Biopsy/removal lymph nodes at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,671.80
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.
$2,572.00
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.
$217.47 with Optum vs $8,802.20 with AVMED — 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 | $217.47 | ↓ -87% |
| Medicaid | Managed Medicaid | $342.90 | ↓ -79% |
| Wellcare | Managed Medicaid | $342.90 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $342.90 | ↓ -79% |
| Value Options | Managed Medicaid | $342.90 | ↓ -79% |
| Molina | Managed Medicaid | $342.90 | ↓ -79% |
| Blue Cross | Health Options | $407.11 | ↓ -76% |
| Blue Cross | Network Blue | $417.12 | ↓ -75% |
| Blue Cross | Perferred Patient Care | $427.13 | ↓ -74% |
| Blue Cross | Traditional (PPS) | $427.13 | ↓ -74% |
| United | Medicare Advantage | $473.67 | ↓ -72% |
| Magellan | Medicare Advantage | $478.54 | ↓ -71% |
| Careplus | Medicare Advantage | $478.54 | ↓ -71% |
| Value Options | Medicare Advantage | $478.54 | ↓ -71% |
| Wellcare | Medicare Advantage | $478.54 | ↓ -71% |
| Blue Cross | Medicare Advantage PPO | $478.54 | ↓ -71% |
| Blue Cross | Medicare Advantage HMO | $478.54 | ↓ -71% |
| Avmed | Medicare Advantage | $478.54 | ↓ -71% |
| Independent Living Systems | Medicare Advantage | $497.35 | ↓ -70% |
| Freedom Health | Medicare Advantage | $502.47 | ↓ -70% |
| WellMed | Medicare Advantage | $502.47 | ↓ -70% |
| Clear Spring Health | All Products | $516.82 | ↓ -69% |
| Aetna | Medicare Advantage Behavioral Health | $574.25 | ↓ -66% |
| Aetna | Medicare Advantage PCP | $593.39 | ↓ -65% |
| Aetna | Medicare Advantage Specialist | $602.96 | ↓ -64% |
| Avmed | Exchange | $630.46 | ↓ -62% |
| Avmed | Select | $654.71 | ↓ -61% |
| Avmed | Broad | $703.21 | ↓ -58% |
| Aetna | PPO First Health | $715.14 | ↓ -57% |
| United | All Products | $917.61 | ↓ -45% |
| Aetna | POS First Health | $1,157.40 | ↓ -31% |
| Three Rivers | All Products | $1,671.80 | ↑ +0% |
| The Legacy Companies | All Products | $1,671.80 | ↑ +0% |
| Clarity Health | All Products | $1,671.80 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $1,929.00 | ↑ +15% |
| OPTUM | Managed Medicaid | $1,977.31 | ↑ +18% |
| Carelon BH Strategies | Managed Medicaid | $2,081.38 | ↑ +24% |
| AMERIHEALTH | Managed Medicaid | $2,081.38 | ↑ +24% |
| SUNSHINE HEALTH | Managed Medicaid | $2,081.38 | ↑ +24% |
| MOLINA | Florida KidCare | $2,081.38 | ↑ +24% |
| Molina | Florida Kidcare | $2,081.38 | ↑ +24% |
| MOLINA | Managed Medicaid | $2,185.45 | ↑ +31% |
| National Provider Network | All Products | $2,186.20 | ↑ +31% |
| AETNA | Managed Medicaid/CHIP | $2,289.52 | ↑ +37% |
| Aetna | All Products First Health | $2,314.80 | ↑ +38% |
| Independent Living Systems | Managed Medicaid | $2,497.66 | ↑ +49% |
| Cigna | All Products Physician | $2,572.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $2,572.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $2,572.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $2,572.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $2,572.00 | ↑ +54% |
| Cigna | Surefit Physician | $2,572.00 | ↑ +54% |
| HUMANA | Medicare Advantage HMO | $3,843.75 | ↑ +130% |
| BLUE CROSS | Medicare Advantage HMO | $3,843.75 | ↑ +130% |
| BLUE CROSS | Medicare Advantage PPO | $3,843.75 | ↑ +130% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $3,843.75 | ↑ +130% |
| Careplus | MEDICARE ADVANTAGE | $3,843.75 | ↑ +130% |
| Freedom Health | MEDICARE ADVANTAGE | $3,843.75 | ↑ +130% |
| UNITED | MEDICARE ADVANTAGE | $3,843.75 | ↑ +130% |
| AVMED | MEDICARE ADVANTAGE | $3,997.50 | ↑ +139% |
| Independent Living Systems | MEDICARE ADVANTAGE | $4,035.94 | ↑ +141% |
| WellMed | MEDICARE ADVANTAGE | $4,088.81 | ↑ +145% |
| AETNA | MEDICARE ADVANTAGE | $4,088.81 | ↑ +145% |
| Wellcare | MEDICARE ADVANTAGE | $4,088.81 | ↑ +145% |
| DEVOTED HEALTH | Medicare Advantage HMO | $4,497.69 | ↑ +169% |
| AVMED | EXCHANGE | $6,034.69 | ↑ +261% |
| UNITED | ALL PRODUCTS | $6,534.00 | ↑ +291% |
| AVMED | Select | $6,765.01 | ↑ +305% |
| AVMED | BROAD | $8,802.20 | ↑ +427% |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products Anesthesia | 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 | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy/removal lymph nodes at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $1,671.80 | $217.47 – $4,497.69 |
| martin north hospital | Stuart | $1,671.80 | $340.37 – $4,497.69 |
| AdventHealth Orlando | Orlando | $13,626.00 | $4,088.81 – $10,835.33 |
| Adventhealth Carrollwood | Tampa | $39,361.95 | $537.00 – $9,077.15 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,884.37 – $6,824.22 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $3,884.37 – $8,733.28 |
| Adventhealth Tampa | Tampa | not published | $537.00 – $9,077.15 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $3,884.37 – $8,932.00 |