Acute venous thrombus image at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$7,319.00
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.
$11,260.00
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.
$36.39 with Aetna vs $9,008.00 with MULTIPLAN — 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 |
|---|---|---|---|
| Aetna | PPO First Health | $36.39 | ↓ -100% |
| Blue Cross | Health Options | $44.86 | ↓ -99% |
| United | Medicare Advantage | $45.36 | ↓ -99% |
| Blue Cross | Network Blue | $45.96 | ↓ -99% |
| Magellan | Medicare Advantage | $46.96 | ↓ -99% |
| Avmed | Medicare Advantage | $46.96 | ↓ -99% |
| Wellcare | Medicare Advantage | $46.96 | ↓ -99% |
| Careplus | Medicare Advantage | $46.96 | ↓ -99% |
| Value Options | Medicare Advantage | $46.96 | ↓ -99% |
| Blue Cross | Medicare Advantage PPO | $46.96 | ↓ -99% |
| Blue Cross | Medicare Advantage HMO | $46.96 | ↓ -99% |
| Blue Cross | Perferred Patient Care | $47.07 | ↓ -99% |
| Blue Cross | Traditional (PPS) | $47.07 | ↓ -99% |
| Independent Living Systems | Medicare Advantage | $47.63 | ↓ -99% |
| WellMed | Medicare Advantage | $49.31 | ↓ -99% |
| Freedom Health | Medicare Advantage | $49.31 | ↓ -99% |
| Clear Spring Health | All Products | $50.72 | ↓ -99% |
| Aetna | Medicare Advantage Behavioral Health | $56.35 | ↓ -99% |
| Aetna | Medicare Advantage PCP | $58.23 | ↓ -99% |
| Aetna | Medicare Advantage Specialist | $59.17 | ↓ -99% |
| United | All Products | $59.51 | ↓ -99% |
| Avmed | Exchange | $60.26 | ↓ -99% |
| Avmed | Select | $62.57 | ↓ -99% |
| Avmed | Broad | $67.21 | ↓ -99% |
| Aetna | POS First Health | $180.00 | ↓ -98% |
| OPTUM | Managed Medicaid | $225.17 | ↓ -97% |
| Medicaid | Managed Medicaid | $237.02 | ↓ -97% |
| AMERIHEALTH | Managed Medicaid | $237.02 | ↓ -97% |
| SUNSHINE HEALTH | Managed Medicaid | $237.02 | ↓ -97% |
| MOLINA | Florida KidCare | $237.02 | ↓ -97% |
| Molina | Florida Kidcare | $237.02 | ↓ -97% |
| Carelon BH Strategies | Managed Medicaid | $237.02 | ↓ -97% |
| Wellcare | Managed Medicaid | $237.02 | ↓ -97% |
| MOLINA | Managed Medicaid | $248.87 | ↓ -97% |
| The Legacy Companies | All Products | $260.00 | ↓ -96% |
| Clarity Health | All Products | $260.00 | ↓ -96% |
| Three Rivers | All Products | $260.00 | ↓ -96% |
| AETNA | Managed Medicaid/CHIP | $260.72 | ↓ -96% |
| Independent Living Systems | Managed Medicaid | $284.42 | ↓ -96% |
| Consociate Health | ALL PRODUCTS | $300.00 | ↓ -96% |
| National Provider Network | All Products | $340.00 | ↓ -95% |
| Aetna | All Products First Health | $360.00 | ↓ -95% |
| Cigna | All Products Mid-Level | $400.00 | ↓ -95% |
| Cigna | All Products Physician | $400.00 | ↓ -95% |
| Cigna | Individual Family Plan Mid-Level | $400.00 | ↓ -95% |
| Cigna | Individual Family Plan Physician | $400.00 | ↓ -95% |
| Cigna | Surefit Mid-Level | $400.00 | ↓ -95% |
| Cigna | Surefit Physician | $400.00 | ↓ -95% |
| Clear Spring Health | ALL PRODUCTS | $428.32 | ↓ -94% |
| BLUE CROSS | Medicare Advantage HMO | $1,310.41 | ↓ -82% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $1,310.41 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $1,310.41 | ↓ -82% |
| Careplus | MEDICARE ADVANTAGE | $1,310.41 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $1,310.41 | ↓ -82% |
| Freedom Health | MEDICARE ADVANTAGE | $1,310.41 | ↓ -82% |
| BLUE CROSS | Medicare Advantage PPO | $1,310.41 | ↓ -82% |
| WellMed | MEDICARE ADVANTAGE | $1,351.97 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $1,351.97 | ↓ -82% |
| Wellcare | MEDICARE ADVANTAGE | $1,351.97 | ↓ -82% |
| AVMED | MEDICARE ADVANTAGE | $1,362.83 | ↓ -81% |
| Independent Living Systems | MEDICARE ADVANTAGE | $1,375.94 | ↓ -81% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,487.17 | ↓ -80% |
| BLUE CROSS | HMO | $1,575.00 | ↓ -78% |
| BLUE CROSS | BSL | $1,575.00 | ↓ -78% |
| BLUE CROSS | NWB | $1,760.00 | ↓ -76% |
| BLUE CROSS | NWBI | $1,760.00 | ↓ -76% |
| BLUE CROSS | PHS | $2,038.00 | ↓ -72% |
| BLUE CROSS | PPO | $2,038.00 | ↓ -72% |
| AVMED | EXCHANGE | $2,057.35 | ↓ -72% |
| AVMED | Select | $2,306.33 | ↓ -68% |
| AETNA | QHP | $2,634.84 | ↓ -64% |
| CIGNA | Individual Family Plan | $2,893.82 | ↓ -60% |
| AVMED | BROAD | $3,000.85 | ↓ -59% |
| CIGNA | SUREFIT | $3,490.60 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $3,580.68 | ↓ -51% |
| AETNA | ALL PRODUCTS | $4,008.56 | ↓ -45% |
| BMI | ALL PRODUCTS | $5,630.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $6,756.00 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $7,319.00 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $7,319.00 | ↑ +0% |
| AETNA | All Products First Health | $9,008.00 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $9,008.00 | ↑ +23% |
| Magellan | Pinnacle | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| Optum | Managed Medicaid | 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 | Medical Rental | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Acute venous thrombus image at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $7,579.00 | $41.92 – $9,571.00 |
| martin north hospital | Stuart | $7,319.00 | $37.51 – $5,630.00 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | $2,068.00 | $2,208.96 – $2,938.37 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD | $3,740.75 | $2,029.15 – $2,938.37 |
| HCA FLORIDA LARGO HOSPITAL | LARGO | $7,049.68 | $2,056.62 – $2,938.37 |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | VENICE | $3,680.22 | $2,056.62 – $2,938.37 |
| HCA FLORIDA NORTHSIDE HOSPITAL | ST PETERSBURG | $4,822.50 | $2,056.62 – $2,938.37 |
| OVIEDO MEDICAL CENTER | Oviedo | $3,500.88 | $2,071.87 – $2,938.37 |