healthcosts.net
Appendix Removal (Laparoscopic) at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$21,806.20
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.
$33,548.00
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.
$352.33 with Optum vs $26,838.40 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 |
|---|---|---|---|
| Optum | Managed Medicaid | $352.33 | ↓ -98% |
| Value Options | Managed Medicaid | $466.99 | ↓ -98% |
| Medicaid | Managed Medicaid | $466.99 | ↓ -98% |
| Molina | Managed Medicaid | $466.99 | ↓ -98% |
| Wellcare | Managed Medicaid | $466.99 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $466.99 | ↓ -98% |
| Blue Cross | Health Options | $562.37 | ↓ -97% |
| Blue Cross | Network Blue | $576.20 | ↓ -97% |
| Blue Cross | Traditional (PPS) | $590.03 | ↓ -97% |
| Blue Cross | Perferred Patient Care | $590.03 | ↓ -97% |
| Avmed | Medicare Advantage | $648.10 | ↓ -97% |
| Value Options | Medicare Advantage | $648.10 | ↓ -97% |
| Magellan | Medicare Advantage | $648.10 | ↓ -97% |
| Careplus | Medicare Advantage | $648.10 | ↓ -97% |
| Wellcare | Medicare Advantage | $648.10 | ↓ -97% |
| Blue Cross | Medicare Advantage PPO | $648.10 | ↓ -97% |
| Blue Cross | Medicare Advantage HMO | $648.10 | ↓ -97% |
| United | Medicare Advantage | $648.73 | ↓ -97% |
| Independent Living Systems | Medicare Advantage | $680.51 | ↓ -97% |
| Freedom Health | Medicare Advantage | $680.51 | ↓ -97% |
| WellMed | Medicare Advantage | $680.51 | ↓ -97% |
| Clear Spring Health | All Products | $699.95 | ↓ -97% |
| Clear Spring Health | ALL PRODUCTS | $765.41 | ↓ -96% |
| Aetna | Medicare Advantage Behavioral Health | $777.72 | ↓ -96% |
| Aetna | Medicare Advantage PCP | $803.64 | ↓ -96% |
| Aetna | Medicare Advantage Specialist | $816.61 | ↓ -96% |
| Avmed | Exchange | $864.14 | ↓ -96% |
| Avmed | Select | $897.37 | ↓ -96% |
| Avmed | Broad | $963.84 | ↓ -96% |
| Aetna | PPO First Health | $989.71 | ↓ -95% |
| United | All Products | $1,257.72 | ↓ -94% |
| Aetna | POS First Health | $1,701.00 | ↓ -92% |
| Clarity Health | All Products | $2,457.00 | ↓ -89% |
| Three Rivers | All Products | $2,457.00 | ↓ -89% |
| The Legacy Companies | All Products | $2,457.00 | ↓ -89% |
| OPTUM | Managed Medicaid | $2,480.69 | ↓ -89% |
| MOLINA | Florida KidCare | $2,611.25 | ↓ -88% |
| AMERIHEALTH | Managed Medicaid | $2,611.25 | ↓ -88% |
| Molina | Florida Kidcare | $2,611.25 | ↓ -88% |
| SUNSHINE HEALTH | Managed Medicaid | $2,611.25 | ↓ -88% |
| Carelon BH Strategies | Managed Medicaid | $2,611.25 | ↓ -88% |
| MOLINA | Managed Medicaid | $2,741.81 | ↓ -87% |
| Consociate Health | ALL PRODUCTS | $2,835.00 | ↓ -87% |
| AETNA | Managed Medicaid/CHIP | $2,872.38 | ↓ -87% |
| Independent Living Systems | Managed Medicaid | $3,133.50 | ↓ -86% |
| National Provider Network | All Products | $3,213.00 | ↓ -85% |
| Aetna | All Products First Health | $3,402.00 | ↓ -84% |
| Cigna | Individual Family Plan Mid-Level | $3,780.00 | ↓ -83% |
| Cigna | Surefit Physician | $3,780.00 | ↓ -83% |
| Cigna | All Products Physician | $3,780.00 | ↓ -83% |
| Cigna | All Products Mid-Level | $3,780.00 | ↓ -83% |
| Cigna | Individual Family Plan Physician | $3,780.00 | ↓ -83% |
| Cigna | Surefit Mid-Level | $3,780.00 | ↓ -83% |
| UNITED | MEDICARE ADVANTAGE | $5,856.41 | ↓ -73% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $5,856.41 | ↓ -73% |
| Careplus | MEDICARE ADVANTAGE | $5,856.41 | ↓ -73% |
| Freedom Health | MEDICARE ADVANTAGE | $5,856.41 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $5,856.41 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $5,856.41 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $5,856.41 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $6,090.67 | ↓ -72% |
| Independent Living Systems | MEDICARE ADVANTAGE | $6,149.23 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $6,313.22 | ↓ -71% |
| AETNA | MEDICARE ADVANTAGE | $6,313.22 | ↓ -71% |
| WellMed | MEDICARE ADVANTAGE | $6,313.22 | ↓ -71% |
| DEVOTED HEALTH | Medicare Advantage HMO | $6,944.54 | ↓ -68% |
| AETNA | QHP | $8,101.00 | ↓ -63% |
| CIGNA | Individual Family Plan | $8,621.84 | ↓ -60% |
| AVMED | EXCHANGE | $9,194.57 | ↓ -58% |
| AVMED | Select | $10,307.29 | ↓ -53% |
| CIGNA | SUREFIT | $10,399.88 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $10,668.26 | ↓ -51% |
| UNITED | NHP | $10,701.00 | ↓ -51% |
| UNITED | ALL PRODUCTS | $12,702.00 | ↓ -42% |
| AETNA | ALL PRODUCTS | $13,124.00 | ↓ -40% |
| AVMED | BROAD | $13,411.19 | ↓ -38% |
| UNITED | International | $13,944.00 | ↓ -36% |
| BMI | ALL PRODUCTS | $16,774.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $20,128.80 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $21,806.20 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $21,806.20 | ↑ +0% |
| MULTIPLAN | ALL PRODUCTS | $26,838.40 | ↑ +23% |
| AETNA | All Products First Health | $26,838.40 | ↑ +23% |
| BLUE CROSS | PPO | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Appendix Removal (Laparoscopic) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $2,457.00 | $352.33 – $6,944.54 |
| martin north hospital | Stuart | $21,806.20 | $466.99 – $16,774.00 |
| Baptist Hospital | MIAMI | not published | not published |
| Bethesda Hospital East | BOYNTON BEACH | not published | not published |
| Boca Raton Regional Hospital | BOCA RATON | not published | not published |
| Doctors Hospital | CORAL GABLES | not published | not published |
| Baptist Health Hospital Doral | SOUTH MIAMI | not published | not published |
| Fishermens Community Hospital | MARATHON | not published | not published |