Ant colporrhaphy/rpr cyctocele 57240 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$2,620.80
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.
$4,032.00
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.
$348.57 with Optum vs $11,347.20 with AVMED — 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 | $348.57 | ↓ -87% |
| Value Options | Managed Medicaid | $472.35 | ↓ -82% |
| Wellcare | Managed Medicaid | $472.35 | ↓ -82% |
| Medicaid | Managed Medicaid | $472.35 | ↓ -82% |
| Molina | Managed Medicaid | $472.35 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $472.35 | ↓ -82% |
| Blue Cross | Medicare Advantage HMO | $593.62 | ↓ -77% |
| Avmed | Medicare Advantage | $593.62 | ↓ -77% |
| Careplus | Medicare Advantage | $593.62 | ↓ -77% |
| Wellcare | Medicare Advantage | $593.62 | ↓ -77% |
| Value Options | Medicare Advantage | $593.62 | ↓ -77% |
| Magellan | Medicare Advantage | $593.62 | ↓ -77% |
| Blue Cross | Medicare Advantage PPO | $593.62 | ↓ -77% |
| Freedom Health | Medicare Advantage | $623.30 | ↓ -76% |
| WellMed | Medicare Advantage | $623.30 | ↓ -76% |
| Independent Living Systems | Medicare Advantage | $623.30 | ↓ -76% |
| Blue Cross | Health Options | $627.63 | ↓ -76% |
| United | Medicare Advantage | $636.82 | ↓ -76% |
| Clear Spring Health | All Products | $641.11 | ↓ -76% |
| Blue Cross | Network Blue | $643.07 | ↓ -75% |
| Blue Cross | Traditional (PPS) | $658.50 | ↓ -75% |
| Blue Cross | Perferred Patient Care | $658.50 | ↓ -75% |
| Aetna | Medicare Advantage Behavioral Health | $712.34 | ↓ -73% |
| Aetna | Medicare Advantage PCP | $736.09 | ↓ -72% |
| Aetna | Medicare Advantage Specialist | $747.96 | ↓ -71% |
| Avmed | Exchange | $852.72 | ↓ -67% |
| Avmed | Select | $885.52 | ↓ -66% |
| Aetna | PPO First Health | $925.53 | ↓ -65% |
| Avmed | Broad | $951.11 | ↓ -64% |
| United | All Products | $1,241.10 | ↓ -53% |
| Aetna | POS First Health | $1,814.40 | ↓ -31% |
| OPTUM | Managed Medicaid | $1,849.92 | ↓ -29% |
| MOLINA | Florida KidCare | $1,947.28 | ↓ -26% |
| AMERIHEALTH | Managed Medicaid | $1,947.28 | ↓ -26% |
| Carelon BH Strategies | Managed Medicaid | $1,947.28 | ↓ -26% |
| Molina | Florida Kidcare | $1,947.28 | ↓ -26% |
| SUNSHINE HEALTH | Managed Medicaid | $1,947.28 | ↓ -26% |
| MOLINA | Managed Medicaid | $2,044.64 | ↓ -22% |
| AETNA | Managed Medicaid/CHIP | $2,142.01 | ↓ -18% |
| Independent Living Systems | Managed Medicaid | $2,336.74 | ↓ -11% |
| Three Rivers | All Products | $2,620.80 | ↑ +0% |
| Clarity Health | All Products | $2,620.80 | ↑ +0% |
| The Legacy Companies | All Products | $2,620.80 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $3,024.00 | ↑ +15% |
| National Provider Network | All Products | $3,427.20 | ↑ +31% |
| Aetna | All Products First Health | $3,628.80 | ↑ +38% |
| Cigna | Individual Family Plan Mid-Level | $4,032.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $4,032.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $4,032.00 | ↑ +54% |
| Cigna | Surefit Physician | $4,032.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $4,032.00 | ↑ +54% |
| Cigna | All Products Physician | $4,032.00 | ↑ +54% |
| BLUE CROSS | Medicare Advantage HMO | $4,955.11 | ↑ +89% |
| BLUE CROSS | Medicare Advantage PPO | $4,955.11 | ↑ +89% |
| HUMANA | Medicare Advantage HMO | $4,955.11 | ↑ +89% |
| Freedom Health | MEDICARE ADVANTAGE | $4,955.11 | ↑ +89% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $4,955.11 | ↑ +89% |
| UNITED | MEDICARE ADVANTAGE | $4,955.11 | ↑ +89% |
| Careplus | MEDICARE ADVANTAGE | $4,955.11 | ↑ +89% |
| AVMED | MEDICARE ADVANTAGE | $5,153.31 | ↑ +97% |
| Independent Living Systems | MEDICARE ADVANTAGE | $5,202.87 | ↑ +99% |
| Wellcare | MEDICARE ADVANTAGE | $5,223.95 | ↑ +99% |
| WellMed | MEDICARE ADVANTAGE | $5,223.95 | ↑ +99% |
| AETNA | MEDICARE ADVANTAGE | $5,223.95 | ↑ +99% |
| DEVOTED HEALTH | Medicare Advantage HMO | $5,746.35 | ↑ +119% |
| AVMED | EXCHANGE | $7,779.52 | ↑ +197% |
| AVMED | Select | $8,720.99 | ↑ +233% |
| AVMED | BROAD | $11,347.20 | ↑ +333% |
| Aetna | All Products Specialist | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Ant colporrhaphy/rpr cyctocele 57240 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $2,620.80 | $348.57 – $5,746.35 |
| martin north hospital | Stuart | $2,620.80 | $472.35 – $5,746.35 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $4,962.76 – $8,718.78 |
| Adventhealth Tampa | Tampa | not published | $863.00 – $11,597.18 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $4,962.76 – $11,411.73 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $9,472.99 – $9,672.42 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $5,223.95 – $9,538.94 |
| Baptist Hospital | MIAMI | not published | not published |