Excision of mouth lesion complex 40816 at cleveland clinic florida weston hospital
2950 Cleveland Clinic Boulevard, Weston, FL · Cleveland Clinic · · NPI 1083644033
$980.20
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.
$1,508.00
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.
$197.15 with Optum vs $7,031.51 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 |
|---|---|---|---|
| Optum | Managed Medicaid | $197.15 | ↓ -80% |
| Blue Cross | Health Options | $278.48 | ↓ -72% |
| Avmed | Medicare Advantage | $296.42 | ↓ -70% |
| Wellcare | Medicare Advantage | $296.42 | ↓ -70% |
| Blue Cross | Medicare Advantage HMO | $296.42 | ↓ -70% |
| Blue Cross | Medicare Advantage PPO | $296.42 | ↓ -70% |
| United | Medicare Advantage | $296.42 | ↓ -70% |
| United | Managed Medicaid | $309.71 | ↓ -68% |
| Medicaid | Managed Medicaid | $309.71 | ↓ -68% |
| Doctors Health Plan | All Products | $310.44 | ↓ -68% |
| Doctors Health Plan | HMO & PPO | $310.44 | ↓ -68% |
| Clear Spring Health | All Products | $320.13 | ↓ -67% |
| Independent Living Systems | Medicare Advantage | $325.96 | ↓ -67% |
| Blue Cross | Traditional (PPS) | $349.33 | ↓ -64% |
| Blue Cross | Network Blue | $349.33 | ↓ -64% |
| Blue Cross | Perferred Patient Care | $349.33 | ↓ -64% |
| Aetna | Medicare Advantage PCP | $367.56 | ↓ -63% |
| Independent Living Systems | Managed Medicaid | $371.65 | ↓ -62% |
| Aetna | Medicare Advantage Specialist | $373.49 | ↓ -62% |
| Avmed | Exchange | $412.05 | ↓ -58% |
| Avmed | Select | $427.90 | ↓ -56% |
| Avmed | Broad | $459.59 | ↓ -53% |
| Cigna | Individual Family Plan Mid-Level | $503.58 | ↓ -49% |
| Cigna | Surefit Mid-Level | $513.19 | ↓ -48% |
| Cigna | All Products Mid-Level | $554.33 | ↓ -43% |
| Cigna | Individual Family Plan Physician | $592.49 | ↓ -40% |
| United | All Products | $599.72 | ↓ -39% |
| Cigna | Surefit Physician | $603.79 | ↓ -38% |
| Cigna | All Products Physician | $652.15 | ↓ -33% |
| Maritime | All Products | $754.00 | ↓ -23% |
| Multiplan | All Products | $754.00 | ↓ -23% |
| Clarity Health | All Products | $980.20 | ↑ +0% |
| The Legacy Companies | All Products | $980.20 | ↑ +0% |
| Aetna | All Products First Health | $1,055.60 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $1,131.00 | ↑ +15% |
| OPTUM | Managed Medicaid | $1,928.02 | ↑ +97% |
| SUNSHINE HEALTH | Managed Medicaid | $2,029.49 | ↑ +107% |
| UNITED | Managed Medicaid | $2,029.49 | ↑ +107% |
| AETNA | Managed Medicaid/CHIP | $2,435.39 | ↑ +148% |
| UNITED | MEDICARE ADVANTAGE | $3,255.33 | ↑ +232% |
| HUMANA | Medicare Advantage HMO | $3,255.33 | ↑ +232% |
| Doctors Health Plan | MEDICARE ADVANTAGE | $3,255.33 | ↑ +232% |
| BLUE CROSS | Medicare Advantage PPO | $3,255.33 | ↑ +232% |
| BLUE CROSS | Medicare Advantage HMO | $3,255.33 | ↑ +232% |
| AVMED | MEDICARE ADVANTAGE | $3,385.54 | ↑ +245% |
| Independent Living Systems | MEDICARE ADVANTAGE | $3,418.10 | ↑ +249% |
| AETNA | MEDICARE ADVANTAGE | $3,462.26 | ↑ +253% |
| Wellcare | MEDICARE ADVANTAGE | $3,462.26 | ↑ +253% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,808.49 | ↑ +289% |
| DEVOTED HEALTH | Medicare Advantage PPO | $3,808.49 | ↑ +289% |
| AVMED | EXCHANGE | $4,817.89 | ↑ +392% |
| AVMED | Select | $5,078.31 | ↑ +418% |
| AVMED | BROAD | $7,031.51 | ↑ +617% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Avmed | Commercial Neuro | not published by hospital | — |
Visitor-reported prices
Comments
Excision of mouth lesion complex 40816 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| indian river hospital | Vero Beach | $980.20 | $197.15 – $3,808.49 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,289.15 – $5,778.52 |
| Adventhealth Tampa | Tampa | not published | $537.00 – $7,686.23 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $625.07 – $638.23 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $3,462.26 – $6,322.09 |
| martin north hospital | Stuart | not published | $2,029.49 – $3,808.49 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $634.53 – $647.89 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $656.30 – $670.11 |