Bilateral n block inj occipital 64405 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,654.90
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.
$2,546.00
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.
$30.48 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 | $30.48 | ↓ -98% |
| Wellcare | Medicare Advantage | $52.13 | ↓ -97% |
| Careplus | Medicare Advantage | $52.13 | ↓ -97% |
| Value Options | Medicare Advantage | $52.13 | ↓ -97% |
| Magellan | Medicare Advantage | $52.13 | ↓ -97% |
| Avmed | Medicare Advantage | $52.13 | ↓ -97% |
| Blue Cross | Medicare Advantage HMO | $52.13 | ↓ -97% |
| Blue Cross | Medicare Advantage PPO | $52.13 | ↓ -97% |
| WellMed | Medicare Advantage | $54.74 | ↓ -97% |
| Independent Living Systems | Medicare Advantage | $54.74 | ↓ -97% |
| Freedom Health | Medicare Advantage | $54.74 | ↓ -97% |
| Clear Spring Health | All Products | $56.30 | ↓ -97% |
| United | Medicare Advantage | $56.88 | ↓ -97% |
| Molina | Managed Medicaid | $57.96 | ↓ -96% |
| Value Options | Managed Medicaid | $57.96 | ↓ -96% |
| Wellcare | Managed Medicaid | $57.96 | ↓ -96% |
| Medicaid | Managed Medicaid | $57.96 | ↓ -96% |
| AmeriHealth | Managed Medicaid | $57.96 | ↓ -96% |
| Blue Cross | Health Options | $58.35 | ↓ -96% |
| Blue Cross | Network Blue | $59.78 | ↓ -96% |
| Blue Cross | Traditional (PPS) | $61.22 | ↓ -96% |
| Blue Cross | Perferred Patient Care | $61.22 | ↓ -96% |
| Aetna | Medicare Advantage Behavioral Health | $62.56 | ↓ -96% |
| Clear Spring Health | ALL PRODUCTS | $63.56 | ↓ -96% |
| Aetna | Medicare Advantage PCP | $64.64 | ↓ -96% |
| Aetna | Medicare Advantage Specialist | $65.68 | ↓ -96% |
| Avmed | Exchange | $75.67 | ↓ -95% |
| Avmed | Select | $78.58 | ↓ -95% |
| Avmed | Broad | $84.40 | ↓ -95% |
| Aetna | POS First Health | $87.58 | ↓ -95% |
| United | All Products | $110.14 | ↓ -93% |
| Aetna | PPO First Health | $130.76 | ↓ -92% |
| Cigna | Individual Family Plan Mid-Level | $133.61 | ↓ -92% |
| Cigna | Surefit Mid-Level | $136.17 | ↓ -92% |
| Cigna | All Products Mid-Level | $147.06 | ↓ -91% |
| Cigna | Individual Family Plan Physician | $157.20 | ↓ -91% |
| Cigna | Surefit Physician | $160.21 | ↓ -90% |
| Cigna | All Products Physician | $173.02 | ↓ -90% |
| OPTUM | Managed Medicaid | $249.83 | ↓ -85% |
| MOLINA | Florida KidCare | $262.98 | ↓ -84% |
| SUNSHINE HEALTH | Managed Medicaid | $262.98 | ↓ -84% |
| Carelon BH Strategies | Managed Medicaid | $262.98 | ↓ -84% |
| AMERIHEALTH | Managed Medicaid | $262.98 | ↓ -84% |
| Molina | Florida Kidcare | $262.98 | ↓ -84% |
| Clarity Health | All Products | $269.10 | ↓ -84% |
| The Legacy Companies | All Products | $269.10 | ↓ -84% |
| Three Rivers | All Products | $269.10 | ↓ -84% |
| MOLINA | Managed Medicaid | $276.13 | ↓ -83% |
| AETNA | Managed Medicaid/CHIP | $289.28 | ↓ -83% |
| Freedom Health | MEDICARE ADVANTAGE | $296.31 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $296.31 | ↓ -82% |
| BLUE CROSS | Medicare Advantage PPO | $296.31 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $296.31 | ↓ -82% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $296.31 | ↓ -82% |
| Careplus | MEDICARE ADVANTAGE | $296.31 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $296.31 | ↓ -82% |
| AVMED | MEDICARE ADVANTAGE | $308.16 | ↓ -81% |
| Consociate Health | ALL PRODUCTS | $310.50 | ↓ -81% |
| Independent Living Systems | MEDICARE ADVANTAGE | $311.12 | ↓ -81% |
| Independent Living Systems | Managed Medicaid | $315.58 | ↓ -81% |
| WellMed | MEDICARE ADVANTAGE | $320.54 | ↓ -81% |
| AETNA | MEDICARE ADVANTAGE | $320.54 | ↓ -81% |
| Wellcare | MEDICARE ADVANTAGE | $320.54 | ↓ -81% |
| National Provider Network | All Products | $351.90 | ↓ -79% |
| DEVOTED HEALTH | Medicare Advantage HMO | $352.60 | ↓ -79% |
| Aetna | All Products First Health | $372.60 | ↓ -77% |
| AVMED | EXCHANGE | $465.20 | ↓ -72% |
| AVMED | Select | $521.50 | ↓ -68% |
| AETNA | QHP | $554.00 | ↓ -67% |
| CIGNA | Individual Family Plan | $654.32 | ↓ -60% |
| AVMED | BROAD | $678.54 | ↓ -59% |
| CIGNA | SUREFIT | $789.26 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $809.63 | ↓ -51% |
| UNITED | NHP | $850.00 | ↓ -49% |
| AETNA | ALL PRODUCTS | $874.00 | ↓ -47% |
| UNITED | International | $1,151.00 | ↓ -30% |
| UNITED | ALL PRODUCTS | $1,151.00 | ↓ -30% |
| BMI | ALL PRODUCTS | $1,273.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $1,527.60 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $1,654.90 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $1,654.90 | ↑ +0% |
| MULTIPLAN | ALL PRODUCTS | $2,036.80 | ↑ +23% |
| AETNA | All Products First Health | $2,036.80 | ↑ +23% |
| BLUE CROSS | BSL | $2,784.00 | ↑ +68% |
| BLUE CROSS | HMO | $2,784.00 | ↑ +68% |
| BLUE CROSS | NWBI | $3,679.00 | ↑ +122% |
| BLUE CROSS | NWB | $3,679.00 | ↑ +122% |
| BLUE CROSS | PHS | $4,545.00 | ↑ +175% |
| BLUE CROSS | PPO | $4,545.00 | ↑ +175% |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Magellan | Summit | 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 | — |
| Magellan | Pinnacle | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Bilateral n block inj occipital 64405 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast Parkway | Palm Coast | $926.67 | $304.52 – $684.65 |
| Adventhealth Tampa | Tampa | $1,358.89 | $320.54 – $711.61 |
| cleveland clinic florida weston hospital | Weston | $1,654.90 | $30.48 – $2,164.10 |
| martin north hospital | Stuart | $1,654.90 | $48.78 – $1,273.00 |
| Baptist Hospital | MIAMI | $2,559.05 | $173.17 – $1,771.20 |
| Boca Raton Regional Hospital | BOCA RATON | $1,147.25 | $314.79 – $1,152.55 |
| Doctors Hospital | CORAL GABLES | $2,559.05 | $246.39 – $1,771.20 |
| Adventhealth Palm Coast | Palm Coast | $926.67 | $304.52 – $684.65 |