Abd/low ext cath addl at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$689.00
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.
$1,060.00
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.
$34.97 with Optum vs $4,542.00 with AETNA — 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 | $34.97 | ↓ -95% |
| Wellcare | Medicare Advantage | $44.94 | ↓ -93% |
| Careplus | Medicare Advantage | $44.94 | ↓ -93% |
| Value Options | Medicare Advantage | $44.94 | ↓ -93% |
| Magellan | Medicare Advantage | $44.94 | ↓ -93% |
| Avmed | Medicare Advantage | $44.94 | ↓ -93% |
| Blue Cross | Medicare Advantage HMO | $44.94 | ↓ -93% |
| Blue Cross | Medicare Advantage PPO | $44.94 | ↓ -93% |
| Independent Living Systems | Medicare Advantage | $47.19 | ↓ -93% |
| WellMed | Medicare Advantage | $47.19 | ↓ -93% |
| Freedom Health | Medicare Advantage | $47.19 | ↓ -93% |
| Clear Spring Health | All Products | $48.54 | ↓ -93% |
| United | Medicare Advantage | $49.15 | ↓ -93% |
| Blue Cross | Health Options | $49.26 | ↓ -93% |
| Blue Cross | Network Blue | $50.47 | ↓ -93% |
| Blue Cross | Perferred Patient Care | $51.68 | ↓ -92% |
| Blue Cross | Traditional (PPS) | $51.68 | ↓ -92% |
| Aetna | Medicare Advantage Behavioral Health | $53.93 | ↓ -92% |
| Aetna | Medicare Advantage PCP | $55.73 | ↓ -92% |
| Aetna | Medicare Advantage Specialist | $56.62 | ↓ -92% |
| Clear Spring Health | ALL PRODUCTS | $60.79 | ↓ -91% |
| Avmed | Exchange | $64.56 | ↓ -91% |
| Avmed | Select | $67.04 | ↓ -90% |
| Avmed | Broad | $72.01 | ↓ -90% |
| Aetna | POS First Health | $77.66 | ↓ -89% |
| Medicaid | Managed Medicaid | $86.55 | ↓ -87% |
| Wellcare | Managed Medicaid | $86.55 | ↓ -87% |
| Value Options | Managed Medicaid | $86.55 | ↓ -87% |
| AmeriHealth | Managed Medicaid | $86.55 | ↓ -87% |
| Molina | Managed Medicaid | $86.55 | ↓ -87% |
| United | All Products | $93.96 | ↓ -86% |
| Cigna | Individual Family Plan Mid-Level | $214.80 | ↓ -69% |
| Aetna | PPO First Health | $217.57 | ↓ -68% |
| Cigna | Surefit Mid-Level | $218.92 | ↓ -68% |
| Cigna | All Products Mid-Level | $236.41 | ↓ -66% |
| AETNA | MEDICARE ADVANTAGE | $249.10 | ↓ -64% |
| Cigna | Individual Family Plan Physician | $252.72 | ↓ -63% |
| AVMED | EXCHANGE | $254.40 | ↓ -63% |
| AVMED | Select | $254.40 | ↓ -63% |
| Cigna | Surefit Physician | $257.55 | ↓ -63% |
| The Legacy Companies | All Products | $262.60 | ↓ -62% |
| Clarity Health | All Products | $262.60 | ↓ -62% |
| Three Rivers | All Products | $262.60 | ↓ -62% |
| CIGNA | Individual Family Plan | $272.42 | ↓ -60% |
| Cigna | All Products Physician | $278.15 | ↓ -60% |
| Consociate Health | ALL PRODUCTS | $303.00 | ↓ -56% |
| AVMED | BROAD | $328.60 | ↓ -52% |
| CIGNA | SUREFIT | $328.60 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $337.08 | ↓ -51% |
| National Provider Network | All Products | $343.40 | ↓ -50% |
| Aetna | All Products First Health | $363.60 | ↓ -47% |
| OPTUM | Managed Medicaid | $433.73 | ↓ -37% |
| MOLINA | Florida KidCare | $456.56 | ↓ -34% |
| Carelon BH Strategies | Managed Medicaid | $456.56 | ↓ -34% |
| Molina | Florida Kidcare | $456.56 | ↓ -34% |
| SUNSHINE HEALTH | Managed Medicaid | $456.56 | ↓ -34% |
| AMERIHEALTH | Managed Medicaid | $456.56 | ↓ -34% |
| MOLINA | Managed Medicaid | $479.39 | ↓ -30% |
| AETNA | Managed Medicaid/CHIP | $502.22 | ↓ -27% |
| BMI | ALL PRODUCTS | $530.00 | ↓ -23% |
| Independent Living Systems | Managed Medicaid | $547.87 | ↓ -20% |
| MAGELLAN | ALL PRODUCTS | $636.00 | ↓ -8% |
| UNITED | NHP | $668.00 | ↓ -3% |
| The Legacy Companies | ALL PRODUCTS | $689.00 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $689.00 | ↑ +0% |
| UNITED | ALL PRODUCTS | $792.00 | ↑ +15% |
| AETNA | All Products First Health | $848.00 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $848.00 | ↑ +23% |
| UNITED | International | $870.00 | ↑ +26% |
| BLUE CROSS | HMO | $2,467.00 | ↑ +258% |
| BLUE CROSS | BSL | $2,467.00 | ↑ +258% |
| AETNA | QHP | $2,789.00 | ↑ +305% |
| BLUE CROSS | NWBI | $3,264.00 | ↑ +374% |
| BLUE CROSS | NWB | $3,264.00 | ↑ +374% |
| BLUE CROSS | PPO | $4,027.00 | ↑ +484% |
| BLUE CROSS | PHS | $4,027.00 | ↑ +484% |
| AETNA | ALL PRODUCTS | $4,542.00 | ↑ +559% |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| WellMed | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| Carelon BH Strategies | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
Visitor-reported prices
Comments
Abd/low ext cath addl at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,059.40 | not published |
| Adventhealth Lake Wales | Lake Wales | $2,433.83 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,059.40 | not published |
| Adventhealth Tampa | Tampa | $2,317.93 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $511.61 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $2,317.93 | not published |
| cleveland clinic florida weston hospital | Weston | $689.00 | $34.97 – $1,595.00 |
| martin north hospital | Stuart | $689.00 | $41.18 – $1,339.00 |