Allergy injections; 2 or more 95117 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$128.70
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.
?
What you pay up front if you don't use insurance.
$198.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$8.72 with Optum vs $198.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $8.72 | ↓ -93% |
| Medicaid | Managed Medicaid | $9.45 | ↓ -93% |
| AmeriHealth | Managed Medicaid | $9.45 | ↓ -93% |
| Wellcare | Managed Medicaid | $9.45 | ↓ -93% |
| Value Options | Managed Medicaid | $9.45 | ↓ -93% |
| Molina | Managed Medicaid | $9.45 | ↓ -93% |
| Blue Cross | Health Options | $10.91 | ↓ -92% |
| Blue Cross | Network Blue | $11.18 | ↓ -91% |
| Blue Cross | Traditional (PPS) | $11.44 | ↓ -91% |
| Blue Cross | Perferred Patient Care | $11.44 | ↓ -91% |
| United | Medicare Advantage | $12.19 | ↓ -91% |
| Independent Living Systems | Medicare Advantage | $12.80 | ↓ -90% |
| Blue Cross | Medicare Advantage HMO | $12.85 | ↓ -90% |
| Avmed | Medicare Advantage | $12.85 | ↓ -90% |
| Careplus | Medicare Advantage | $12.85 | ↓ -90% |
| Magellan | Medicare Advantage | $12.85 | ↓ -90% |
| Wellcare | Medicare Advantage | $12.85 | ↓ -90% |
| Value Options | Medicare Advantage | $12.85 | ↓ -90% |
| Blue Cross | Medicare Advantage PPO | $12.85 | ↓ -90% |
| WellMed | Medicare Advantage | $13.49 | ↓ -90% |
| Freedom Health | Medicare Advantage | $13.49 | ↓ -90% |
| Clear Spring Health | All Products | $13.88 | ↓ -89% |
| OPTUM | Managed Medicaid | $14.05 | ↓ -89% |
| Carelon BH Strategies | Managed Medicaid | $14.79 | ↓ -89% |
| SUNSHINE HEALTH | Managed Medicaid | $14.79 | ↓ -89% |
| AMERIHEALTH | Managed Medicaid | $14.79 | ↓ -89% |
| Molina | Florida Kidcare | $14.79 | ↓ -89% |
| MOLINA | Florida KidCare | $14.79 | ↓ -89% |
| Aetna | Medicare Advantage Behavioral Health | $15.42 | ↓ -88% |
| MOLINA | Managed Medicaid | $15.53 | ↓ -88% |
| Aetna | Medicare Advantage PCP | $15.93 | ↓ -88% |
| Aetna | PPO First Health | $16.00 | ↓ -88% |
| Aetna | Medicare Advantage Specialist | $16.19 | ↓ -87% |
| AETNA | Managed Medicaid/CHIP | $16.27 | ↓ -87% |
| Avmed | Exchange | $16.32 | ↓ -87% |
| Avmed | Select | $16.94 | ↓ -87% |
| Independent Living Systems | Managed Medicaid | $17.75 | ↓ -86% |
| Avmed | Broad | $18.20 | ↓ -86% |
| Clear Spring Health | ALL PRODUCTS | $18.92 | ↓ -85% |
| United | All Products | $21.82 | ↓ -83% |
| Careplus | MEDICARE ADVANTAGE | $46.31 | ↓ -64% |
| UNITED | MEDICARE ADVANTAGE | $46.31 | ↓ -64% |
| BLUE CROSS | Medicare Advantage HMO | $46.31 | ↓ -64% |
| BLUE CROSS | Medicare Advantage PPO | $46.31 | ↓ -64% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $46.31 | ↓ -64% |
| Freedom Health | MEDICARE ADVANTAGE | $46.31 | ↓ -64% |
| HUMANA | Medicare Advantage HMO | $46.31 | ↓ -64% |
| AETNA | QHP | $46.33 | ↓ -64% |
| AVMED | MEDICARE ADVANTAGE | $48.17 | ↓ -63% |
| Independent Living Systems | MEDICARE ADVANTAGE | $48.63 | ↓ -62% |
| Wellcare | MEDICARE ADVANTAGE | $48.90 | ↓ -62% |
| AETNA | MEDICARE ADVANTAGE | $48.90 | ↓ -62% |
| WellMed | MEDICARE ADVANTAGE | $48.90 | ↓ -62% |
| CIGNA | Individual Family Plan | $50.89 | ↓ -60% |
| DEVOTED HEALTH | Medicare Advantage HMO | $53.79 | ↓ -58% |
| CIGNA | SUREFIT | $61.38 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $62.96 | ↓ -51% |
| AETNA | ALL PRODUCTS | $70.49 | ↓ -45% |
| AVMED | EXCHANGE | $72.71 | ↓ -44% |
| AVMED | Select | $81.51 | ↓ -37% |
| Aetna | POS First Health | $89.10 | ↓ -31% |
| BMI | ALL PRODUCTS | $99.00 | ↓ -23% |
| UNITED | NHP | $103.00 | ↓ -20% |
| AVMED | BROAD | $106.06 | ↓ -18% |
| MAGELLAN | ALL PRODUCTS | $118.80 | ↓ -8% |
| Three Rivers | All Products | $128.70 | ↑ +0% |
| The Legacy Companies | All Products | $128.70 | ↑ +0% |
| Clarity Health | All Products | $128.70 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $128.70 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $128.70 | ↑ +0% |
| UNITED | International | $136.00 | ↑ +6% |
| UNITED | ALL PRODUCTS | $136.00 | ↑ +6% |
| Consociate Health | ALL PRODUCTS | $148.50 | ↑ +15% |
| AETNA | All Products First Health | $158.40 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $158.40 | ↑ +23% |
| National Provider Network | All Products | $168.30 | ↑ +31% |
| Aetna | All Products First Health | $178.20 | ↑ +38% |
| Cigna | Surefit Mid-Level | $198.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $198.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $198.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $198.00 | ↑ +54% |
| Cigna | All Products Physician | $198.00 | ↑ +54% |
| Cigna | Surefit Physician | $198.00 | ↑ +54% |
| BLUE CROSS | HMO | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products Anesthesia | 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 | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
Visitor-reported prices
Comments
Allergy injections; 2 or more 95117 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $128.70 | $8.72 – $198.00 |
| martin north hospital | Stuart | $128.70 | $9.12 – $198.00 |
| AdventHealth Orlando | Orlando | $291.00 | $48.90 – $129.58 |
| Adventhealth Carrollwood | Tampa | $492.86 | not published |
| Adventhealth Daytona Beach | Daytona Beach | not published | $46.45 – $81.61 |
| Adventhealth Lake Wales | Lake Wales | not published | $48.90 – $108.56 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $46.45 – $104.44 |
| Adventhealth Tampa | Tampa | not published | $48.90 – $108.56 |