Biopsy/soft tissue/neck or thorax 21550 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$6,055.40
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.
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What you pay up front if you don't use insurance.
$9,316.00
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.
$75.62 with Optum vs $7,992.00 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 | $75.62 | ↓ -99% |
| Blue Cross | Health Options | $146.74 | ↓ -98% |
| Blue Cross | Network Blue | $150.35 | ↓ -98% |
| Value Options | Medicare Advantage | $153.32 | ↓ -97% |
| Blue Cross | Medicare Advantage HMO | $153.32 | ↓ -97% |
| Careplus | Medicare Advantage | $153.32 | ↓ -97% |
| Avmed | Medicare Advantage | $153.32 | ↓ -97% |
| Magellan | Medicare Advantage | $153.32 | ↓ -97% |
| Wellcare | Medicare Advantage | $153.32 | ↓ -97% |
| Blue Cross | Medicare Advantage PPO | $153.32 | ↓ -97% |
| Blue Cross | Traditional (PPS) | $153.96 | ↓ -97% |
| Blue Cross | Perferred Patient Care | $153.96 | ↓ -97% |
| United | Medicare Advantage | $159.68 | ↓ -97% |
| Freedom Health | Medicare Advantage | $160.99 | ↓ -97% |
| WellMed | Medicare Advantage | $160.99 | ↓ -97% |
| Independent Living Systems | Medicare Advantage | $160.99 | ↓ -97% |
| Clear Spring Health | All Products | $165.59 | ↓ -97% |
| Aetna | Medicare Advantage Behavioral Health | $183.98 | ↓ -97% |
| Aetna | Medicare Advantage PCP | $190.12 | ↓ -97% |
| Clear Spring Health | ALL PRODUCTS | $191.96 | ↓ -97% |
| Aetna | Medicare Advantage Specialist | $193.18 | ↓ -97% |
| Molina | Managed Medicaid | $202.73 | ↓ -97% |
| AmeriHealth | Managed Medicaid | $202.73 | ↓ -97% |
| Wellcare | Managed Medicaid | $202.73 | ↓ -97% |
| Medicaid | Managed Medicaid | $202.73 | ↓ -97% |
| Value Options | Managed Medicaid | $202.73 | ↓ -97% |
| Avmed | Exchange | $213.53 | ↓ -96% |
| Avmed | Select | $221.74 | ↓ -96% |
| Avmed | Broad | $238.16 | ↓ -96% |
| Aetna | POS First Health | $245.76 | ↓ -96% |
| United | All Products | $310.78 | ↓ -95% |
| Cigna | Individual Family Plan Mid-Level | $373.01 | ↓ -94% |
| Cigna | Surefit Mid-Level | $380.16 | ↓ -94% |
| Aetna | PPO First Health | $399.20 | ↓ -93% |
| Cigna | All Products Mid-Level | $410.52 | ↓ -93% |
| Cigna | Individual Family Plan Physician | $438.86 | ↓ -93% |
| Cigna | Surefit Physician | $447.25 | ↓ -93% |
| Cigna | All Products Physician | $483.01 | ↓ -92% |
| Clarity Health | All Products | $548.60 | ↓ -91% |
| The Legacy Companies | All Products | $548.60 | ↓ -91% |
| Three Rivers | All Products | $548.60 | ↓ -91% |
| Consociate Health | ALL PRODUCTS | $633.00 | ↓ -90% |
| National Provider Network | All Products | $717.40 | ↓ -88% |
| Aetna | All Products First Health | $759.60 | ↓ -87% |
| OPTUM | Managed Medicaid | $1,419.15 | ↓ -77% |
| SUNSHINE HEALTH | Managed Medicaid | $1,493.84 | ↓ -75% |
| MOLINA | Florida KidCare | $1,493.84 | ↓ -75% |
| AMERIHEALTH | Managed Medicaid | $1,493.84 | ↓ -75% |
| Carelon BH Strategies | Managed Medicaid | $1,493.84 | ↓ -75% |
| Molina | Florida Kidcare | $1,493.84 | ↓ -75% |
| MOLINA | Managed Medicaid | $1,568.53 | ↓ -74% |
| HUMANA | Medicare Advantage HMO | $1,626.36 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $1,626.36 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $1,626.36 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $1,626.36 | ↓ -73% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $1,626.36 | ↓ -73% |
| Careplus | MEDICARE ADVANTAGE | $1,626.36 | ↓ -73% |
| Freedom Health | MEDICARE ADVANTAGE | $1,626.36 | ↓ -73% |
| AETNA | Managed Medicaid/CHIP | $1,643.22 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $1,691.42 | ↓ -72% |
| Independent Living Systems | MEDICARE ADVANTAGE | $1,707.68 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $1,724.73 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $1,724.73 | ↓ -72% |
| WellMed | MEDICARE ADVANTAGE | $1,724.73 | ↓ -72% |
| Independent Living Systems | Managed Medicaid | $1,792.61 | ↓ -70% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,897.20 | ↓ -69% |
| AETNA | QHP | $2,179.94 | ↓ -64% |
| CIGNA | Individual Family Plan | $2,394.21 | ↓ -60% |
| AVMED | EXCHANGE | $2,553.39 | ↓ -58% |
| AVMED | Select | $2,862.40 | ↓ -53% |
| CIGNA | SUREFIT | $2,887.96 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $2,962.49 | ↓ -51% |
| AETNA | ALL PRODUCTS | $3,316.50 | ↓ -45% |
| AVMED | BROAD | $3,724.37 | ↓ -38% |
| BLUE CROSS | BSL | $4,328.00 | ↓ -29% |
| BLUE CROSS | HMO | $4,328.00 | ↓ -29% |
| BMI | ALL PRODUCTS | $4,658.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $5,589.60 | ↓ -8% |
| BLUE CROSS | NWBI | $5,723.00 | ↓ -5% |
| BLUE CROSS | NWB | $5,723.00 | ↓ -5% |
| The Legacy Companies | ALL PRODUCTS | $6,055.40 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $6,055.40 | ↑ +0% |
| MULTIPLAN | ALL PRODUCTS | $7,452.80 | ↑ +23% |
| AETNA | All Products First Health | $7,452.80 | ↑ +23% |
| BLUE CROSS | PHS | $7,992.00 | ↑ +32% |
| BLUE CROSS | PPO | $7,992.00 | ↑ +32% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| UNITED | NHP | 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 | — |
Visitor-reported prices
Comments
Biopsy/soft tissue/neck or thorax 21550 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $4,155.14 | $1,638.49 – $2,878.57 |
| Adventhealth Palm Coast Parkway | Palm Coast | $4,704.99 | $1,638.49 – $3,683.85 |
| Adventhealth Tampa | Tampa | $5,146.37 | $1,724.73 – $3,828.90 |
| cleveland clinic florida weston hospital | Weston | $6,055.40 | $75.62 – $7,918.60 |
| martin north hospital | Stuart | $6,055.40 | $122.69 – $4,658.00 |
| Bethesda Hospital East | BOYNTON BEACH | $1,221.35 | $377.68 – $1,793.72 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $1,221.35 | $326.95 – $1,897.20 |
| Adventhealth Palm Coast | Palm Coast | $4,704.99 | $1,638.49 – $3,683.85 |