Bone/joint imaging ltd area at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$161.20
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.
$248.00
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.
$23.51 with Aetna vs $923.67 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 |
|---|---|---|---|
| Aetna | PPO First Health | $23.51 | ↓ -85% |
| Blue Cross | Health Options | $27.21 | ↓ -83% |
| Blue Cross | Network Blue | $27.88 | ↓ -83% |
| Blue Cross | Perferred Patient Care | $28.55 | ↓ -82% |
| Blue Cross | Traditional (PPS) | $28.55 | ↓ -82% |
| United | Medicare Advantage | $28.87 | ↓ -82% |
| Avmed | Medicare Advantage | $29.10 | ↓ -82% |
| Wellcare | Medicare Advantage | $29.10 | ↓ -82% |
| Careplus | Medicare Advantage | $29.10 | ↓ -82% |
| Value Options | Medicare Advantage | $29.10 | ↓ -82% |
| Blue Cross | Medicare Advantage PPO | $29.10 | ↓ -82% |
| Blue Cross | Medicare Advantage HMO | $29.10 | ↓ -82% |
| Magellan | Medicare Advantage | $29.10 | ↓ -82% |
| Independent Living Systems | Medicare Advantage | $30.31 | ↓ -81% |
| WellMed | Medicare Advantage | $30.56 | ↓ -81% |
| Freedom Health | Medicare Advantage | $30.56 | ↓ -81% |
| Clear Spring Health | All Products | $31.43 | ↓ -81% |
| Aetna | Medicare Advantage Behavioral Health | $34.92 | ↓ -78% |
| Aetna | Medicare Advantage PCP | $36.08 | ↓ -78% |
| Aetna | Medicare Advantage Specialist | $36.67 | ↓ -77% |
| United | All Products | $37.72 | ↓ -77% |
| Avmed | Exchange | $38.19 | ↓ -76% |
| Avmed | Select | $39.66 | ↓ -75% |
| Avmed | Broad | $42.60 | ↓ -74% |
| Aetna | POS First Health | $111.60 | ↓ -31% |
| The Legacy Companies | All Products | $161.20 | ↑ +0% |
| Clarity Health | All Products | $161.20 | ↑ +0% |
| Three Rivers | All Products | $161.20 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $186.00 | ↑ +15% |
| National Provider Network | All Products | $210.80 | ↑ +31% |
| Aetna | All Products First Health | $223.20 | ↑ +38% |
| OPTUM | Managed Medicaid | $225.17 | ↑ +40% |
| MOLINA | Florida KidCare | $237.02 | ↑ +47% |
| AMERIHEALTH | Managed Medicaid | $237.02 | ↑ +47% |
| Carelon BH Strategies | Managed Medicaid | $237.02 | ↑ +47% |
| Medicaid | Managed Medicaid | $237.02 | ↑ +47% |
| Molina | Florida Kidcare | $237.02 | ↑ +47% |
| SUNSHINE HEALTH | Managed Medicaid | $237.02 | ↑ +47% |
| Wellcare | Managed Medicaid | $237.02 | ↑ +47% |
| Cigna | Individual Family Plan Mid-Level | $248.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $248.00 | ↑ +54% |
| Cigna | Surefit Physician | $248.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $248.00 | ↑ +54% |
| Cigna | All Products Physician | $248.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $248.00 | ↑ +54% |
| MOLINA | Managed Medicaid | $248.87 | ↑ +54% |
| AETNA | Managed Medicaid/CHIP | $260.72 | ↑ +62% |
| Independent Living Systems | Managed Medicaid | $284.42 | ↑ +76% |
| BLUE CROSS | Medicare Advantage HMO | $403.35 | ↑ +150% |
| Freedom Health | MEDICARE ADVANTAGE | $403.35 | ↑ +150% |
| HUMANA | Medicare Advantage HMO | $403.35 | ↑ +150% |
| BLUE CROSS | Medicare Advantage PPO | $403.35 | ↑ +150% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $403.35 | ↑ +150% |
| Careplus | MEDICARE ADVANTAGE | $403.35 | ↑ +150% |
| UNITED | MEDICARE ADVANTAGE | $403.35 | ↑ +150% |
| WellMed | MEDICARE ADVANTAGE | $417.47 | ↑ +159% |
| Wellcare | MEDICARE ADVANTAGE | $417.47 | ↑ +159% |
| AETNA | MEDICARE ADVANTAGE | $417.47 | ↑ +159% |
| AVMED | MEDICARE ADVANTAGE | $419.48 | ↑ +160% |
| Independent Living Systems | MEDICARE ADVANTAGE | $423.52 | ↑ +163% |
| DEVOTED HEALTH | Medicare Advantage HMO | $459.22 | ↑ +185% |
| AVMED | EXCHANGE | $633.26 | ↑ +293% |
| AVMED | Select | $709.89 | ↑ +340% |
| AVMED | BROAD | $923.67 | ↑ +473% |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Optum | Managed Medicaid | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
Visitor-reported prices
Comments
Bone/joint imaging ltd area at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $4,608.45 | $396.60 – $696.76 |
| Adventhealth Lake Wales | Lake Wales | $3,443.60 | $417.47 – $926.79 |
| Adventhealth Palm Coast Parkway | Palm Coast | $4,497.61 | $396.60 – $891.68 |
| Adventhealth Tampa | Tampa | $1,530.24 | $417.47 – $926.79 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,075.58 | $396.60 – $911.97 |
| Adventhealth Port Charlotte | Port Charlotte | $2,772.48 | $417.47 – $762.31 |
| cleveland clinic florida weston hospital | Weston | $2,414.10 | $25.42 – $2,946.10 |
| martin north hospital | Stuart | $2,252.90 | $22.75 – $1,733.00 |