healthcosts.net
Abdominal Ultrasound (limited) at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$716.95
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.
?
What you pay up front if you don't use insurance.
$1,103.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$22.00 with Aetna vs $734.40 with AETNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Aetna | PPO First Health | $22.00 | ↓ -97% |
| Blue Cross | Health Options | $25.99 | ↓ -96% |
| Blue Cross | Network Blue | $26.63 | ↓ -96% |
| Blue Cross | Traditional (PPS) | $27.27 | ↓ -96% |
| Blue Cross | Perferred Patient Care | $27.27 | ↓ -96% |
| United | Medicare Advantage | $27.58 | ↓ -96% |
| Avmed | Medicare Advantage | $28.43 | ↓ -96% |
| Value Options | Medicare Advantage | $28.43 | ↓ -96% |
| Magellan | Medicare Advantage | $28.43 | ↓ -96% |
| Careplus | Medicare Advantage | $28.43 | ↓ -96% |
| Wellcare | Medicare Advantage | $28.43 | ↓ -96% |
| Blue Cross | Medicare Advantage PPO | $28.43 | ↓ -96% |
| Blue Cross | Medicare Advantage HMO | $28.43 | ↓ -96% |
| Independent Living Systems | Medicare Advantage | $28.96 | ↓ -96% |
| Freedom Health | Medicare Advantage | $29.85 | ↓ -96% |
| WellMed | Medicare Advantage | $29.85 | ↓ -96% |
| Clear Spring Health | All Products | $30.70 | ↓ -96% |
| Aetna | Medicare Advantage Behavioral Health | $34.12 | ↓ -95% |
| Aetna | Medicare Advantage PCP | $35.25 | ↓ -95% |
| Aetna | Medicare Advantage Specialist | $35.82 | ↓ -95% |
| United | All Products | $36.02 | ↓ -95% |
| Avmed | Exchange | $36.47 | ↓ -95% |
| Avmed | Select | $37.87 | ↓ -95% |
| Avmed | Broad | $40.67 | ↓ -94% |
| Optum | Managed Medicaid | $60.86 | ↓ -92% |
| Aetna | All Products Behavioral Health | $65.18 | ↓ -91% |
| OPTUM | Managed Medicaid | $66.35 | ↓ -91% |
| Aetna | All Products Anesthesia | $67.36 | ↓ -91% |
| MOLINA | Florida KidCare | $69.84 | ↓ -90% |
| Medicaid | Managed Medicaid | $69.84 | ↓ -90% |
| AMERIHEALTH | Managed Medicaid | $69.84 | ↓ -90% |
| Molina | Florida Kidcare | $69.84 | ↓ -90% |
| Wellcare | Managed Medicaid | $69.84 | ↓ -90% |
| SUNSHINE HEALTH | Managed Medicaid | $69.84 | ↓ -90% |
| Carelon BH Strategies | Managed Medicaid | $69.84 | ↓ -90% |
| MOLINA | Managed Medicaid | $73.33 | ↓ -90% |
| AETNA | Managed Medicaid/CHIP | $76.82 | ↓ -89% |
| Aetna | Medical Rental | $83.04 | ↓ -88% |
| Independent Living Systems | Managed Medicaid | $83.81 | ↓ -88% |
| Aetna | All Products PCP | $87.00 | ↓ -88% |
| UNITED | MEDICARE ADVANTAGE | $106.74 | ↓ -85% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $106.74 | ↓ -85% |
| Careplus | MEDICARE ADVANTAGE | $106.74 | ↓ -85% |
| Freedom Health | MEDICARE ADVANTAGE | $106.74 | ↓ -85% |
| BLUE CROSS | Medicare Advantage HMO | $106.74 | ↓ -85% |
| HUMANA | Medicare Advantage HMO | $106.74 | ↓ -85% |
