Brace or Splint Fitting and Training (each 15 minutes) at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$239.85
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.
$369.00
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.
$20.97 with OPTUM vs $723.00 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 | $20.97 | ↓ -91% |
| AMERIHEALTH | Managed Medicaid | $22.07 | ↓ -91% |
| Wellcare | Managed Medicaid | $22.07 | ↓ -91% |
| MOLINA | Florida KidCare | $22.07 | ↓ -91% |
| Carelon BH Strategies | Managed Medicaid | $22.07 | ↓ -91% |
| Medicaid | Managed Medicaid | $22.07 | ↓ -91% |
| SUNSHINE HEALTH | Managed Medicaid | $22.07 | ↓ -91% |
| Molina | Florida Kidcare | $22.07 | ↓ -91% |
| MOLINA | Managed Medicaid | $23.17 | ↓ -90% |
| AETNA | Managed Medicaid/CHIP | $24.28 | ↓ -90% |
| Independent Living Systems | Managed Medicaid | $26.48 | ↓ -89% |
| Optum | Managed Medicaid | $32.75 | ↓ -86% |
| Blue Cross | Health Options | $33.43 | ↓ -86% |
| Blue Cross | Network Blue | $34.26 | ↓ -86% |
| Blue Cross | Traditional (PPS) | $35.08 | ↓ -85% |
| Blue Cross | Perferred Patient Care | $35.08 | ↓ -85% |
| United | All Products | $43.02 | ↓ -82% |
| United | Medicare Advantage | $46.12 | ↓ -81% |
| Magellan | Medicare Advantage | $46.97 | ↓ -80% |
| Value Options | Medicare Advantage | $46.97 | ↓ -80% |
| Wellcare | Medicare Advantage | $46.97 | ↓ -80% |
| Blue Cross | Medicare Advantage PPO | $46.97 | ↓ -80% |
| Blue Cross | Medicare Advantage HMO | $46.97 | ↓ -80% |
| Avmed | Medicare Advantage | $46.97 | ↓ -80% |
| Careplus | Medicare Advantage | $46.97 | ↓ -80% |
| Independent Living Systems | Medicare Advantage | $48.43 | ↓ -80% |
| WellMed | Medicare Advantage | $49.32 | ↓ -79% |
| Freedom Health | Medicare Advantage | $49.32 | ↓ -79% |
| Clear Spring Health | All Products | $50.73 | ↓ -79% |
| Aetna | Medicare Advantage Behavioral Health | $56.36 | ↓ -77% |
| Aetna | Medicare Advantage PCP | $58.24 | ↓ -76% |
| Aetna | Medicare Advantage Specialist | $59.18 | ↓ -75% |
| HUMANA | Medicare Advantage HMO | $60.21 | ↓ -75% |
| UNITED | MEDICARE ADVANTAGE | $60.21 | ↓ -75% |
| BLUE CROSS | Medicare Advantage HMO | $60.21 | ↓ -75% |
| BLUE CROSS | Medicare Advantage PPO | $60.21 | ↓ -75% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $60.21 | ↓ -75% |
| Careplus | MEDICARE ADVANTAGE | $60.21 | ↓ -75% |
| Freedom Health | MEDICARE ADVANTAGE | $60.21 | ↓ -75% |
| Wellcare | MEDICARE ADVANTAGE | $60.62 | ↓ -75% |
| AETNA | MEDICARE ADVANTAGE | $60.62 | ↓ -75% |
| WellMed | MEDICARE ADVANTAGE | $60.62 | ↓ -75% |
| Avmed | Exchange | $62.14 | ↓ -74% |
| AVMED | MEDICARE ADVANTAGE | $62.62 | ↓ -74% |
| Independent Living Systems | MEDICARE ADVANTAGE | $63.22 | ↓ -74% |
| Avmed | Select | $64.53 | ↓ -73% |
| Clear Spring Health | ALL PRODUCTS | $65.47 | ↓ -73% |
| DEVOTED HEALTH | Medicare Advantage HMO | $66.68 | ↓ -72% |
| Avmed | Broad | $69.31 | ↓ -71% |
| Aetna | PPO First Health | $70.71 | ↓ -71% |
| CIGNA | Individual Family Plan | $84.58 | ↓ -65% |
| AVMED | Select | $88.56 | ↓ -63% |
| AVMED | EXCHANGE | $88.56 | ↓ -63% |
| Aetna | POS First Health | $90.00 | ↓ -62% |
| CIGNA | SUREFIT | $102.41 | ↓ -57% |
| CIGNA | ALL PRODUCTS | $107.08 | ↓ -55% |
| AVMED | BROAD | $114.39 | ↓ -52% |
| The Legacy Companies | All Products | $130.00 | ↓ -46% |
| Clarity Health | All Products | $130.00 | ↓ -46% |
| Three Rivers | All Products | $130.00 | ↓ -46% |
| AETNA | QHP | $146.00 | ↓ -39% |
| Consociate Health | ALL PRODUCTS | $150.00 | ↓ -37% |
| UNITED | NHP | $168.00 | ↓ -30% |
| National Provider Network | All Products | $170.00 | ↓ -29% |
| Aetna | All Products First Health | $180.00 | ↓ -25% |
| BMI | ALL PRODUCTS | $184.50 | ↓ -23% |
| Cigna | Surefit Mid-Level | $200.00 | ↓ -17% |
| Cigna | All Products Mid-Level | $200.00 | ↓ -17% |
| Cigna | All Products Physician | $200.00 | ↓ -17% |
| Cigna | Individual Family Plan Mid-Level | $200.00 | ↓ -17% |
| Cigna | Individual Family Plan Physician | $200.00 | ↓ -17% |
| Cigna | Surefit Physician | $200.00 | ↓ -17% |
| UNITED | ALL PRODUCTS | $213.00 | ↓ -11% |
| UNITED | International | $213.00 | ↓ -11% |
| MAGELLAN | ALL PRODUCTS | $221.40 | ↓ -8% |
| AETNA | ALL PRODUCTS | $235.00 | ↓ -2% |
| Clarity Health | ALL PRODUCTS | $239.85 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $239.85 | ↑ +0% |
| MULTIPLAN | ALL PRODUCTS | $295.20 | ↑ +23% |
| AETNA | All Products First Health | $295.20 | ↑ +23% |
| BLUE CROSS | HMO | $394.00 | ↑ +64% |
| BLUE CROSS | BSL | $394.00 | ↑ +64% |
| BLUE CROSS | NWB | $458.00 | ↑ +91% |
| BLUE CROSS | NWBI | $458.00 | ↑ +91% |
| BLUE CROSS | PPO | $656.00 | ↑ +174% |
| BLUE CROSS | PHS | $723.00 | ↑ +201% |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | 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 Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Brace or Splint Fitting and Training (each 15 minutes) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $139.48 | $45.41 – $79.78 |
| Adventhealth Lake Wales | Lake Wales | $342.70 | $47.80 – $106.12 |
| Adventhealth Palm Coast Parkway | Palm Coast | $106.94 | not published |
| Adventhealth Tampa | Tampa | $282.32 | $47.80 – $106.12 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $177.30 | $45.41 – $104.42 |
| Adventhealth Port Charlotte | Port Charlotte | $446.85 | not published |
| cleveland clinic florida weston hospital | Weston | $239.85 | $20.97 – $313.65 |
| martin north hospital | Stuart | $239.85 | $22.07 – $200.00 |