App high cost ss t/a/l >100sq cm 1st 100sq cm at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$8,923.85
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.
$13,729.00
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.
$95.67 with Optum vs $10,983.20 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 |
|---|---|---|---|
| Optum | Managed Medicaid | $95.67 | ↓ -99% |
| Wellcare | Medicare Advantage | $189.84 | ↓ -98% |
| Blue Cross | Medicare Advantage PPO | $189.84 | ↓ -98% |
| Value Options | Medicare Advantage | $189.84 | ↓ -98% |
| Blue Cross | Medicare Advantage HMO | $189.84 | ↓ -98% |
| Magellan | Medicare Advantage | $189.84 | ↓ -98% |
| Careplus | Medicare Advantage | $189.84 | ↓ -98% |
| Avmed | Medicare Advantage | $189.84 | ↓ -98% |
| Blue Cross | Health Options | $196.68 | ↓ -98% |
| WellMed | Medicare Advantage | $199.33 | ↓ -98% |
| Freedom Health | Medicare Advantage | $199.33 | ↓ -98% |
| Independent Living Systems | Medicare Advantage | $199.33 | ↓ -98% |
| Blue Cross | Network Blue | $201.52 | ↓ -98% |
| United | Medicare Advantage | $202.87 | ↓ -98% |
| Clear Spring Health | All Products | $205.03 | ↓ -98% |
| Blue Cross | Traditional (PPS) | $206.36 | ↓ -98% |
| Blue Cross | Perferred Patient Care | $206.36 | ↓ -98% |
| Aetna | Medicare Advantage Behavioral Health | $227.81 | ↓ -97% |
| Medicaid | Managed Medicaid | $232.86 | ↓ -97% |
| Molina | Managed Medicaid | $232.86 | ↓ -97% |
| AmeriHealth | Managed Medicaid | $232.86 | ↓ -97% |
| Value Options | Managed Medicaid | $232.86 | ↓ -97% |
| Wellcare | Managed Medicaid | $232.86 | ↓ -97% |
| Aetna | Medicare Advantage PCP | $235.40 | ↓ -97% |
| Aetna | Medicare Advantage Specialist | $239.20 | ↓ -97% |
| Clear Spring Health | ALL PRODUCTS | $239.48 | ↓ -97% |
| Avmed | Exchange | $272.17 | ↓ -97% |
| Avmed | Select | $282.64 | ↓ -97% |
| Avmed | Broad | $303.57 | ↓ -97% |
| Aetna | POS First Health | $326.98 | ↓ -96% |
| Cigna | Individual Family Plan Mid-Level | $336.20 | ↓ -96% |
| Cigna | Surefit Mid-Level | $342.63 | ↓ -96% |
| Cigna | All Products Mid-Level | $370.07 | ↓ -96% |
| Cigna | Individual Family Plan Physician | $395.54 | ↓ -96% |
| United | All Products | $396.13 | ↓ -96% |
| Cigna | Surefit Physician | $403.13 | ↓ -95% |
| Cigna | All Products Physician | $435.35 | ↓ -95% |
| Aetna | PPO First Health | $477.30 | ↓ -95% |
| Clarity Health | All Products | $910.00 | ↓ -90% |
| The Legacy Companies | All Products | $910.00 | ↓ -90% |
| Three Rivers | All Products | $910.00 | ↓ -90% |
| Consociate Health | ALL PRODUCTS | $1,050.00 | ↓ -88% |
| OPTUM | Managed Medicaid | $1,181.56 | ↓ -87% |
| National Provider Network | All Products | $1,190.00 | ↓ -87% |
| AMERIHEALTH | Managed Medicaid | $1,243.75 | ↓ -86% |
| SUNSHINE HEALTH | Managed Medicaid | $1,243.75 | ↓ -86% |
| Carelon BH Strategies | Managed Medicaid | $1,243.75 | ↓ -86% |
