An cholangiogram percutaneous compl at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$13,190.45
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.
$20,293.00
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.
$66.09 with Value Options vs $16,234.40 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 |
|---|---|---|---|
| Value Options | Medicare Advantage | $66.09 | ↓ -99% |
| Magellan | Medicare Advantage | $66.09 | ↓ -99% |
| Wellcare | Medicare Advantage | $66.09 | ↓ -99% |
| Avmed | Medicare Advantage | $66.09 | ↓ -99% |
| Blue Cross | Medicare Advantage PPO | $66.09 | ↓ -99% |
| Blue Cross | Medicare Advantage HMO | $66.09 | ↓ -99% |
| Careplus | Medicare Advantage | $66.09 | ↓ -99% |
| Optum | Managed Medicaid | $66.74 | ↓ -99% |
| Independent Living Systems | Medicare Advantage | $69.39 | ↓ -99% |
| WellMed | Medicare Advantage | $69.39 | ↓ -99% |
| Freedom Health | Medicare Advantage | $69.39 | ↓ -99% |
| United | Medicare Advantage | $70.48 | ↓ -99% |
| Clear Spring Health | All Products | $71.38 | ↓ -99% |
| Aetna | Medicare Advantage Behavioral Health | $79.31 | ↓ -99% |
| Aetna | Medicare Advantage PCP | $81.95 | ↓ -99% |
| Aetna | Medicare Advantage Specialist | $83.27 | ↓ -99% |
| Clear Spring Health | ALL PRODUCTS | $88.41 | ↓ -99% |
| Avmed | Exchange | $93.42 | ↓ -99% |
| Avmed | Select | $97.01 | ↓ -99% |
| Avmed | Broad | $104.20 | ↓ -99% |
| Aetna | POS First Health | $111.17 | ↓ -99% |
| United | All Products | $135.97 | ↓ -99% |
| Molina | Managed Medicaid | $309.71 | ↓ -98% |
| Wellcare | Managed Medicaid | $309.71 | ↓ -98% |
| Value Options | Managed Medicaid | $309.71 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $309.71 | ↓ -98% |
| Medicaid | Managed Medicaid | $309.71 | ↓ -98% |
| The Legacy Companies | All Products | $371.80 | ↓ -97% |
| Three Rivers | All Products | $371.80 | ↓ -97% |
| Clarity Health | All Products | $371.80 | ↓ -97% |
| Consociate Health | ALL PRODUCTS | $429.00 | ↓ -97% |
| Cigna | Individual Family Plan Mid-Level | $477.47 | ↓ -96% |
| National Provider Network | All Products | $486.20 | ↓ -96% |
| Cigna | Surefit Mid-Level | $486.61 | ↓ -96% |
| Aetna | All Products First Health | $514.80 | ↓ -96% |
| Aetna | PPO First Health | $518.41 | ↓ -96% |
| Cigna | All Products Mid-Level | $525.48 | ↓ -96% |
| Cigna | Individual Family Plan Physician | $561.72 | ↓ -96% |
| Cigna | Surefit Physician | $572.47 | ↓ -96% |
| Cigna | All Products Physician | $618.20 | ↓ -95% |
| OPTUM | Managed Medicaid | $1,043.49 | ↓ -92% |
| Carelon BH Strategies | Managed Medicaid | $1,098.41 | ↓ -92% |
| MOLINA | Florida KidCare | $1,098.41 | ↓ -92% |
| SUNSHINE HEALTH | Managed Medicaid | $1,098.41 | ↓ -92% |
| Molina | Florida Kidcare | $1,098.41 | ↓ -92% |
| AMERIHEALTH | Managed Medicaid | $1,098.41 | ↓ -92% |
| MOLINA | Managed Medicaid | $1,153.33 | ↓ -91% |
| AETNA | Managed Medicaid/CHIP | $1,208.25 | ↓ -91% |
| Independent Living Systems | Managed Medicaid | $1,318.09 | ↓ -90% |
| AETNA | QHP | $2,579.00 | ↓ -80% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $3,542.40 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $3,542.40 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $3,542.40 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $3,542.40 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $3,542.40 | ↓ -73% |
| Freedom Health | MEDICARE ADVANTAGE | $3,542.40 | ↓ -73% |
| Careplus | MEDICARE ADVANTAGE | $3,542.40 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $3,684.10 | ↓ -72% |
| Independent Living Systems | MEDICARE ADVANTAGE | $3,719.52 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $3,738.94 | ↓ -72% |
| WellMed | MEDICARE ADVANTAGE | $3,738.94 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $3,738.94 | ↓ -72% |
| DEVOTED HEALTH | Medicare Advantage HMO | $4,112.83 | ↓ -69% |
| AETNA | ALL PRODUCTS | $4,198.00 | ↓ -68% |
| CIGNA | Individual Family Plan | $5,215.30 | ↓ -60% |
| AVMED | EXCHANGE | $5,561.57 | ↓ -58% |
| AVMED | Select | $6,234.62 | ↓ -53% |
| CIGNA | SUREFIT | $6,290.83 | ↓ -52% |
| UNITED | NHP | $6,386.00 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $6,453.17 | ↓ -51% |
| UNITED | ALL PRODUCTS | $7,578.00 | ↓ -43% |
| AVMED | BROAD | $8,112.10 | ↓ -39% |
| UNITED | International | $8,320.00 | ↓ -37% |
| BMI | ALL PRODUCTS | $10,146.50 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $12,175.80 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $13,190.45 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $13,190.45 | ↑ +0% |
| MULTIPLAN | ALL PRODUCTS | $16,234.40 | ↑ +23% |
| AETNA | All Products First Health | $16,234.40 | ↑ +23% |
| Value Options | All Products | 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 | — |
| BLUE CROSS | PHS | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
Visitor-reported prices
Comments
An cholangiogram percutaneous compl at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $9,742.81 | $3,551.99 – $6,240.29 |
| Adventhealth Palm Coast Parkway | Palm Coast | $8,459.19 | $3,551.99 – $7,986.00 |
| Adventhealth Tampa | Tampa | $10,758.20 | $3,738.94 – $8,300.44 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,084.04 | $3,551.99 – $8,167.71 |
| Adventhealth Port Charlotte | Port Charlotte | $10,758.20 | $3,738.94 – $6,827.30 |
| cleveland clinic florida weston hospital | Weston | $13,190.45 | $66.09 – $17,249.05 |
| martin north hospital | Stuart | $13,190.45 | $85.95 – $15,219.75 |
| Baptist Hospital | MIAMI | $6,694.35 | $173.17 – $9,269.10 |