Breath hydrogen test 91065 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$57.20
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.
$88.00
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.
$32.49 with OPTUM vs $359.65 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 | $32.49 | ↓ -43% |
| Medicaid | Managed Medicaid | $34.20 | ↓ -40% |
| Molina | Florida Kidcare | $34.20 | ↓ -40% |
| Wellcare | Managed Medicaid | $34.20 | ↓ -40% |
| AMERIHEALTH | Managed Medicaid | $34.20 | ↓ -40% |
| Carelon BH Strategies | Managed Medicaid | $34.20 | ↓ -40% |
| MOLINA | Florida KidCare | $34.20 | ↓ -40% |
| SUNSHINE HEALTH | Managed Medicaid | $34.20 | ↓ -40% |
| MOLINA | Managed Medicaid | $35.91 | ↓ -37% |
| AETNA | Managed Medicaid/CHIP | $37.62 | ↓ -34% |
| Aetna | POS First Health | $39.60 | ↓ -31% |
| Independent Living Systems | Managed Medicaid | $41.04 | ↓ -28% |
| Optum | Managed Medicaid | $44.72 | ↓ -22% |
| AmeriHealth | Managed Medicaid | $50.24 | ↓ -12% |
| Value Options | Managed Medicaid | $50.24 | ↓ -12% |
| Molina | Managed Medicaid | $50.24 | ↓ -12% |
| The Legacy Companies | All Products | $57.20 | ↑ +0% |
| Three Rivers | All Products | $57.20 | ↑ +0% |
| Clarity Health | All Products | $57.20 | ↑ +0% |
| United | Medicare Advantage | $63.78 | ↑ +12% |
| Consociate Health | ALL PRODUCTS | $66.00 | ↑ +15% |
| Avmed | Medicare Advantage | $66.07 | ↑ +16% |
| Blue Cross | Medicare Advantage HMO | $66.07 | ↑ +16% |
| Blue Cross | Medicare Advantage PPO | $66.07 | ↑ +16% |
| Value Options | Medicare Advantage | $66.07 | ↑ +16% |
| Careplus | Medicare Advantage | $66.07 | ↑ +16% |
| Wellcare | Medicare Advantage | $66.07 | ↑ +16% |
| Magellan | Medicare Advantage | $66.07 | ↑ +16% |
| Independent Living Systems | Medicare Advantage | $66.97 | ↑ +17% |
| WellMed | Medicare Advantage | $69.37 | ↑ +21% |
| Freedom Health | Medicare Advantage | $69.37 | ↑ +21% |
| Clear Spring Health | All Products | $71.36 | ↑ +25% |
| National Provider Network | All Products | $74.80 | ↑ +31% |
| Aetna | All Products First Health | $79.20 | ↑ +38% |
| Aetna | Medicare Advantage Behavioral Health | $79.28 | ↑ +39% |
| Blue Cross | Health Options | $80.73 | ↑ +41% |
| Aetna | Medicare Advantage PCP | $81.93 | ↑ +43% |
| Blue Cross | Network Blue | $82.72 | ↑ +45% |
| Aetna | Medicare Advantage Specialist | $83.25 | ↑ +46% |
| Blue Cross | Traditional (PPS) | $84.71 | ↑ +48% |
| Blue Cross | Perferred Patient Care | $84.71 | ↑ +48% |
| Cigna | All Products Physician | $88.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $88.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $88.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $88.00 | ↑ +54% |
| Cigna | Surefit Physician | $88.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $88.00 | ↑ +54% |
| Avmed | Exchange | $96.56 | ↑ +69% |
| Avmed | Select | $100.28 | ↑ +75% |
| Avmed | Broad | $107.71 | ↑ +88% |
| Aetna | PPO First Health | $111.46 | ↑ +95% |
| United | All Products | $129.13 | ↑ +126% |
| UNITED | MEDICARE ADVANTAGE | $157.05 | ↑ +175% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $157.05 | ↑ +175% |
| BLUE CROSS | Medicare Advantage PPO | $157.05 | ↑ +175% |
| BLUE CROSS | Medicare Advantage HMO | $157.05 | ↑ +175% |
| Careplus | MEDICARE ADVANTAGE | $157.05 | ↑ +175% |
| Freedom Health | MEDICARE ADVANTAGE | $157.05 | ↑ +175% |
| HUMANA | Medicare Advantage HMO | $157.05 | ↑ +175% |
| AVMED | MEDICARE ADVANTAGE | $163.33 | ↑ +186% |
| Independent Living Systems | MEDICARE ADVANTAGE | $164.90 | ↑ +188% |
| WellMed | MEDICARE ADVANTAGE | $225.48 | ↑ +294% |
| AETNA | MEDICARE ADVANTAGE | $225.48 | ↑ +294% |
| Wellcare | MEDICARE ADVANTAGE | $225.48 | ↑ +294% |
| AVMED | EXCHANGE | $246.57 | ↑ +331% |
| DEVOTED HEALTH | Medicare Advantage HMO | $248.03 | ↑ +334% |
| AVMED | Select | $276.41 | ↑ +383% |
| AVMED | BROAD | $359.65 | ↑ +529% |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
Visitor-reported prices
Comments
Breath hydrogen test 91065 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast Parkway | Palm Coast | $1,220.69 | $214.21 – $481.61 |
| cleveland clinic florida weston hospital | Weston | $642.20 | $8.96 – $765.00 |
| martin north hospital | Stuart | $57.20 | $34.20 – $248.03 |
| Boca Raton Regional Hospital | BOCA RATON | $297.05 | $164.52 – $457.00 |
| Adventhealth Palm Coast | Palm Coast | $1,220.69 | $214.21 – $481.61 |
| AdventHealth Orlando | Orlando | $1,426.00 | $225.48 – $597.53 |
| Adventhealth Carrollwood | Tampa | $2,478.18 | $225.48 – $500.57 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $214.21 – $376.33 |