Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$26,699.40
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.
$41,076.00
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.
$383.26 with Optum vs $33,139.00 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 | $383.26 | ↓ -99% |
| Blue Cross | Medicare Advantage PPO | $499.99 | ↓ -98% |
| Value Options | Medicare Advantage | $499.99 | ↓ -98% |
| Magellan | Medicare Advantage | $499.99 | ↓ -98% |
| Blue Cross | Medicare Advantage HMO | $499.99 | ↓ -98% |
| Careplus | Medicare Advantage | $499.99 | ↓ -98% |
| Wellcare | Medicare Advantage | $499.99 | ↓ -98% |
| Avmed | Medicare Advantage | $499.99 | ↓ -98% |
| Independent Living Systems | Medicare Advantage | $524.99 | ↓ -98% |
| WellMed | Medicare Advantage | $524.99 | ↓ -98% |
| Freedom Health | Medicare Advantage | $524.99 | ↓ -98% |
| United | Medicare Advantage | $532.31 | ↓ -98% |
| Clear Spring Health | All Products | $539.99 | ↓ -98% |
| Aetna | Medicare Advantage Behavioral Health | $599.99 | ↓ -98% |
| Aetna | Medicare Advantage PCP | $619.99 | ↓ -98% |
| Clear Spring Health | ALL PRODUCTS | $624.89 | ↓ -98% |
| Aetna | Medicare Advantage Specialist | $629.99 | ↓ -98% |
| Avmed | Exchange | $712.08 | ↓ -97% |
| Avmed | Select | $739.46 | ↓ -97% |
| Avmed | Broad | $794.24 | ↓ -97% |
| Aetna | POS First Health | $836.87 | ↓ -97% |
| United | All Products | $1,036.40 | ↓ -96% |
| The Legacy Companies | All Products | $2,249.00 | ↓ -92% |
| Clarity Health | All Products | $2,249.00 | ↓ -92% |
| Three Rivers | All Products | $2,249.00 | ↓ -92% |
| Consociate Health | ALL PRODUCTS | $2,595.00 | ↓ -90% |
| National Provider Network | All Products | $2,941.00 | ↓ -89% |
| OPTUM | Managed Medicaid | $3,094.77 | ↓ -88% |
| Aetna | All Products First Health | $3,114.00 | ↓ -88% |
| SUNSHINE HEALTH | Managed Medicaid | $3,257.65 | ↓ -88% |
| AMERIHEALTH | Managed Medicaid | $3,257.65 | ↓ -88% |
| Medicaid | Managed Medicaid | $3,257.65 | ↓ -88% |
| Molina | Florida Kidcare | $3,257.65 | ↓ -88% |
| Wellcare | Managed Medicaid | $3,257.65 | ↓ -88% |
| Carelon BH Strategies | Managed Medicaid | $3,257.65 | ↓ -88% |
| MOLINA | Florida KidCare | $3,257.65 | ↓ -88% |
| MOLINA | Managed Medicaid | $3,420.53 | ↓ -87% |
| AETNA | Managed Medicaid/CHIP | $3,583.42 | ↓ -87% |
| Independent Living Systems | Managed Medicaid | $3,909.18 | ↓ -85% |
| Value Options | Managed Medicaid | $4,109.70 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $4,109.70 | ↓ -85% |
| Molina | Managed Medicaid | $4,109.70 | ↓ -85% |
| BLUE CROSS | Medicare Advantage PPO | $7,170.73 | ↓ -73% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $7,170.73 | ↓ -73% |
| Careplus | MEDICARE ADVANTAGE | $7,170.73 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $7,170.73 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $7,170.73 | ↓ -73% |
| Freedom Health | MEDICARE ADVANTAGE | $7,170.73 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $7,170.73 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $7,457.56 | ↓ -72% |
| Independent Living Systems | MEDICARE ADVANTAGE | $7,529.27 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $7,577.51 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $7,577.51 | ↓ -72% |
| WellMed | MEDICARE ADVANTAGE | $7,577.51 | ↓ -72% |
| DEVOTED HEALTH | Medicare Advantage HMO | $8,335.26 | ↓ -69% |
| Cigna | Individual Family Plan Mid-Level | $10,228.68 | ↓ -62% |
| Aetna | PPO First Health | $10,229.07 | ↓ -62% |
| Cigna | Surefit Mid-Level | $10,424.69 | ↓ -61% |
| CIGNA | Individual Family Plan | $10,556.53 | ↓ -60% |
| UNITED | NHP | $10,701.00 | ↓ -60% |
| Cigna | All Products Mid-Level | $11,257.33 | ↓ -58% |
| AVMED | EXCHANGE | $11,258.05 | ↓ -58% |
| Cigna | Individual Family Plan Physician | $12,034.42 | ↓ -55% |
| Cigna | Surefit Physician | $12,264.38 | ↓ -54% |
| AVMED | Select | $12,620.49 | ↓ -53% |
| UNITED | ALL PRODUCTS | $12,702.00 | ↓ -52% |
| CIGNA | SUREFIT | $12,733.56 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $13,062.17 | ↓ -51% |
| Cigna | All Products Physician | $13,245.19 | ↓ -50% |
| UNITED | International | $13,944.00 | ↓ -48% |
| AVMED | BROAD | $16,420.98 | ↓ -38% |
| AETNA | QHP | $20,452.00 | ↓ -23% |
| BMI | ALL PRODUCTS | $20,538.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $24,645.60 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $26,699.40 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $26,699.40 | ↑ +0% |
| AETNA | All Products First Health | $32,860.80 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $32,860.80 | ↑ +23% |
| AETNA | ALL PRODUCTS | $33,139.00 | ↑ +24% |
| BLUE CROSS | BSL | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | 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 Behavioral Health | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $25,375.27 | $7,198.64 – $12,646.87 |
| Adventhealth Palm Coast Parkway | Palm Coast | $24,521.81 | $7,198.64 – $16,184.81 |
| Adventhealth Tampa | Tampa | $33,471.74 | $7,577.51 – $16,822.08 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $22,880.86 | $7,198.64 – $16,553.08 |
| Adventhealth Port Charlotte | Port Charlotte | $33,471.74 | $7,577.51 – $13,836.54 |
| cleveland clinic florida weston hospital | Weston | $26,699.40 | $383.26 – $34,914.60 |
| martin north hospital | Stuart | $26,699.40 | $499.99 – $20,538.00 |
| Baptist Hospital | MIAMI | $15,494.05 | $173.17 – $21,453.30 |