healthcosts.net
Bone Density Scan (DEXA) at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$596.70
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.
$918.00
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.
$8.97 with Blue Cross vs $734.40 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 |
|---|---|---|---|
| Blue Cross | Health Options | $8.97 | ↓ -98% |
| Blue Cross | Network Blue | $9.19 | ↓ -98% |
| United | Medicare Advantage | $9.30 | ↓ -98% |
| Blue Cross | Traditional (PPS) | $9.41 | ↓ -98% |
| Blue Cross | Perferred Patient Care | $9.41 | ↓ -98% |
| Avmed | Medicare Advantage | $9.70 | ↓ -98% |
| Value Options | Medicare Advantage | $9.70 | ↓ -98% |
| Magellan | Medicare Advantage | $9.70 | ↓ -98% |
| Careplus | Medicare Advantage | $9.70 | ↓ -98% |
| Wellcare | Medicare Advantage | $9.70 | ↓ -98% |
| Blue Cross | Medicare Advantage PPO | $9.70 | ↓ -98% |
| Blue Cross | Medicare Advantage HMO | $9.70 | ↓ -98% |
| Independent Living Systems | Medicare Advantage | $9.77 | ↓ -98% |
| Freedom Health | Medicare Advantage | $10.19 | ↓ -98% |
| WellMed | Medicare Advantage | $10.19 | ↓ -98% |
| Clear Spring Health | All Products | $10.48 | ↓ -98% |
| Aetna | Medicare Advantage Behavioral Health | $11.64 | ↓ -98% |
| Aetna | Medicare Advantage PCP | $12.03 | ↓ -98% |
| Aetna | Medicare Advantage Specialist | $12.22 | ↓ -98% |
| United | All Products | $12.29 | ↓ -98% |
| Avmed | Exchange | $12.44 | ↓ -98% |
| Avmed | Select | $12.92 | ↓ -98% |
| Avmed | Broad | $13.88 | ↓ -98% |
| Aetna | PPO First Health | $16.33 | ↓ -97% |
| Aetna | POS First Health | $39.60 | ↓ -93% |
| OPTUM | Managed Medicaid | $44.50 | ↓ -93% |
| MOLINA | Florida KidCare | $46.84 | ↓ -92% |
| Medicaid | Managed Medicaid | $46.84 | ↓ -92% |
| AMERIHEALTH | Managed Medicaid | $46.84 | ↓ -92% |
| Molina | Florida Kidcare | $46.84 | ↓ -92% |
| Wellcare | Managed Medicaid | $46.84 | ↓ -92% |
| SUNSHINE HEALTH | Managed Medicaid | $46.84 | ↓ -92% |
| Carelon BH Strategies | Managed Medicaid | $46.84 | ↓ -92% |
| MOLINA | Managed Medicaid | $49.18 | ↓ -92% |
| AETNA | Managed Medicaid/CHIP | $51.52 | ↓ -91% |
| Independent Living Systems | Managed Medicaid | $56.21 | ↓ -91% |
| Clarity Health | All Products | $57.20 | ↓ -90% |
| Three Rivers | All Products | $57.20 | ↓ -90% |
| The Legacy Companies | All Products | $57.20 | ↓ -90% |
| Clear Spring Health | ALL PRODUCTS | $58.33 | ↓ -90% |
| Consociate Health | ALL PRODUCTS | $66.00 | ↓ -89% |
| National Provider Network | All Products | $74.80 | ↓ -87% |
| Aetna | All Products First Health | $79.20 | ↓ -87% |
| Cigna | Individual Family Plan Mid-Level | $88.00 | ↓ -85% |
| Cigna | Surefit Physician | $88.00 | ↓ -85% |
| Cigna | All Products Physician | $88.00 | ↓ -85% |
| Cigna | All Products Mid-Level | $88.00 | ↓ -85% |
| Cigna | Individual Family Plan Physician | $88.00 | ↓ -85% |
| Cigna | Surefit Mid-Level | $88.00 | ↓ -85% |
| UNITED | MEDICARE ADVANTAGE | $106.74 | ↓ -82% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $106.74 | ↓ -82% |
| Careplus | MEDICARE ADVANTAGE | $106.74 | ↓ -82% |
| Freedom Health | MEDICARE ADVANTAGE | $106.74 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $106.74 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $106.74 | ↓ -82% |
| BLUE CROSS | Medicare Advantage PPO | $106.74 | ↓ -82% |
| Wellcare | MEDICARE ADVANTAGE | $109.17 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $109.17 | ↓ -82% |
| WellMed | MEDICARE ADVANTAGE | $109.17 | ↓ -82% |
| AVMED | MEDICARE ADVANTAGE | $111.01 | ↓ -81% |
| Independent Living Systems | MEDICARE ADVANTAGE | $112.08 | ↓ -81% |
| DEVOTED HEALTH | Medicare Advantage HMO | $120.09 | ↓ -80% |
| AVMED | EXCHANGE | $167.58 | ↓ -72% |
| AVMED | Select | $187.87 | ↓ -69% |
| BLUE CROSS | HMO | $212.00 | ↓ -64% |
| BLUE CROSS | BSL | $212.00 | ↓ -64% |
| AETNA | QHP | $214.81 | ↓ -64% |
| CIGNA | Individual Family Plan | $235.93 | ↓ -60% |
| BLUE CROSS | NWBI | $237.00 | ↓ -60% |
| BLUE CROSS | NWB | $237.00 | ↓ -60% |
| AVMED | BROAD | $244.44 | ↓ -59% |
| BLUE CROSS | PHS | $265.00 | ↓ -56% |
| BLUE CROSS | PPO | $265.00 | ↓ -56% |
| CIGNA | SUREFIT | $284.58 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $291.92 | ↓ -51% |
| AETNA | ALL PRODUCTS | $326.81 | ↓ -45% |
| BMI | ALL PRODUCTS | $459.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $550.80 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $596.70 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $596.70 | ↑ +0% |
| MULTIPLAN | ALL PRODUCTS | $734.40 | ↑ +23% |
| AETNA | All Products First Health | $734.40 | ↑ +23% |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| Optum | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Bone Density Scan (DEXA) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $653.90 | $8.38 – $780.30 |
| martin north hospital | Stuart | $596.70 | $7.50 – $459.00 |
| Bethesda Hospital East | BOYNTON BEACH | $546.00 | $47.84 – $756.00 |
| Boca Raton Regional Hospital | BOCA RATON | $488.80 | $107.21 – $491.06 |
| Doctors Hospital | CORAL GABLES | $546.00 | $46.38 – $756.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $546.00 | $46.38 – $756.00 |
| Fishermens Community Hospital | MARATHON | $546.00 | $46.38 – $756.00 |
| Homestead Hospital | HOMESTEAD | $546.00 | $46.38 – $756.00 |