Brain MRI (without contrast) at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,643.85
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.
$2,529.00
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.
$65.36 with Blue Cross vs $1,814.00 with AETNA — 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 |
|---|---|---|---|
| Blue Cross | Health Options | $65.36 | ↓ -96% |
| Blue Cross | Network Blue | $66.97 | ↓ -96% |
| Blue Cross | Traditional (PPS) | $68.58 | ↓ -96% |
| Blue Cross | Perferred Patient Care | $68.58 | ↓ -96% |
| United | Medicare Advantage | $68.99 | ↓ -96% |
| Avmed | Medicare Advantage | $70.53 | ↓ -96% |
| Magellan | Medicare Advantage | $70.53 | ↓ -96% |
| Careplus | Medicare Advantage | $70.53 | ↓ -96% |
| Blue Cross | Medicare Advantage PPO | $70.53 | ↓ -96% |
| Blue Cross | Medicare Advantage HMO | $70.53 | ↓ -96% |
| Wellcare | Medicare Advantage | $70.53 | ↓ -96% |
| Value Options | Medicare Advantage | $70.53 | ↓ -96% |
| Independent Living Systems | Medicare Advantage | $72.44 | ↓ -96% |
| Freedom Health | Medicare Advantage | $74.06 | ↓ -95% |
| WellMed | Medicare Advantage | $74.06 | ↓ -95% |
| Clear Spring Health | All Products | $76.17 | ↓ -95% |
| Aetna | Medicare Advantage Behavioral Health | $84.64 | ↓ -95% |
| Aetna | Medicare Advantage PCP | $87.46 | ↓ -95% |
| Aetna | Medicare Advantage Specialist | $88.87 | ↓ -95% |
| United | All Products | $91.49 | ↓ -94% |
| Avmed | Exchange | $92.63 | ↓ -94% |
| Avmed | Select | $96.19 | ↓ -94% |
| Avmed | Broad | $103.31 | ↓ -94% |
| OPTUM | Managed Medicaid | $145.46 | ↓ -91% |
| AMERIHEALTH | Managed Medicaid | $153.12 | ↓ -91% |
| Molina | Florida Kidcare | $153.12 | ↓ -91% |
| Medicaid | Managed Medicaid | $153.12 | ↓ -91% |
| MOLINA | Florida KidCare | $153.12 | ↓ -91% |
| SUNSHINE HEALTH | Managed Medicaid | $153.12 | ↓ -91% |
| Wellcare | Managed Medicaid | $153.12 | ↓ -91% |
| Carelon BH Strategies | Managed Medicaid | $153.12 | ↓ -91% |
| Aetna | All Products Behavioral Health | $156.13 | ↓ -91% |
| MOLINA | Managed Medicaid | $160.78 | ↓ -90% |
| Aetna | All Products Anesthesia | $161.34 | ↓ -90% |
| AETNA | Managed Medicaid/CHIP | $168.43 | ↓ -90% |
| Independent Living Systems | Managed Medicaid | $183.74 | ↓ -89% |
| Optum | Managed Medicaid | $189.40 | ↓ -88% |
| Aetna | Medical Rental | $198.91 | ↓ -88% |
| Aetna | All Products PCP | $208.38 | ↓ -87% |
| BLUE CROSS | Medicare Advantage HMO | $242.63 | ↓ -85% |
| UNITED | MEDICARE ADVANTAGE | $242.63 | ↓ -85% |
| BLUE CROSS | Medicare Advantage PPO | $242.63 | ↓ -85% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $242.63 | ↓ -85% |
| Careplus | MEDICARE ADVANTAGE | $242.63 | ↓ -85% |
| HUMANA | Medicare Advantage HMO | $242.63 | ↓ -85% |
| Freedom Health | MEDICARE ADVANTAGE | $242.63 | ↓ -85% |
