Acup 1/> w/estim 1st 15 min at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$49.40
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.
$76.00
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.
$17.96 with OPTUM vs $68.40 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 | $17.96 | ↓ -64% |
| Wellcare | Managed Medicaid | $18.91 | ↓ -62% |
| Carelon BH Strategies | Managed Medicaid | $18.91 | ↓ -62% |
| SUNSHINE HEALTH | Managed Medicaid | $18.91 | ↓ -62% |
| Medicaid | Managed Medicaid | $18.91 | ↓ -62% |
| AMERIHEALTH | Managed Medicaid | $18.91 | ↓ -62% |
| MOLINA | Florida KidCare | $18.91 | ↓ -62% |
| Molina | Florida Kidcare | $18.91 | ↓ -62% |
| MOLINA | Managed Medicaid | $19.86 | ↓ -60% |
| AETNA | Managed Medicaid/CHIP | $20.80 | ↓ -58% |
| Independent Living Systems | Managed Medicaid | $22.69 | ↓ -54% |
| BLUE CROSS | Medicare Advantage HMO | $24.58 | ↓ -50% |
| UNITED | MEDICARE ADVANTAGE | $24.58 | ↓ -50% |
| HUMANA | Medicare Advantage HMO | $24.58 | ↓ -50% |
| Careplus | MEDICARE ADVANTAGE | $24.58 | ↓ -50% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $24.58 | ↓ -50% |
| BLUE CROSS | Medicare Advantage PPO | $24.58 | ↓ -50% |
| Freedom Health | MEDICARE ADVANTAGE | $24.58 | ↓ -50% |
| AVMED | MEDICARE ADVANTAGE | $25.57 | ↓ -48% |
| Independent Living Systems | MEDICARE ADVANTAGE | $25.81 | ↓ -48% |
| Blue Cross | Health Options | $29.80 | ↓ -40% |
| WellMed | MEDICARE ADVANTAGE | $30.20 | ↓ -39% |
| AETNA | MEDICARE ADVANTAGE | $30.20 | ↓ -39% |
| Wellcare | MEDICARE ADVANTAGE | $30.20 | ↓ -39% |
| Blue Cross | Network Blue | $30.54 | ↓ -38% |
| Optum | Managed Medicaid | $31.07 | ↓ -37% |
| Blue Cross | Perferred Patient Care | $31.27 | ↓ -37% |
| Blue Cross | Traditional (PPS) | $31.27 | ↓ -37% |
| DEVOTED HEALTH | Medicare Advantage HMO | $33.22 | ↓ -33% |
| Blue Cross | Medicare Advantage HMO | $35.02 | ↓ -29% |
| Value Options | Medicare Advantage | $35.02 | ↓ -29% |
| Blue Cross | Medicare Advantage PPO | $35.02 | ↓ -29% |
| Magellan | Medicare Advantage | $35.02 | ↓ -29% |
| Avmed | Medicare Advantage | $35.02 | ↓ -29% |
| Careplus | Medicare Advantage | $35.02 | ↓ -29% |
| Wellcare | Medicare Advantage | $35.02 | ↓ -29% |
| WellMed | Medicare Advantage | $36.77 | ↓ -26% |
| Freedom Health | Medicare Advantage | $36.77 | ↓ -26% |
| Independent Living Systems | Medicare Advantage | $36.77 | ↓ -26% |
| United | Medicare Advantage | $37.20 | ↓ -25% |
| Clear Spring Health | All Products | $37.82 | ↓ -23% |
| AVMED | EXCHANGE | $38.59 | ↓ -22% |
| Aetna | Medicare Advantage Behavioral Health | $42.02 | ↓ -15% |
| Cigna | Individual Family Plan Mid-Level | $42.50 | ↓ -14% |
| AVMED | Select | $43.27 | ↓ -12% |
| Cigna | Surefit Mid-Level | $43.31 | ↓ -12% |
| Aetna | Medicare Advantage PCP | $43.42 | ↓ -12% |
| Aetna | Medicare Advantage Specialist | $44.13 | ↓ -11% |
| Avmed | Exchange | $44.15 | ↓ -11% |
| Avmed | Select | $45.85 | ↓ -7% |
| Cigna | All Products Mid-Level | $46.77 | ↓ -5% |
| Avmed | Broad | $49.24 | ↓ -0% |
| Clarity Health | All Products | $49.40 | ↑ +0% |
| The Legacy Companies | All Products | $49.40 | ↑ +0% |
| Three Rivers | All Products | $49.40 | ↑ +0% |
| Cigna | Individual Family Plan Physician | $50.00 | ↑ +1% |
| Aetna | POS First Health | $50.09 | ↑ +1% |
| Cigna | Surefit Physician | $50.95 | ↑ +3% |
| Cigna | All Products Physician | $55.03 | ↑ +11% |
| AVMED | BROAD | $56.29 | ↑ +14% |
| Consociate Health | ALL PRODUCTS | $57.00 | ↑ +15% |
| United | All Products | $59.03 | ↑ +19% |
| Aetna | PPO First Health | $59.97 | ↑ +21% |
| National Provider Network | All Products | $64.60 | ↑ +31% |
| Aetna | All Products First Health | $68.40 | ↑ +38% |
| Value Options | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
Visitor-reported prices
Comments
Acup 1/> w/estim 1st 15 min at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $49.40 | $17.96 – $57.00 |
| martin north hospital | Stuart | $49.40 | $18.91 – $57.00 |
| Boca Raton Regional Hospital | BOCA RATON | $93.60 | $29.66 – $144.00 |
| AdventHealth Orlando | Orlando | $273.00 | not published |
| Adventhealth Carrollwood | Tampa | $304.65 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $36.10 – $36.86 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $30.20 – $55.15 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $36.10 – $36.86 |