Audit/dast 15-30 min at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$169.00
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.
$260.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$12.84 with OPTUM vs $234.00 with Aetna — 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 | $12.84 | ↓ -92% |
| MOLINA | Florida KidCare | $13.52 | ↓ -92% |
| Wellcare | Managed Medicaid | $13.52 | ↓ -92% |
| SUNSHINE HEALTH | Managed Medicaid | $13.52 | ↓ -92% |
| Molina | Florida Kidcare | $13.52 | ↓ -92% |
| Carelon BH Strategies | Managed Medicaid | $13.52 | ↓ -92% |
| Medicaid | Managed Medicaid | $13.52 | ↓ -92% |
| AMERIHEALTH | Managed Medicaid | $13.52 | ↓ -92% |
| MOLINA | Managed Medicaid | $14.20 | ↓ -92% |
| AETNA | Managed Medicaid/CHIP | $14.87 | ↓ -91% |
| Independent Living Systems | Managed Medicaid | $16.22 | ↓ -90% |
| Blue Cross | Health Options | $29.80 | ↓ -82% |
| Blue Cross | Network Blue | $30.54 | ↓ -82% |
| Blue Cross | Perferred Patient Care | $31.27 | ↓ -81% |
| Blue Cross | Traditional (PPS) | $31.27 | ↓ -81% |
| United | Medicare Advantage | $31.71 | ↓ -81% |
| Independent Living Systems | Medicare Advantage | $33.30 | ↓ -80% |
| Cigna | Individual Family Plan Mid-Level | $41.76 | ↓ -75% |
| Cigna | Surefit Mid-Level | $42.56 | ↓ -75% |
| Cigna | All Products Mid-Level | $45.87 | ↓ -73% |
| Cigna | Individual Family Plan Physician | $49.13 | ↓ -71% |
| Cigna | Surefit Physician | $50.06 | ↓ -70% |
| Aetna | POS First Health | $50.09 | ↓ -70% |
| Aetna | PPO First Health | $53.75 | ↓ -68% |
| Cigna | All Products Physician | $53.97 | ↓ -68% |
| United | All Products | $54.61 | ↓ -68% |
| Magellan | Medicare Advantage | $156.00 | ↓ -8% |
| Three Rivers | All Products | $169.00 | ↑ +0% |
| Clarity Health | All Products | $169.00 | ↑ +0% |
| The Legacy Companies | All Products | $169.00 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $195.00 | ↑ +15% |
| National Provider Network | All Products | $221.00 | ↑ +31% |
| Aetna | All Products First Health | $234.00 | ↑ +38% |
| Molina | Managed Medicaid | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Wellcare | Medicare Advantage | not published by hospital | — |
| Optum | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Freedom Health | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | Medicare Advantage PCP | not published by hospital | — |
| Aetna | Medicare Advantage Behavioral Health | not published by hospital | — |
| Careplus | Medicare Advantage | not published by hospital | — |
| Clear Spring Health | All Products | not published by hospital | — |
| Avmed | Select | not published by hospital | — |
| Avmed | Exchange | not published by hospital | — |
| Avmed | Broad | not published by hospital | — |
| Avmed | Medicare Advantage | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Blue Cross | Medicare Advantage PPO | not published by hospital | — |
| Blue Cross | Medicare Advantage HMO | not published by hospital | — |
| WellMed | Medicare Advantage | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
| Value Options | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Audit/dast 15-30 min at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $169.00 | $12.84 – $195.00 |
| martin north hospital | Stuart | $169.00 | $13.52 – $234.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $36.10 – $36.86 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $36.10 – $36.86 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $37.05 – $37.83 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $82.40 – $82.40 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns | not published | $82.40 – $82.40 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville | not published | $82.40 – $82.40 |