Asp & inj w/heparin pleurx cath at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$6,364.80
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.
$9,792.00
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.
$282.60 with Aetna vs $7,917.00 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 |
|---|---|---|---|
| Aetna | POS First Health | $282.60 | ↓ -96% |
| Aetna | PPO First Health | $282.60 | ↓ -96% |
| Magellan | Medicare Advantage | $376.80 | ↓ -94% |
| CIGNA | Individual Family Plan | $396.29 | ↓ -94% |
| The Legacy Companies | All Products | $408.20 | ↓ -94% |
| Clarity Health | All Products | $408.20 | ↓ -94% |
| Three Rivers | All Products | $408.20 | ↓ -94% |
| Consociate Health | ALL PRODUCTS | $471.00 | ↓ -93% |
| CIGNA | SUREFIT | $478.02 | ↓ -92% |
| CIGNA | ALL PRODUCTS | $490.36 | ↓ -92% |
| National Provider Network | All Products | $533.80 | ↓ -92% |
| Aetna | All Products First Health | $565.20 | ↓ -91% |
| OPTUM | Managed Medicaid | $599.03 | ↓ -91% |
| BLUE CROSS | Medicare Advantage HMO | $620.60 | ↓ -90% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $620.60 | ↓ -90% |
| Freedom Health | MEDICARE ADVANTAGE | $620.60 | ↓ -90% |
| Careplus | MEDICARE ADVANTAGE | $620.60 | ↓ -90% |
| HUMANA | Medicare Advantage HMO | $620.60 | ↓ -90% |
| UNITED | MEDICARE ADVANTAGE | $620.60 | ↓ -90% |
| BLUE CROSS | Medicare Advantage PPO | $620.60 | ↓ -90% |
| Cigna | Surefit Physician | $628.00 | ↓ -90% |
| Cigna | All Products Mid-Level | $628.00 | ↓ -90% |
| Cigna | All Products Physician | $628.00 | ↓ -90% |
| Cigna | Individual Family Plan Mid-Level | $628.00 | ↓ -90% |
| Cigna | Individual Family Plan Physician | $628.00 | ↓ -90% |
| Cigna | Surefit Mid-Level | $628.00 | ↓ -90% |
| Value Options | Managed Medicaid | $629.03 | ↓ -90% |
| Medicaid | Managed Medicaid | $629.03 | ↓ -90% |
| Molina | Managed Medicaid | $629.03 | ↓ -90% |
| Wellcare | Managed Medicaid | $629.03 | ↓ -90% |
| AmeriHealth | Managed Medicaid | $629.03 | ↓ -90% |
| SUNSHINE HEALTH | Managed Medicaid | $630.56 | ↓ -90% |
| AMERIHEALTH | Managed Medicaid | $630.56 | ↓ -90% |
| MOLINA | Florida KidCare | $630.56 | ↓ -90% |
| Molina | Florida Kidcare | $630.56 | ↓ -90% |
| Carelon BH Strategies | Managed Medicaid | $630.56 | ↓ -90% |
| AVMED | MEDICARE ADVANTAGE | $645.42 | ↓ -90% |
| Independent Living Systems | MEDICARE ADVANTAGE | $651.63 | ↓ -90% |
| AETNA | MEDICARE ADVANTAGE | $655.08 | ↓ -90% |
| WellMed | MEDICARE ADVANTAGE | $655.08 | ↓ -90% |
| Wellcare | MEDICARE ADVANTAGE | $655.08 | ↓ -90% |
| MOLINA | Managed Medicaid | $662.09 | ↓ -90% |
| AETNA | Managed Medicaid/CHIP | $693.62 | ↓ -89% |
| DEVOTED HEALTH | Medicare Advantage HMO | $720.59 | ↓ -89% |
| Independent Living Systems | Managed Medicaid | $756.67 | ↓ -88% |
| BMI | ALL PRODUCTS | $771.00 | ↓ -88% |
| MAGELLAN | ALL PRODUCTS | $925.20 | ↓ -85% |
| AVMED | EXCHANGE | $974.34 | ↓ -85% |
| Clarity Health | ALL PRODUCTS | $1,002.30 | ↓ -84% |
| The Legacy Companies | ALL PRODUCTS | $1,002.30 | ↓ -84% |
| AVMED | Select | $1,092.25 | ↓ -83% |
| AETNA | All Products First Health | $1,233.60 | ↓ -81% |
| MULTIPLAN | ALL PRODUCTS | $1,233.60 | ↓ -81% |
| AVMED | BROAD | $1,421.17 | ↓ -78% |
| UNITED | NHP | $1,770.00 | ↓ -72% |
| UNITED | ALL PRODUCTS | $2,101.00 | ↓ -67% |
| UNITED | International | $2,307.00 | ↓ -64% |
| AETNA | QHP | $4,863.00 | ↓ -24% |
| AETNA | ALL PRODUCTS | $7,917.00 | ↑ +24% |
| BLUE CROSS | HMO | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| Freedom Health | Medicare Advantage | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Independent Living Systems | Medicare Advantage | not published by hospital | — |
| Blue Cross | Medicare Advantage PPO | not published by hospital | — |
| Blue Cross | Medicare Advantage HMO | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Avmed | Select | not published by hospital | — |
| Avmed | Medicare Advantage | not published by hospital | — |
| Avmed | Exchange | not published by hospital | — |
| Avmed | Broad | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Optum | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | Medicare Advantage Specialist | not published by hospital | — |
| Aetna | Medicare Advantage PCP | not published by hospital | — |
| United | All Products | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage Behavioral Health | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Value Options | Medicare Advantage | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Wellcare | Medicare Advantage | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| WellMed | Medicare Advantage | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| Careplus | Medicare Advantage | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| Clear Spring Health | All Products | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Asp & inj w/heparin pleurx cath at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,546.46 | $622.33 – $1,431.02 |
| cleveland clinic florida weston hospital | Weston | $6,364.80 | $298.11 – $978.35 |
| martin north hospital | Stuart | $6,364.80 | $408.20 – $771.00 |
| Baptist Hospital | MIAMI | $4,790.50 | $173.17 – $2,749.50 |
| Bethesda Hospital East | BOYNTON BEACH | $4,790.50 | $640.35 – $2,749.50 |
| Boca Raton Regional Hospital | BOCA RATON | $1,814.15 | $643.31 – $2,791.00 |
| Doctors Hospital | CORAL GABLES | $4,790.50 | $534.63 – $2,749.50 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $4,790.50 | $531.57 – $2,749.50 |