Pancreatectomy 48153 at cleveland clinic florida weston hospital
2950 Cleveland Clinic Boulevard, Weston, FL · Cleveland Clinic · · NPI 1083644033
$13,725.40
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.
$21,116.00
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.
$1,802.70 with Optum vs $21,116.00 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 | $1,802.70 | ↓ -87% |
| Medicaid | Managed Medicaid | $2,375.03 | ↓ -83% |
| United | Managed Medicaid | $2,375.03 | ↓ -83% |
| Blue Cross | Health Options | $2,721.63 | ↓ -80% |
| Independent Living Systems | Managed Medicaid | $2,850.04 | ↓ -79% |
| Avmed | Medicare Advantage | $3,248.01 | ↓ -76% |
| United | Medicare Advantage | $3,248.01 | ↓ -76% |
| Wellcare | Medicare Advantage | $3,248.01 | ↓ -76% |
| Blue Cross | Medicare Advantage HMO | $3,248.01 | ↓ -76% |
| Blue Cross | Medicare Advantage PPO | $3,248.01 | ↓ -76% |
| Doctors Health Plan | All Products | $3,335.39 | ↓ -76% |
| Doctors Health Plan | HMO & PPO | $3,335.39 | ↓ -76% |
| Blue Cross | Network Blue | $3,413.97 | ↓ -75% |
| Blue Cross | Traditional (PPS) | $3,413.97 | ↓ -75% |
| Blue Cross | Perferred Patient Care | $3,413.97 | ↓ -75% |
| OPTUM | Managed Medicaid | $3,427.97 | ↓ -75% |
| Independent Living Systems | Medicare Advantage | $3,502.16 | ↓ -74% |
| Clear Spring Health | All Products | $3,507.85 | ↓ -74% |
| SUNSHINE HEALTH | Managed Medicaid | $3,608.39 | ↓ -74% |
| UNITED | Managed Medicaid | $3,608.39 | ↓ -74% |
| Aetna | Medicare Advantage PCP | $4,027.53 | ↓ -71% |
| Aetna | Medicare Advantage Specialist | $4,092.49 | ↓ -70% |
| AETNA | Managed Medicaid/CHIP | $4,330.07 | ↓ -68% |
| Avmed | Exchange | $4,461.11 | ↓ -67% |
| Avmed | Select | $4,632.69 | ↓ -66% |
| Avmed | Broad | $4,975.85 | ↓ -64% |
| United | All Products | $6,492.97 | ↓ -53% |
| Multiplan | All Products | $10,558.00 | ↓ -23% |
| Maritime | All Products | $10,558.00 | ↓ -23% |
| The Legacy Companies | All Products | $13,725.40 | ↑ +0% |
| Clarity Health | All Products | $13,725.40 | ↑ +0% |
| Aetna | All Products First Health | $14,781.20 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $15,837.00 | ↑ +15% |
| Cigna | All Products Physician | $21,116.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $21,116.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $21,116.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $21,116.00 | ↑ +54% |
| Cigna | Surefit Physician | $21,116.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $21,116.00 | ↑ +54% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Avmed | Commercial Neuro | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Pancreatectomy 48153 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| martin north hospital | Stuart | $13,725.40 | $2,375.03 – $21,116.00 |
| indian river hospital | Vero Beach | not published | $3,427.97 – $4,330.07 |