Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$9,301.50
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.
$14,310.00
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.
$59.32 with Optum vs $11,448.00 with MULTIPLAN — 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 | $59.32 | ↓ -99% |
| Wellcare | Medicare Advantage | $66.45 | ↓ -99% |
| Blue Cross | Medicare Advantage HMO | $66.45 | ↓ -99% |
| Value Options | Medicare Advantage | $66.45 | ↓ -99% |
| Magellan | Medicare Advantage | $66.45 | ↓ -99% |
| Avmed | Medicare Advantage | $66.45 | ↓ -99% |
| Careplus | Medicare Advantage | $66.45 | ↓ -99% |
| Blue Cross | Medicare Advantage PPO | $66.45 | ↓ -99% |
| Freedom Health | Medicare Advantage | $69.77 | ↓ -99% |
| WellMed | Medicare Advantage | $69.77 | ↓ -99% |
| Independent Living Systems | Medicare Advantage | $69.77 | ↓ -99% |
| Clear Spring Health | All Products | $71.77 | ↓ -99% |
| United | Medicare Advantage | $75.01 | ↓ -99% |
| Aetna | Medicare Advantage Behavioral Health | $79.74 | ↓ -99% |
| Aetna | Medicare Advantage PCP | $82.40 | ↓ -99% |
| Aetna | Medicare Advantage Specialist | $83.73 | ↓ -99% |
| Clear Spring Health | ALL PRODUCTS | $91.40 | ↓ -99% |
| Avmed | Exchange | $100.01 | ↓ -99% |
| Avmed | Select | $103.86 | ↓ -99% |
| Avmed | Broad | $111.55 | ↓ -99% |
| Aetna | POS First Health | $119.65 | ↓ -99% |
| Medicaid | Managed Medicaid | $133.53 | ↓ -99% |
| Molina | Managed Medicaid | $133.53 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $133.53 | ↓ -99% |
| Wellcare | Managed Medicaid | $133.53 | ↓ -99% |
| Value Options | Managed Medicaid | $133.53 | ↓ -99% |
| United | All Products | $145.56 | ↓ -98% |
| Cigna | Individual Family Plan Mid-Level | $218.08 | ↓ -98% |
| Cigna | Surefit Mid-Level | $222.25 | ↓ -98% |
| Cigna | All Products Mid-Level | $240.01 | ↓ -97% |
| Aetna | PPO First Health | $256.43 | ↓ -97% |
| Cigna | Individual Family Plan Physician | $256.56 | ↓ -97% |
| Cigna | Surefit Physician | $261.47 | ↓ -97% |
| Cigna | All Products Physician | $282.36 | ↓ -97% |
| Three Rivers | All Products | $412.10 | ↓ -96% |
| Clarity Health | All Products | $412.10 | ↓ -96% |
| The Legacy Companies | All Products | $412.10 | ↓ -96% |
| Consociate Health | ALL PRODUCTS | $475.50 | ↓ -95% |
| National Provider Network | All Products | $538.90 | ↓ -94% |
| Aetna | All Products First Health | $570.60 | ↓ -94% |
| OPTUM | Managed Medicaid | $1,185.63 | ↓ -87% |
| Molina | Florida Kidcare | $1,248.03 | ↓ -87% |
| Carelon BH Strategies | Managed Medicaid | $1,248.03 | ↓ -87% |
| SUNSHINE HEALTH | Managed Medicaid | $1,248.03 | ↓ -87% |
| MOLINA | Florida KidCare | $1,248.03 | ↓ -87% |
| AMERIHEALTH | Managed Medicaid | $1,248.03 | ↓ -87% |
| MOLINA | Managed Medicaid | $1,310.43 | ↓ -86% |
| AETNA | Managed Medicaid/CHIP | $1,372.83 | ↓ -85% |
| Independent Living Systems | Managed Medicaid | $1,497.64 | ↓ -84% |
| UNITED | NHP | $2,297.00 | ↓ -75% |
| UNITED | International | $2,307.00 | ↓ -75% |
| AETNA | QHP | $2,579.00 | ↓ -72% |
| UNITED | ALL PRODUCTS | $2,728.00 | ↓ -71% |
| Careplus | MEDICARE ADVANTAGE | $2,872.87 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $2,872.87 | ↓ -69% |
| BLUE CROSS | Medicare Advantage PPO | $2,872.87 | ↓ -69% |
| BLUE CROSS | Medicare Advantage HMO | $2,872.87 | ↓ -69% |
| Freedom Health | MEDICARE ADVANTAGE | $2,872.87 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $2,872.87 | ↓ -69% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $2,872.87 | ↓ -69% |
| BLUE CROSS | BSL | $2,971.00 | ↓ -68% |
| BLUE CROSS | HMO | $2,971.00 | ↓ -68% |
| AVMED | MEDICARE ADVANTAGE | $2,987.78 | ↓ -68% |
| Independent Living Systems | MEDICARE ADVANTAGE | $3,016.51 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $3,033.33 | ↓ -67% |
| WellMed | MEDICARE ADVANTAGE | $3,033.33 | ↓ -67% |
| Wellcare | MEDICARE ADVANTAGE | $3,033.33 | ↓ -67% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,336.67 | ↓ -64% |
| CIGNA | Individual Family Plan | $3,677.67 | ↓ -60% |
| BLUE CROSS | NWB | $3,928.00 | ↓ -58% |
| BLUE CROSS | NWBI | $3,928.00 | ↓ -58% |
| AETNA | ALL PRODUCTS | $4,198.00 | ↓ -55% |
| CIGNA | SUREFIT | $4,436.10 | ↓ -52% |
| AVMED | EXCHANGE | $4,510.40 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $4,550.58 | ↓ -51% |
| AVMED | Select | $5,056.25 | ↓ -46% |
| BLUE CROSS | PHS | $5,761.00 | ↓ -38% |
| BLUE CROSS | PPO | $5,761.00 | ↓ -38% |
| AVMED | BROAD | $6,578.87 | ↓ -29% |
| BMI | ALL PRODUCTS | $7,155.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $8,586.00 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $9,301.50 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $9,301.50 | ↑ +0% |
| AETNA | All Products First Health | $11,448.00 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $11,448.00 | ↑ +23% |
| Magellan | Summit | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $6,159.62 | $2,881.67 – $5,062.63 |
| Adventhealth Palm Coast Parkway | Palm Coast | $6,009.03 | $2,881.67 – $6,478.90 |
| Adventhealth Tampa | Tampa | $9,113.95 | $3,033.33 – $6,734.00 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $352.56 | $2,881.67 – $6,626.32 |
| Adventhealth Port Charlotte | Port Charlotte | $6,241.70 | $3,033.33 – $5,538.87 |
| cleveland clinic florida weston hospital | Weston | $9,301.50 | $59.32 – $12,163.50 |
| martin north hospital | Stuart | $9,301.50 | $66.45 – $7,155.00 |
| Baptist Hospital | MIAMI | $8,977.80 | $173.17 – $6,215.40 |