| Wellcare | MEDICARE ADVANTAGE | $249.17 | ↓ -85% |
| WellMed | MEDICARE ADVANTAGE | $249.17 | ↓ -85% |
| AETNA | MEDICARE ADVANTAGE | $249.17 | ↓ -85% |
| AVMED | MEDICARE ADVANTAGE | $252.34 | ↓ -85% |
| Independent Living Systems | MEDICARE ADVANTAGE | $254.77 | ↓ -85% |
| Aetna | All Products Specialist | $256.32 | ↓ -84% |
| DEVOTED HEALTH | Medicare Advantage HMO | $274.08 | ↓ -83% |
| Clear Spring Health | ALL PRODUCTS | $283.79 | ↓ -83% |
| Aetna | POS First Health | $300.00 | ↓ -82% |
| AVMED | EXCHANGE | $380.93 | ↓ -77% |
| Three Rivers | All Products | $423.15 | ↓ -74% |
| Clarity Health | All Products | $423.15 | ↓ -74% |
| The Legacy Companies | All Products | $423.15 | ↓ -74% |
| Aetna | PPO First Health | $425.00 | ↓ -74% |
| AVMED | Select | $427.04 | ↓ -74% |
| Consociate Health | ALL PRODUCTS | $488.25 | ↓ -70% |
| CIGNA | Individual Family Plan | $535.85 | ↓ -67% |
| National Provider Network | All Products | $553.35 | ↓ -66% |
| AVMED | BROAD | $555.63 | ↓ -66% |
| Aetna | All Products First Health | $585.90 | ↓ -64% |
| BLUE CROSS | BSL | $616.00 | ↓ -63% |
| BLUE CROSS | HMO | $616.00 | ↓ -63% |
| BLUE CROSS | NWB | $642.00 | ↓ -61% |
| BLUE CROSS | NWBI | $642.00 | ↓ -61% |
| CIGNA | SUREFIT | $646.35 | ↓ -61% |
| Cigna | Individual Family Plan Mid-Level | $651.00 | ↓ -60% |
| Cigna | Individual Family Plan Physician | $651.00 | ↓ -60% |
| Cigna | Surefit Mid-Level | $651.00 | ↓ -60% |
| Cigna | Surefit Physician | $651.00 | ↓ -60% |
| Cigna | All Products Mid-Level | $651.00 | ↓ -60% |
| Cigna | All Products Physician | $651.00 | ↓ -60% |
| CIGNA | ALL PRODUCTS | $663.03 | ↓ -60% |
| BLUE CROSS | PPO | $697.00 | ↓ -58% |
| BLUE CROSS | PHS | $697.00 | ↓ -58% |
| BMI | ALL PRODUCTS | $1,042.50 | ↓ -37% |
| AETNA | QHP | $1,119.00 | ↓ -32% |
| MAGELLAN | ALL PRODUCTS | $1,251.00 | ↓ -24% |
| Clarity Health | ALL PRODUCTS | $1,355.25 | ↓ -18% |
| The Legacy Companies | ALL PRODUCTS | $1,355.25 | ↓ -18% |
| AETNA | All Products First Health | $1,668.00 | ↑ +1% |
| MULTIPLAN | ALL PRODUCTS | $1,668.00 | ↑ +1% |
| AETNA | ALL PRODUCTS | $1,814.00 | ↑ +10% |
| UNITED | NHP | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Brain MRI (without contrast) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $5,130.95 | $236.71 – $517.67 |
| Adventhealth Lake Wales | Lake Wales | $13,405.00 | $249.17 – $553.15 |
| Adventhealth Palm Coast Parkway | Palm Coast | $4,395.32 | $236.71 – $703.89 |
| Adventhealth Tampa | Tampa | $5,841.17 | $249.17 – $553.15 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $4,290.74 | $236.71 – $675.95 |
| Adventhealth Port Charlotte | Port Charlotte | $7,833.94 | $249.17 – $454.98 |
| cleveland clinic florida weston hospital | Weston | $1,778.40 | $61.08 – $1,772.25 |
| martin north hospital | Stuart | $1,643.85 | $54.65 – $1,042.50 |