Lengthening of palate+pharyngeal flap 42226 at cleveland clinic florida weston hospital
2950 Cleveland Clinic Boulevard, Weston, FL · Cleveland Clinic · · NPI 1083644033
$2,691.00
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.
$4,140.00
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.
$525.14 with Optum vs $12,826.13 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 | $525.14 | ↓ -80% |
| United | Managed Medicaid | $699.08 | ↓ -74% |
| Medicaid | Managed Medicaid | $699.08 | ↓ -74% |
| Blue Cross | Health Options | $800.34 | ↓ -70% |
| Independent Living Systems | Managed Medicaid | $838.90 | ↓ -69% |
| United | Medicare Advantage | $884.58 | ↓ -67% |
| Avmed | Medicare Advantage | $884.58 | ↓ -67% |
| Blue Cross | Medicare Advantage HMO | $884.58 | ↓ -67% |
| Wellcare | Medicare Advantage | $884.58 | ↓ -67% |
| Blue Cross | Medicare Advantage PPO | $884.58 | ↓ -67% |
| Doctors Health Plan | HMO & PPO | $922.00 | ↓ -66% |
| Doctors Health Plan | All Products | $922.00 | ↓ -66% |
| Clear Spring Health | All Products | $955.35 | ↓ -64% |
| Independent Living Systems | Medicare Advantage | $968.10 | ↓ -64% |
| Blue Cross | Network Blue | $1,003.94 | ↓ -63% |
| Blue Cross | Perferred Patient Care | $1,003.94 | ↓ -63% |
| Blue Cross | Traditional (PPS) | $1,003.94 | ↓ -63% |
| Aetna | Medicare Advantage PCP | $1,096.88 | ↓ -59% |
| Aetna | Medicare Advantage Specialist | $1,114.57 | ↓ -59% |
| Avmed | Exchange | $1,229.38 | ↓ -54% |
| Avmed | Select | $1,276.67 | ↓ -53% |
| Avmed | Broad | $1,371.24 | ↓ -49% |
| United | All Products | $1,789.32 | ↓ -34% |
| OPTUM | Managed Medicaid | $1,833.30 | ↓ -32% |
| SUNSHINE HEALTH | Managed Medicaid | $1,929.79 | ↓ -28% |
| UNITED | Managed Medicaid | $1,929.79 | ↓ -28% |
| Maritime | All Products | $2,070.00 | ↓ -23% |
| Multiplan | All Products | $2,070.00 | ↓ -23% |
| AETNA | Managed Medicaid/CHIP | $2,315.75 | ↓ -14% |
| The Legacy Companies | All Products | $2,691.00 | ↑ +0% |
| Clarity Health | All Products | $2,691.00 | ↑ +0% |
| Aetna | All Products First Health | $2,898.00 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $3,105.00 | ↑ +15% |
| Cigna | Surefit Mid-Level | $4,140.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $4,140.00 | ↑ +54% |
| Cigna | All Products Physician | $4,140.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $4,140.00 | ↑ +54% |
| Cigna | Surefit Physician | $4,140.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $4,140.00 | ↑ +54% |
| HUMANA | Medicare Advantage HMO | $5,938.02 | ↑ +121% |
| Doctors Health Plan | MEDICARE ADVANTAGE | $5,938.02 | ↑ +121% |
| UNITED | MEDICARE ADVANTAGE | $5,938.02 | ↑ +121% |
| BLUE CROSS | Medicare Advantage PPO | $5,938.02 | ↑ +121% |
| BLUE CROSS | Medicare Advantage HMO | $5,938.02 | ↑ +121% |
| AVMED | MEDICARE ADVANTAGE | $6,175.54 | ↑ +129% |
| AETNA | MEDICARE ADVANTAGE | $6,181.95 | ↑ +130% |
| Wellcare | MEDICARE ADVANTAGE | $6,181.95 | ↑ +130% |
| Independent Living Systems | MEDICARE ADVANTAGE | $6,234.92 | ↑ +132% |
| DEVOTED HEALTH | Medicare Advantage PPO | $6,800.15 | ↑ +153% |
| DEVOTED HEALTH | Medicare Advantage HMO | $6,800.15 | ↑ +153% |
| AVMED | EXCHANGE | $8,788.27 | ↑ +227% |
| AVMED | Select | $9,263.31 | ↑ +244% |
| AVMED | BROAD | $12,826.13 | ↑ +377% |
| Avmed | Commercial Neuro | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Lengthening of palate+pharyngeal flap 42226 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | not published | $5,872.86 – $10,317.68 |
| Adventhealth Tampa | Tampa | not published | $863.00 – $13,723.94 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $500.24 – $510.77 |
| martin north hospital | Stuart | not published | $1,929.79 – $6,800.15 |
| indian river hospital | Vero Beach | not published | $1,833.30 – $6,800.15 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $507.82 – $518.51 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $525.25 – $536.30 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $545.43 – $556.92 |