Assay of leflunomide at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$5.81 with OPTUM vs $90.22 with CIGNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $5.81 | — |
| Carelon BH Strategies | Managed Medicaid | $6.12 | — |
| AMERIHEALTH | Managed Medicaid | $6.12 | — |
| SUNSHINE HEALTH | Managed Medicaid | $6.12 | — |
| Medicaid | Managed Medicaid | $6.12 | — |
| Molina | Florida Kidcare | $6.12 | — |
| Wellcare | Managed Medicaid | $6.12 | — |
| MOLINA | Florida KidCare | $6.12 | — |
| MOLINA | Managed Medicaid | $6.43 | — |
| AETNA | Managed Medicaid/CHIP | $6.73 | — |
| Independent Living Systems | Managed Medicaid | $7.34 | — |
| WellMed | MEDICARE ADVANTAGE | $38.57 | — |
| AETNA | MEDICARE ADVANTAGE | $38.57 | — |
| BLUE CROSS | Medicare Advantage HMO | $38.57 | — |
| BLUE CROSS | Medicare Advantage PPO | $38.57 | — |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $38.57 | — |
| Careplus | MEDICARE ADVANTAGE | $38.57 | — |
| Freedom Health | MEDICARE ADVANTAGE | $38.57 | — |
| HUMANA | Medicare Advantage HMO | $38.57 | — |
| UNITED | MEDICARE ADVANTAGE | $38.57 | — |
| Wellcare | MEDICARE ADVANTAGE | $38.57 | — |
| AVMED | MEDICARE ADVANTAGE | $40.11 | — |
| Independent Living Systems | MEDICARE ADVANTAGE | $40.50 | — |
| DEVOTED HEALTH | Medicare Advantage HMO | $42.43 | — |
| CIGNA | Individual Family Plan | $71.26 | — |
| CIGNA | SUREFIT | $86.28 | — |
| CIGNA | ALL PRODUCTS | $90.22 | — |
Visitor-reported prices
Comments
Assay of leflunomide at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Port Charlotte | Port Charlotte | $257.10 | $38.57 – $70.43 |
| cleveland clinic florida weston hospital | Weston | $78.65 | $5.81 – $102.85 |
| martin north hospital | Stuart | $78.65 | $6.12 – $90.75 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $72.00 | $38.57 – $145.28 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $64.20 | $38.57 – $145.28 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City | $72.00 | $38.57 – $145.28 |
| Adventhealth Waterman | Tavares | $111.63 | $38.57 – $77.83 |
| AdventHealth Orlando | Orlando | $316.00 | $38.57 – $102.21 |