Abltj 1/+thyr ndul 1lobe prq at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$5,265.65
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.
$8,101.00
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.
$225.77 with Optum vs $8,326.00 with BLUE CROSS — 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 | $225.77 | ↓ -96% |
| Magellan | Medicare Advantage | $306.50 | ↓ -94% |
| Wellcare | Medicare Advantage | $306.50 | ↓ -94% |
| Value Options | Medicare Advantage | $306.50 | ↓ -94% |
| Avmed | Medicare Advantage | $306.50 | ↓ -94% |
| Blue Cross | Medicare Advantage HMO | $306.50 | ↓ -94% |
| Careplus | Medicare Advantage | $306.50 | ↓ -94% |
| Blue Cross | Medicare Advantage PPO | $306.50 | ↓ -94% |
| Independent Living Systems | Medicare Advantage | $321.83 | ↓ -94% |
| WellMed | Medicare Advantage | $321.83 | ↓ -94% |
| Freedom Health | Medicare Advantage | $321.83 | ↓ -94% |
| Clear Spring Health | All Products | $331.02 | ↓ -94% |
| United | Medicare Advantage | $332.20 | ↓ -94% |
| Aetna | Medicare Advantage Behavioral Health | $367.80 | ↓ -93% |
| Aetna | Medicare Advantage PCP | $380.06 | ↓ -93% |
| Aetna | Medicare Advantage Specialist | $386.19 | ↓ -93% |
| Clear Spring Health | ALL PRODUCTS | $390.82 | ↓ -93% |
| United | All Products | $646.83 | ↓ -88% |
| Aetna | PPO First Health | $1,138.50 | ↓ -78% |
| Aetna | POS First Health | $1,138.50 | ↓ -78% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $1,626.36 | ↓ -69% |
| BLUE CROSS | Medicare Advantage HMO | $1,626.36 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $1,626.36 | ↓ -69% |
| BLUE CROSS | Medicare Advantage PPO | $1,626.36 | ↓ -69% |
| Freedom Health | MEDICARE ADVANTAGE | $1,626.36 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $1,626.36 | ↓ -69% |
| Careplus | MEDICARE ADVANTAGE | $1,626.36 | ↓ -69% |
| The Legacy Companies | All Products | $1,644.50 | ↓ -69% |
| Clarity Health | All Products | $1,644.50 | ↓ -69% |
| Three Rivers | All Products | $1,644.50 | ↓ -69% |
| AVMED | MEDICARE ADVANTAGE | $1,691.42 | ↓ -68% |
| Independent Living Systems | MEDICARE ADVANTAGE | $1,707.68 | ↓ -68% |
| Wellcare | MEDICARE ADVANTAGE | $1,724.73 | ↓ -67% |
| WellMed | MEDICARE ADVANTAGE | $1,724.73 | ↓ -67% |
| AETNA | MEDICARE ADVANTAGE | $1,724.73 | ↓ -67% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,897.20 | ↓ -64% |
| Consociate Health | ALL PRODUCTS | $1,897.50 | ↓ -64% |
| CIGNA | Individual Family Plan | $2,081.96 | ↓ -60% |
| National Provider Network | All Products | $2,150.50 | ↓ -59% |
| Aetna | All Products First Health | $2,277.00 | ↓ -57% |
| CIGNA | SUREFIT | $2,511.31 | ↓ -52% |
| AVMED | EXCHANGE | $2,553.39 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $2,576.12 | ↓ -51% |
| AETNA | QHP | $2,579.00 | ↓ -51% |
| OPTUM | Managed Medicaid | $2,719.47 | ↓ -48% |
| AVMED | Select | $2,862.40 | ↓ -46% |
| Molina | Florida Kidcare | $2,862.60 | ↓ -46% |
| Carelon BH Strategies | Managed Medicaid | $2,862.60 | ↓ -46% |
| Medicaid | Managed Medicaid | $2,862.60 | ↓ -46% |
| MOLINA | Florida KidCare | $2,862.60 | ↓ -46% |
| SUNSHINE HEALTH | Managed Medicaid | $2,862.60 | ↓ -46% |
| AMERIHEALTH | Managed Medicaid | $2,862.60 | ↓ -46% |
| Wellcare | Managed Medicaid | $2,862.60 | ↓ -46% |
| MOLINA | Managed Medicaid | $3,005.73 | ↓ -43% |
| AETNA | Managed Medicaid/CHIP | $3,148.86 | ↓ -40% |
| Cigna | Individual Family Plan Mid-Level | $3,336.73 | ↓ -37% |
| Cigna | Surefit Mid-Level | $3,400.60 | ↓ -35% |
| Independent Living Systems | Managed Medicaid | $3,435.12 | ↓ -35% |
| Cigna | All Products Mid-Level | $3,672.24 | ↓ -30% |
| AVMED | BROAD | $3,724.37 | ↓ -29% |
| Cigna | Individual Family Plan Physician | $3,925.52 | ↓ -25% |
| Cigna | Surefit Physician | $4,000.62 | ↓ -24% |
| BMI | ALL PRODUCTS | $4,050.50 | ↓ -23% |
| AETNA | ALL PRODUCTS | $4,198.00 | ↓ -20% |
| Cigna | All Products Physician | $4,320.23 | ↓ -18% |
| BLUE CROSS | HMO | $4,536.00 | ↓ -14% |
| BLUE CROSS | BSL | $4,536.00 | ↓ -14% |
| MAGELLAN | ALL PRODUCTS | $4,860.60 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $5,265.65 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $5,265.65 | ↑ +0% |
| BLUE CROSS | NWBI | $6,003.00 | ↑ +14% |
| BLUE CROSS | NWB | $6,003.00 | ↑ +14% |
| AETNA | All Products First Health | $6,480.80 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $6,480.80 | ↑ +23% |
| BLUE CROSS | PHS | $8,326.00 | ↑ +58% |
| BLUE CROSS | PPO | $8,326.00 | ↑ +58% |
| UNITED | International | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Avmed | Broad | not published by hospital | — |
| Avmed | Exchange | not published by hospital | — |
| Avmed | Select | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
Visitor-reported prices
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Abltj 1/+thyr ndul 1lobe prq at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $5,265.65 | $225.77 – $6,885.85 |
| martin north hospital | Stuart | $5,265.65 | $306.50 – $4,050.50 |
| Baptist Hospital | MIAMI | $4,465.50 | $173.17 – $6,183.00 |
| Bethesda Hospital East | BOYNTON BEACH | $4,465.50 | $1,724.73 – $6,183.00 |
| Doctors Hospital | CORAL GABLES | $4,465.50 | $803.00 – $6,183.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $4,465.50 | $803.00 – $6,183.00 |
| Fishermens Community Hospital | MARATHON | $4,465.50 | $1,147.29 – $6,183.00 |
| Homestead Hospital | HOMESTEAD | $4,465.50 | $167.89 – $6,183.00 |