| BLUE CROSS | Medicare Advantage PPO | $106.74 | ↓ -85% |
| Aetna | All Products Specialist | $107.01 | ↓ -85% |
| Wellcare | MEDICARE ADVANTAGE | $109.17 | ↓ -85% |
| AETNA | MEDICARE ADVANTAGE | $109.17 | ↓ -85% |
| WellMed | MEDICARE ADVANTAGE | $109.17 | ↓ -85% |
| AVMED | MEDICARE ADVANTAGE | $111.01 | ↓ -85% |
| Independent Living Systems | MEDICARE ADVANTAGE | $112.08 | ↓ -84% |
| Aetna | POS First Health | $117.00 | ↓ -84% |
| DEVOTED HEALTH | Medicare Advantage HMO | $120.09 | ↓ -83% |
| Clear Spring Health | ALL PRODUCTS | $125.95 | ↓ -82% |
| AVMED | EXCHANGE | $167.58 | ↓ -77% |
| Clarity Health | All Products | $169.00 | ↓ -76% |
| Three Rivers | All Products | $169.00 | ↓ -76% |
| The Legacy Companies | All Products | $169.00 | ↓ -76% |
| AVMED | Select | $187.87 | ↓ -74% |
| Consociate Health | ALL PRODUCTS | $195.00 | ↓ -73% |
| AETNA | QHP | $214.81 | ↓ -70% |
| National Provider Network | All Products | $221.00 | ↓ -69% |
| Aetna | All Products First Health | $234.00 | ↓ -67% |
| CIGNA | Individual Family Plan | $235.93 | ↓ -67% |
| AVMED | BROAD | $244.44 | ↓ -66% |
| Cigna | Individual Family Plan Mid-Level | $260.00 | ↓ -64% |
| Cigna | Surefit Physician | $260.00 | ↓ -64% |
| Cigna | All Products Physician | $260.00 | ↓ -64% |
| Cigna | All Products Mid-Level | $260.00 | ↓ -64% |
| Cigna | Individual Family Plan Physician | $260.00 | ↓ -64% |
| Cigna | Surefit Mid-Level | $260.00 | ↓ -64% |
| BLUE CROSS | HMO | $284.00 | ↓ -60% |
| BLUE CROSS | BSL | $284.00 | ↓ -60% |
| CIGNA | SUREFIT | $284.58 | ↓ -60% |
| CIGNA | ALL PRODUCTS | $291.92 | ↓ -59% |
| BLUE CROSS | NWBI | $317.00 | ↓ -56% |
| BLUE CROSS | NWB | $317.00 | ↓ -56% |
| AETNA | ALL PRODUCTS | $326.81 | ↓ -54% |
| BLUE CROSS | PHS | $353.00 | ↓ -51% |
| BLUE CROSS | PPO | $353.00 | ↓ -51% |
| BMI | ALL PRODUCTS | $459.00 | ↓ -36% |
| MAGELLAN | ALL PRODUCTS | $550.80 | ↓ -23% |
| The Legacy Companies | ALL PRODUCTS | $596.70 | ↓ -17% |
| Clarity Health | ALL PRODUCTS | $596.70 | ↓ -17% |
| MULTIPLAN | ALL PRODUCTS | $734.40 | ↑ +2% |
| AETNA | All Products First Health | $734.40 | ↑ +2% |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Abdominal Ultrasound (limited) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $765.70 | $24.29 – $780.30 |
| martin north hospital | Stuart | $765.70 | $21.73 – $459.00 |
| Baptist Hospital | MIAMI | $1,167.40 | $69.11 – $1,482.30 |
| Bethesda Hospital East | BOYNTON BEACH | $1,167.40 | $69.11 – $1,616.40 |
| Boca Raton Regional Hospital | BOCA RATON | $1,046.50 | $107.21 – $1,051.33 |
| Doctors Hospital | CORAL GABLES | $1,167.40 | $66.99 – $1,616.40 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $1,167.40 | $66.99 – $1,482.30 |
| Fishermens Community Hospital | MARATHON | $1,167.40 | $66.99 – $1,616.40 |