Acid perfusion of esophagus at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$236.60
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.
$364.00
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.
$73.93 with Optum vs $1,219.67 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 | $73.93 | ↓ -69% |
| Wellcare | Managed Medicaid | $108.92 | ↓ -54% |
| Medicaid | Managed Medicaid | $108.92 | ↓ -54% |
| AmeriHealth | Managed Medicaid | $108.92 | ↓ -54% |
| Value Options | Managed Medicaid | $108.92 | ↓ -54% |
| Molina | Managed Medicaid | $108.92 | ↓ -54% |
| Blue Cross | Health Options | $130.34 | ↓ -45% |
| Blue Cross | Network Blue | $133.54 | ↓ -44% |
| Blue Cross | Perferred Patient Care | $136.75 | ↓ -42% |
| Blue Cross | Traditional (PPS) | $136.75 | ↓ -42% |
| United | Medicare Advantage | $140.12 | ↓ -41% |
| Independent Living Systems | Medicare Advantage | $147.13 | ↓ -38% |
| Aetna | POS First Health | $163.80 | ↓ -31% |
| Blue Cross | Medicare Advantage HMO | $166.54 | ↓ -30% |
| Careplus | Medicare Advantage | $166.54 | ↓ -30% |
| Wellcare | Medicare Advantage | $166.54 | ↓ -30% |
| Value Options | Medicare Advantage | $166.54 | ↓ -30% |
| Avmed | Medicare Advantage | $166.54 | ↓ -30% |
| Magellan | Medicare Advantage | $166.54 | ↓ -30% |
| Blue Cross | Medicare Advantage PPO | $166.54 | ↓ -30% |
| Freedom Health | Medicare Advantage | $174.87 | ↓ -26% |
| WellMed | Medicare Advantage | $174.87 | ↓ -26% |
| Clear Spring Health | All Products | $179.86 | ↓ -24% |
| OPTUM | Managed Medicaid | $181.25 | ↓ -23% |
| Avmed | Exchange | $190.05 | ↓ -20% |
| Molina | Florida Kidcare | $190.79 | ↓ -19% |
| SUNSHINE HEALTH | Managed Medicaid | $190.79 | ↓ -19% |
| MOLINA | Florida KidCare | $190.79 | ↓ -19% |
| AMERIHEALTH | Managed Medicaid | $190.79 | ↓ -19% |
| Carelon BH Strategies | Managed Medicaid | $190.79 | ↓ -19% |
| Avmed | Select | $197.36 | ↓ -17% |
| Aetna | Medicare Advantage Behavioral Health | $199.85 | ↓ -16% |
| MOLINA | Managed Medicaid | $200.33 | ↓ -15% |
| Aetna | PPO First Health | $204.80 | ↓ -13% |
| Aetna | Medicare Advantage PCP | $206.51 | ↓ -13% |
| Aetna | Medicare Advantage Specialist | $209.84 | ↓ -11% |
| AETNA | Managed Medicaid/CHIP | $209.87 | ↓ -11% |
| Avmed | Broad | $211.98 | ↓ -10% |
| Independent Living Systems | Managed Medicaid | $228.95 | ↓ -3% |
| Clarity Health | All Products | $236.60 | ↑ +0% |
| Three Rivers | All Products | $236.60 | ↑ +0% |
| The Legacy Companies | All Products | $236.60 | ↑ +0% |
| United | All Products | $254.13 | ↑ +7% |
| Consociate Health | ALL PRODUCTS | $273.00 | ↑ +15% |
| National Provider Network | All Products | $309.40 | ↑ +31% |
| Aetna | All Products First Health | $327.60 | ↑ +38% |
| Cigna | All Products Physician | $364.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $364.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $364.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $364.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $364.00 | ↑ +54% |
| Cigna | Surefit Physician | $364.00 | ↑ +54% |
| AETNA | MEDICARE ADVANTAGE | $389.68 | ↑ +65% |
| WellMed | MEDICARE ADVANTAGE | $389.68 | ↑ +65% |
| Wellcare | MEDICARE ADVANTAGE | $389.68 | ↑ +65% |
| DEVOTED HEALTH | Medicare Advantage HMO | $428.65 | ↑ +81% |
| BLUE CROSS | Medicare Advantage PPO | $532.61 | ↑ +125% |
| HUMANA | Medicare Advantage HMO | $532.61 | ↑ +125% |
| Freedom Health | MEDICARE ADVANTAGE | $532.61 | ↑ +125% |
| Careplus | MEDICARE ADVANTAGE | $532.61 | ↑ +125% |
| BLUE CROSS | Medicare Advantage HMO | $532.61 | ↑ +125% |
| UNITED | MEDICARE ADVANTAGE | $532.61 | ↑ +125% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $532.61 | ↑ +125% |
| AVMED | MEDICARE ADVANTAGE | $553.91 | ↑ +134% |
| Independent Living Systems | MEDICARE ADVANTAGE | $559.24 | ↑ +136% |
| AVMED | EXCHANGE | $836.19 | ↑ +253% |
| AVMED | Select | $937.39 | ↑ +296% |
| AVMED | BROAD | $1,219.67 | ↑ +415% |
| Value Options | All Products | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Behavioral Health | 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 | — |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
Visitor-reported prices
Comments
Acid perfusion of esophagus at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $236.60 | $73.93 – $553.91 |
| martin north hospital | Stuart | $236.60 | $108.92 – $553.91 |
| Adventhealth Tampa | Tampa | not published | $389.68 – $865.09 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $370.20 – $851.26 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $93.10 – $95.06 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $389.68 – $711.56 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $93.10 – $95.06 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $98.80 – $100.88 |