Acup 1/> w/estim ea addl 15 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% |
| Molina | Florida Kidcare | $18.91 | ↓ -62% |
| Wellcare | Managed Medicaid | $18.91 | ↓ -62% |
| SUNSHINE HEALTH | Managed Medicaid | $18.91 | ↓ -62% |
| AMERIHEALTH | Managed Medicaid | $18.91 | ↓ -62% |
| Carelon BH Strategies | Managed Medicaid | $18.91 | ↓ -62% |
| MOLINA | Florida KidCare | $18.91 | ↓ -62% |
| Medicaid | Managed Medicaid | $18.91 | ↓ -62% |
| MOLINA | Managed Medicaid | $19.86 | ↓ -60% |
| AETNA | Managed Medicaid/CHIP | $20.80 | ↓ -58% |
| Magellan | Medicare Advantage | $22.02 | ↓ -55% |
| Blue Cross | Medicare Advantage PPO | $22.02 | ↓ -55% |
| Blue Cross | Medicare Advantage HMO | $22.02 | ↓ -55% |
| Wellcare | Medicare Advantage | $22.02 | ↓ -55% |
| Value Options | Medicare Advantage | $22.02 | ↓ -55% |
| Careplus | Medicare Advantage | $22.02 | ↓ -55% |
| Avmed | Medicare Advantage | $22.02 | ↓ -55% |
| Independent Living Systems | Managed Medicaid | $22.69 | ↓ -54% |
| WellMed | Medicare Advantage | $23.12 | ↓ -53% |
| Freedom Health | Medicare Advantage | $23.12 | ↓ -53% |
| Independent Living Systems | Medicare Advantage | $23.12 | ↓ -53% |
| Optum | Managed Medicaid | $23.59 | ↓ -52% |
| Clear Spring Health | All Products | $23.78 | ↓ -52% |
| United | Medicare Advantage | $24.02 | ↓ -51% |
| Blue Cross | Health Options | $25.55 | ↓ -48% |
| Blue Cross | Network Blue | $26.18 | ↓ -47% |
| Aetna | Medicare Advantage Behavioral Health | $26.42 | ↓ -47% |
| Blue Cross | Traditional (PPS) | $26.80 | ↓ -46% |
| Blue Cross | Perferred Patient Care | $26.80 | ↓ -46% |
| Aetna | Medicare Advantage PCP | $27.30 | ↓ -45% |
| Aetna | Medicare Advantage Specialist | $27.75 | ↓ -44% |
| Cigna | Individual Family Plan Mid-Level | $33.53 | ↓ -32% |
| Cigna | Surefit Mid-Level | $34.17 | ↓ -31% |
| Cigna | All Products Mid-Level | $36.90 | ↓ -25% |
| Avmed | Exchange | $37.66 | ↓ -24% |
| Avmed | Select | $39.11 | ↓ -21% |
| Cigna | Individual Family Plan Physician | $39.45 | ↓ -20% |
| Cigna | Surefit Physician | $40.20 | ↓ -19% |
| Aetna | POS First Health | $41.95 | ↓ -15% |
| Avmed | Broad | $42.01 | ↓ -15% |
| Cigna | All Products Physician | $43.41 | ↓ -12% |
| Aetna | PPO First Health | $48.20 | ↓ -2% |
| Clarity Health | All Products | $49.40 | ↑ +0% |
| Three Rivers | All Products | $49.40 | ↑ +0% |
| The Legacy Companies | All Products | $49.40 | ↑ +0% |
| United | All Products | $50.36 | ↑ +2% |
| Consociate Health | ALL PRODUCTS | $57.00 | ↑ +15% |
| National Provider Network | All Products | $64.60 | ↑ +31% |
| Aetna | All Products First Health | $68.40 | ↑ +38% |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Acup 1/> w/estim ea addl 15 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| martin north hospital | Stuart | $49.40 | $18.91 – $57.00 |
| AdventHealth Orlando | Orlando | $235.00 | not published |
| Adventhealth Carrollwood | Tampa | $84.62 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $30.40 – $31.04 |
| cleveland clinic florida weston hospital | Weston | not published | $17.96 – $22.69 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $30.40 – $31.04 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $32.30 – $32.98 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $71.20 – $71.20 |