -66% |
| Cigna | Surefit Mid-Level | $1,298.44 | ↓ -65% |
| MOLINA | Managed Medicaid | $1,305.94 | ↓ -65% |
| MOLINA | Florida KidCare | $1,305.94 | ↓ -65% |
| Avmed | Exchange | $1,366.24 | ↓ -63% |
| Cigna | All Products Mid-Level | $1,402.44 | ↓ -62% |
| Multiplan | All Products | $1,416.41 | ↓ -62% |
| Avmed | Select | $1,418.78 | ↓ -62% |
| AETNA | Managed Medicaid/CHIP | $1,492.50 | ↓ -60% |
| Cigna | Individual Family Plan Physician | $1,498.98 | ↓ -60% |
| Avmed | Broad | $1,523.88 | ↓ -59% |
| Cigna | Surefit Physician | $1,527.74 | ↓ -59% |
| Cigna | All Products Physician | $1,649.85 | ↓ -56% |
| United | All Products | $1,988.50 | ↓ -47% |
| BLUE CROSS | Medicare Advantage PPO | $3,674.81 | ↓ -2% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $3,674.81 | ↓ -2% |
| BLUE CROSS | Medicare Advantage HMO | $3,674.81 | ↓ -2% |
| HUMANA | Medicare Advantage HMO | $3,674.81 | ↓ -2% |
| UNITED | MEDICARE ADVANTAGE | $3,674.81 | ↓ -2% |
| Wellcare | MEDICARE ADVANTAGE | $3,700.64 | ↓ -1% |
| AETNA | MEDICARE ADVANTAGE | $3,700.64 | ↓ -1% |
| The Legacy Companies | All Products | $3,738.80 | ↑ +0% |
| Clarity Health | All Products | $3,738.80 | ↑ +0% |
| AVMED | MEDICARE ADVANTAGE | $3,821.80 | ↑ +2% |
| Careplus | MEDICARE ADVANTAGE | $3,858.55 | ↑ +3% |
| Freedom Health | MEDICARE ADVANTAGE | $3,858.55 | ↑ +3% |
| DEVOTED HEALTH | Medicare Advantage HMO | $4,070.70 | ↑ +9% |
| Consociate Health | ALL PRODUCTS | $4,314.00 | ↑ +15% |
| Aetna | All Products First Health | $5,176.80 | ↑ +38% |
| AVMED | EXCHANGE | $6,430.91 | ↑ +72% |
| AVMED | Select | $10,840.69 | ↑ +190% |
| AVMED | BROAD | $14,148.01 | ↑ +278% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Forehead flap w/vasc pedicle 15731 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $875.39 – $893.82 |
| cleveland clinic florida weston hospital | Weston | $3,738.80 | $497.71 – $4,314.00 |
| indian river hospital | Vero Beach | $3,738.80 | $497.71 – $4,889.20 |
| Baptist Hospital | MIAMI | $11,737.05 | $173.17 – $16,251.30 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,515.61 – $6,176.36 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $3,515.61 – $8,084.04 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $840.14 – $857.83 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $3,700.64 – $6,757.36 |