Appl long leg cast brace at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$993.20
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.
$1,528.00
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.
$79.36 with Optum vs $4,545.00 with BLUE CROSS — 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 | $79.36 | ↓ -92% |
| Blue Cross | Health Options | $97.42 | ↓ -90% |
| Blue Cross | Network Blue | $99.82 | ↓ -90% |
| Blue Cross | Perferred Patient Care | $102.21 | ↓ -90% |
| Blue Cross | Traditional (PPS) | $102.21 | ↓ -90% |
| Magellan | Medicare Advantage | $104.72 | ↓ -89% |
| Blue Cross | Medicare Advantage PPO | $104.72 | ↓ -89% |
| Blue Cross | Medicare Advantage HMO | $104.72 | ↓ -89% |
| Avmed | Medicare Advantage | $104.72 | ↓ -89% |
| Value Options | Medicare Advantage | $104.72 | ↓ -89% |
| Careplus | Medicare Advantage | $104.72 | ↓ -89% |
| Wellcare | Medicare Advantage | $104.72 | ↓ -89% |
| United | Medicare Advantage | $108.70 | ↓ -89% |
| WellMed | Medicare Advantage | $109.96 | ↓ -89% |
| Independent Living Systems | Medicare Advantage | $109.96 | ↓ -89% |
| Freedom Health | Medicare Advantage | $109.96 | ↓ -89% |
| Clear Spring Health | All Products | $113.10 | ↓ -89% |
| OPTUM | Managed Medicaid | $114.84 | ↓ -88% |
| Molina | Florida Kidcare | $120.88 | ↓ -88% |
| Wellcare | Managed Medicaid | $120.88 | ↓ -88% |
| SUNSHINE HEALTH | Managed Medicaid | $120.88 | ↓ -88% |
| AMERIHEALTH | Managed Medicaid | $120.88 | ↓ -88% |
| MOLINA | Florida KidCare | $120.88 | ↓ -88% |
| Carelon BH Strategies | Managed Medicaid | $120.88 | ↓ -88% |
| Medicaid | Managed Medicaid | $120.88 | ↓ -88% |
| Aetna | Medicare Advantage Behavioral Health | $125.66 | ↓ -87% |
| Clear Spring Health | ALL PRODUCTS | $126.69 | ↓ -87% |
| MOLINA | Managed Medicaid | $126.92 | ↓ -87% |
| Molina | Managed Medicaid | $127.66 | ↓ -87% |
| Value Options | Managed Medicaid | $127.66 | ↓ -87% |
| AmeriHealth | Managed Medicaid | $127.66 | ↓ -87% |
| Aetna | Medicare Advantage PCP | $129.85 | ↓ -87% |
| Aetna | Medicare Advantage Specialist | $131.95 | ↓ -87% |
| AETNA | Managed Medicaid/CHIP | $132.97 | ↓ -87% |
| Avmed | Exchange | $144.46 | ↓ -85% |
| Independent Living Systems | Managed Medicaid | $145.06 | ↓ -85% |
| Avmed | Select | $150.01 | ↓ -85% |
| Avmed | Broad | $161.12 | ↓ -84% |
| Aetna | POS First Health | $163.97 | ↓ -83% |
| United | All Products | $210.25 | ↓ -79% |
| Cigna | Individual Family Plan Mid-Level | $233.23 | ↓ -77% |
| Cigna | Surefit Mid-Level | $237.70 | ↓ -76% |
| Aetna | PPO First Health | $246.12 | ↓ -75% |
| Cigna | All Products Mid-Level | $256.68 | ↓ -74% |
| Careplus | MEDICARE ADVANTAGE | $266.58 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $266.58 | ↓ -73% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $266.58 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $266.58 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $266.58 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $266.58 | ↓ -73% |
| Freedom Health | MEDICARE ADVANTAGE | $266.58 | ↓ -73% |
| Cigna | Individual Family Plan Physician | $274.40 | ↓ -72% |
| AVMED | MEDICARE ADVANTAGE | $277.25 | ↓ -72% |
| Cigna | Surefit Physician | $279.65 | ↓ -72% |
| Independent Living Systems | MEDICARE ADVANTAGE | $279.91 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $292.08 | ↓ -71% |
| WellMed | MEDICARE ADVANTAGE | $292.08 | ↓ -71% |
| Wellcare | MEDICARE ADVANTAGE | $292.08 | ↓ -71% |
| Cigna | All Products Physician | $302.01 | ↓ -70% |
| DEVOTED HEALTH | Medicare Advantage HMO | $321.28 | ↓ -68% |
| AETNA | QHP | $357.55 | ↓ -64% |
| Three Rivers | All Products | $371.80 | ↓ -63% |
| Clarity Health | All Products | $371.80 | ↓ -63% |
| The Legacy Companies | All Products | $371.80 | ↓ -63% |
| CIGNA | Individual Family Plan | $392.70 | ↓ -60% |
| AVMED | EXCHANGE | $418.54 | ↓ -58% |
| Consociate Health | ALL PRODUCTS | $429.00 | ↓ -57% |
| AVMED | Select | $469.19 | ↓ -53% |
| CIGNA | SUREFIT | $473.68 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $485.90 | ↓ -51% |
| National Provider Network | All Products | $486.20 | ↓ -51% |
| Aetna | All Products First Health | $514.80 | ↓ -48% |
| AETNA | ALL PRODUCTS | $543.97 | ↓ -45% |
| AVMED | BROAD | $610.48 | ↓ -39% |
| BMI | ALL PRODUCTS | $764.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $916.80 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $993.20 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $993.20 | ↑ +0% |
| MULTIPLAN | ALL PRODUCTS | $1,222.40 | ↑ +23% |
| AETNA | All Products First Health | $1,222.40 | ↑ +23% |
| BLUE CROSS | BSL | $2,784.00 | ↑ +180% |
| BLUE CROSS | HMO | $2,784.00 | ↑ +180% |
| BLUE CROSS | NWBI | $3,679.00 | ↑ +270% |
| BLUE CROSS | NWB | $3,679.00 | ↑ +270% |
| BLUE CROSS | PPO | $4,545.00 | ↑ +358% |
| BLUE CROSS | PHS | $4,545.00 | ↑ +358% |
| Magellan | Pinnacle | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| UNITED | NHP | 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 | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
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Appl long leg cast brace at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $1,251.25 | $125.39 – $865.80 |
| Adventhealth Lake Wales | Lake Wales | not published | $292.08 – $648.41 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $821.90 – $839.21 |
| cleveland clinic florida weston hospital | Weston | not published | $114.84 – $321.28 |
| martin north hospital | Stuart | not published | $120.88 – $321.28 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $834.35 – $851.91 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $862.97 – $881.14 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $255.92 – $546.49 |