Breast augmentation 19325 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$2,322.45
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.
$3,573.00
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.
$353.02 with Optum vs $21,995.96 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 |
|---|---|---|---|
| Optum | Managed Medicaid | $353.02 | ↓ -85% |
| Medicaid | Managed Medicaid | $478.73 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $478.73 | ↓ -79% |
| Molina | Managed Medicaid | $478.73 | ↓ -79% |
| Wellcare | Managed Medicaid | $478.73 | ↓ -79% |
| Value Options | Managed Medicaid | $478.73 | ↓ -79% |
| Blue Cross | Medicare Advantage PPO | $612.41 | ↓ -74% |
| Value Options | Medicare Advantage | $612.41 | ↓ -74% |
| Magellan | Medicare Advantage | $612.41 | ↓ -74% |
| Careplus | Medicare Advantage | $612.41 | ↓ -74% |
| Avmed | Medicare Advantage | $612.41 | ↓ -74% |
| Wellcare | Medicare Advantage | $612.41 | ↓ -74% |
| Blue Cross | Medicare Advantage HMO | $612.41 | ↓ -74% |
| Blue Cross | Health Options | $615.11 | ↓ -74% |
| Blue Cross | Network Blue | $630.23 | ↓ -73% |
| Independent Living Systems | Medicare Advantage | $643.03 | ↓ -72% |
| WellMed | Medicare Advantage | $643.03 | ↓ -72% |
| Freedom Health | Medicare Advantage | $643.03 | ↓ -72% |
| United | Medicare Advantage | $643.27 | ↓ -72% |
| Blue Cross | Traditional (PPS) | $645.36 | ↓ -72% |
| Blue Cross | Perferred Patient Care | $645.36 | ↓ -72% |
| Clear Spring Health | All Products | $661.40 | ↓ -72% |
| Aetna | Medicare Advantage Behavioral Health | $734.89 | ↓ -68% |
| Aetna | Medicare Advantage PCP | $759.39 | ↓ -67% |
| Aetna | Medicare Advantage Specialist | $771.64 | ↓ -67% |
| Avmed | Exchange | $852.70 | ↓ -63% |
| Avmed | Select | $885.49 | ↓ -62% |
| Avmed | Broad | $951.08 | ↓ -59% |
| Aetna | PPO First Health | $1,012.84 | ↓ -56% |
| Aetna | POS First Health | $1,125.00 | ↓ -52% |
| United | All Products | $1,241.07 | ↓ -47% |
| Clarity Health | All Products | $1,625.00 | ↓ -30% |
| The Legacy Companies | All Products | $1,625.00 | ↓ -30% |
| Three Rivers | All Products | $1,625.00 | ↓ -30% |
| Consociate Health | ALL PRODUCTS | $1,875.00 | ↓ -19% |
| National Provider Network | All Products | $2,125.00 | ↓ -9% |
| OPTUM | Managed Medicaid | $2,132.55 | ↓ -8% |
| MOLINA | Florida KidCare | $2,244.79 | ↓ -3% |
| AMERIHEALTH | Managed Medicaid | $2,244.79 | ↓ -3% |
| Carelon BH Strategies | Managed Medicaid | $2,244.79 | ↓ -3% |
| Molina | Florida Kidcare | $2,244.79 | ↓ -3% |
| SUNSHINE HEALTH | Managed Medicaid | $2,244.79 | ↓ -3% |
| Aetna | All Products First Health | $2,250.00 | ↓ -3% |
| MOLINA | Managed Medicaid | $2,357.03 | ↑ +1% |
| AETNA | Managed Medicaid/CHIP | $2,469.27 | ↑ +6% |
| Cigna | Individual Family Plan Physician | $2,500.00 | ↑ +8% |
| Cigna | Individual Family Plan Mid-Level | $2,500.00 | ↑ +8% |
| Cigna | All Products Physician | $2,500.00 | ↑ +8% |
| Cigna | All Products Mid-Level | $2,500.00 | ↑ +8% |
| Cigna | Surefit Physician | $2,500.00 | ↑ +8% |
| Cigna | Surefit Mid-Level | $2,500.00 | ↑ +8% |
| Independent Living Systems | Managed Medicaid | $2,693.75 | ↑ +16% |
| WellMed | MEDICARE ADVANTAGE | $8,535.30 | ↑ +268% |
| Wellcare | MEDICARE ADVANTAGE | $8,535.30 | ↑ +268% |
| AETNA | MEDICARE ADVANTAGE | $8,535.30 | ↑ +268% |
| DEVOTED HEALTH | Medicare Advantage HMO | $9,388.83 | ↑ +304% |
| Freedom Health | MEDICARE ADVANTAGE | $9,605.22 | ↑ +314% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $9,605.22 | ↑ +314% |
| HUMANA | Medicare Advantage HMO | $9,605.22 | ↑ +314% |
| BLUE CROSS | Medicare Advantage HMO | $9,605.22 | ↑ +314% |
| UNITED | MEDICARE ADVANTAGE | $9,605.22 | ↑ +314% |
| BLUE CROSS | Medicare Advantage PPO | $9,605.22 | ↑ +314% |
| Careplus | MEDICARE ADVANTAGE | $9,605.22 | ↑ +314% |
| AVMED | MEDICARE ADVANTAGE | $9,989.43 | ↑ +330% |
| Independent Living Systems | MEDICARE ADVANTAGE | $10,085.48 | ↑ +334% |
| AVMED | EXCHANGE | $15,080.20 | ↑ +549% |
| AVMED | Select | $16,905.19 | ↑ +628% |
| AVMED | BROAD | $21,995.96 | ↑ +847% |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
Visitor-reported prices
Comments
Breast augmentation 19325 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $2,322.45 | $353.02 – $9,989.43 |
| martin north hospital | Stuart | $2,322.45 | $478.73 – $9,989.43 |
| Adventhealth Tampa | Tampa | not published | $8,535.30 – $18,948.36 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $8,108.53 – $18,645.36 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $4,105.66 – $4,192.10 |
| Baptist Hospital | MIAMI | not published | not published |
| Bethesda Hospital East | BOYNTON BEACH | not published | not published |
| Boca Raton Regional Hospital | BOCA RATON | not published | not published |