| MOLINA | Florida KidCare | $1,243.75 | ↓ -86% |
| Molina | Florida Kidcare | $1,243.75 | ↓ -86% |
| Aetna | All Products First Health | $1,260.00 | ↓ -86% |
| MOLINA | Managed Medicaid | $1,305.94 | ↓ -85% |
| AETNA | Managed Medicaid/CHIP | $1,368.13 | ↓ -85% |
| Independent Living Systems | Managed Medicaid | $1,492.50 | ↓ -83% |
| WellMed | MEDICARE ADVANTAGE | $2,154.64 | ↓ -76% |
| AETNA | MEDICARE ADVANTAGE | $2,154.64 | ↓ -76% |
| Wellcare | MEDICARE ADVANTAGE | $2,154.64 | ↓ -76% |
| DEVOTED HEALTH | Medicare Advantage HMO | $2,370.10 | ↓ -73% |
| AETNA | QHP | $2,789.00 | ↓ -69% |
| BLUE CROSS | HMO | $3,163.00 | ↓ -65% |
| BLUE CROSS | BSL | $3,163.00 | ↓ -65% |
| CIGNA | Individual Family Plan | $3,528.35 | ↓ -60% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $3,674.81 | ↓ -59% |
| Freedom Health | MEDICARE ADVANTAGE | $3,674.81 | ↓ -59% |
| UNITED | MEDICARE ADVANTAGE | $3,674.81 | ↓ -59% |
| HUMANA | Medicare Advantage HMO | $3,674.81 | ↓ -59% |
| BLUE CROSS | Medicare Advantage HMO | $3,674.81 | ↓ -59% |
| BLUE CROSS | Medicare Advantage PPO | $3,674.81 | ↓ -59% |
| Careplus | MEDICARE ADVANTAGE | $3,674.81 | ↓ -59% |
| AVMED | MEDICARE ADVANTAGE | $3,821.80 | ↓ -57% |
| Independent Living Systems | MEDICARE ADVANTAGE | $3,858.55 | ↓ -57% |
| BLUE CROSS | PPO | $4,075.00 | ↓ -54% |
| BLUE CROSS | NWB | $4,194.00 | ↓ -53% |
| BLUE CROSS | NWBI | $4,194.00 | ↓ -53% |
| CIGNA | SUREFIT | $4,255.99 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $4,365.82 | ↓ -51% |
| AETNA | ALL PRODUCTS | $4,542.00 | ↓ -49% |
| AVMED | EXCHANGE | $5,769.45 | ↓ -35% |
| BLUE CROSS | PHS | $6,062.00 | ↓ -32% |
| AVMED | Select | $6,467.66 | ↓ -28% |
| BMI | ALL PRODUCTS | $6,864.50 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $8,237.40 | ↓ -8% |
| AVMED | BROAD | $8,415.31 | ↓ -6% |
| The Legacy Companies | ALL PRODUCTS | $8,923.85 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $8,923.85 | ↑ +0% |
| AETNA | All Products First Health | $10,983.20 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $10,983.20 | ↑ +23% |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| 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 | — |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
App high cost ss t/a/l >100sq cm 1st 100sq cm at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $10,318.65 | $2,154.64 – $4,783.30 |
| Adventhealth Port Charlotte | Port Charlotte | $6,154.89 | $2,154.64 – $3,934.37 |
| cleveland clinic florida weston hospital | Weston | $8,923.85 | $95.67 – $11,669.65 |
| martin north hospital | Stuart | $8,923.85 | $164.44 – $6,864.50 |
| Baptist Hospital | MIAMI | $2,812.55 | $173.17 – $3,894.30 |
| Bethesda Hospital East | BOYNTON BEACH | $2,812.55 | $869.73 – $3,894.30 |
| Boca Raton Regional Hospital | BOCA RATON | $5,049.20 | $2,115.94 – $6,223.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $2,812.55 | $752.90 – $3,894.30 |