Imbrication/diaphragm/transthor/transabd 39545 at cleveland clinic florida weston hospital
2950 Cleveland Clinic Boulevard, Weston, FL · Cleveland Clinic · · NPI 1083644033
$3,814.20
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.
$5,868.00
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.
$588.37 with Optum vs $5,868.00 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 |
|---|---|---|---|
| Optum | Managed Medicaid | $588.37 | ↓ -85% |
| United | Managed Medicaid | $685.55 | ↓ -82% |
| Medicaid | Managed Medicaid | $685.55 | ↓ -82% |
| Blue Cross | Health Options | $815.78 | ↓ -79% |
| Independent Living Systems | Managed Medicaid | $822.66 | ↓ -78% |
| Doctors Health Plan | HMO & PPO | $956.11 | ↓ -75% |
| Doctors Health Plan | All Products | $956.11 | ↓ -75% |
| Avmed | Medicare Advantage | $978.08 | ↓ -74% |
| Blue Cross | Medicare Advantage HMO | $978.08 | ↓ -74% |
| United | Medicare Advantage | $978.08 | ↓ -74% |
| Wellcare | Medicare Advantage | $978.08 | ↓ -74% |
| Blue Cross | Medicare Advantage PPO | $978.08 | ↓ -74% |
| Independent Living Systems | Medicare Advantage | $1,003.92 | ↓ -74% |
| Blue Cross | Traditional (PPS) | $1,023.30 | ↓ -73% |
| Blue Cross | Network Blue | $1,023.30 | ↓ -73% |
| Blue Cross | Perferred Patient Care | $1,023.30 | ↓ -73% |
| Clear Spring Health | All Products | $1,056.33 | ↓ -72% |
| Aetna | Medicare Advantage PCP | $1,212.82 | ↓ -68% |
| Aetna | Medicare Advantage Specialist | $1,232.38 | ↓ -68% |
| Avmed | Exchange | $1,273.34 | ↓ -67% |
| Avmed | Select | $1,322.31 | ↓ -65% |
| Avmed | Broad | $1,420.26 | ↓ -63% |
| United | All Products | $1,853.29 | ↓ -51% |
| Multiplan | All Products | $2,934.00 | ↓ -23% |
| Maritime | All Products | $2,934.00 | ↓ -23% |
| The Legacy Companies | All Products | $3,814.20 | ↑ +0% |
| Clarity Health | All Products | $3,814.20 | ↑ +0% |
| Aetna | All Products First Health | $4,107.60 | ↑ +8% |
| OPTUM | Managed Medicaid | $4,108.40 | ↑ +8% |
| UNITED | Managed Medicaid | $4,324.63 | ↑ +13% |
| SUNSHINE HEALTH | Managed Medicaid | $4,324.63 | ↑ +13% |
| Consociate Health | ALL PRODUCTS | $4,401.00 | ↑ +15% |
| AETNA | Managed Medicaid/CHIP | $5,189.56 | ↑ +36% |
| Cigna | Surefit Mid-Level | $5,868.00 | ↑ +54% |
| Cigna | Surefit Physician | $5,868.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $5,868.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $5,868.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $5,868.00 | ↑ +54% |
| Cigna | All Products Physician | $5,868.00 | ↑ +54% |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Avmed | Commercial Neuro | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Imbrication/diaphragm/transthor/transabd 39545 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| martin north hospital | Stuart | $3,814.20 | $685.55 – $5,868.00 |
| indian river hospital | Vero Beach | $3,814.20 | $588.37 – $5,868.00 |