Bronch w/balloon occlusion at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$25,872.60
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.
?
What you pay up front if you don't use insurance.
$39,804.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$91.89 with Optum vs $31,843.20 with MULTIPLAN — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $91.89 | ↓ -100% |
| Magellan | Medicare Advantage | $181.43 | ↓ -99% |
| Careplus | Medicare Advantage | $181.43 | ↓ -99% |
| Wellcare | Medicare Advantage | $181.43 | ↓ -99% |
| Avmed | Medicare Advantage | $181.43 | ↓ -99% |
| Value Options | Medicare Advantage | $181.43 | ↓ -99% |
| Blue Cross | Medicare Advantage PPO | $181.43 | ↓ -99% |
| Blue Cross | Medicare Advantage HMO | $181.43 | ↓ -99% |
| United | Medicare Advantage | $188.90 | ↓ -99% |
| WellMed | Medicare Advantage | $190.50 | ↓ -99% |
| Independent Living Systems | Medicare Advantage | $190.50 | ↓ -99% |
| Freedom Health | Medicare Advantage | $190.50 | ↓ -99% |
| Clear Spring Health | All Products | $195.94 | ↓ -99% |
| Blue Cross | Health Options | $197.64 | ↓ -99% |
| Blue Cross | Network Blue | $202.50 | ↓ -99% |
| Blue Cross | Traditional (PPS) | $207.36 | ↓ -99% |
| Blue Cross | Perferred Patient Care | $207.36 | ↓ -99% |
| Aetna | Medicare Advantage Behavioral Health | $217.72 | ↓ -99% |
| Aetna | Medicare Advantage PCP | $224.97 | ↓ -99% |
| Aetna | Medicare Advantage Specialist | $228.60 | ↓ -99% |
| Clear Spring Health | ALL PRODUCTS | $246.68 | ↓ -99% |
| Avmed | Exchange | $250.65 | ↓ -99% |
| Avmed | Select | $260.29 | ↓ -99% |
| Avmed | Broad | $279.57 | ↓ -99% |
| Aetna | POS First Health | $301.02 | ↓ -99% |
| United | All Products | $364.82 | ↓ -99% |
| The Legacy Companies | All Products | $975.00 | ↓ -96% |
| Clarity Health | All Products | $975.00 | ↓ -96% |
| Three Rivers | All Products | $975.00 | ↓ -96% |
| Consociate Health | ALL PRODUCTS | $1,125.00 | ↓ -96% |
| National Provider Network | All Products | $1,275.00 | ↓ -95% |
| Aetna | All Products First Health | $1,350.00 | ↓ -95% |
| Cigna | Individual Family Plan Mid-Level | $2,247.18 | ↓ -91% |
| Cigna | Surefit Mid-Level | $2,290.10 | ↓ -91% |
| Cigna | All Products Mid-Level | $2,473.65 | ↓ -90% |
| OPTUM | Managed Medicaid | $2,523.58 | ↓ -90% |
| Aetna | PPO First Health | $2,582.65 | ↓ -90% |
| Cigna | Individual Family Plan Physician | $2,643.96 | ↓ -90% |
| Medicaid | Managed Medicaid | $2,656.40 | ↓ -90% |
| SUNSHINE HEALTH | Managed Medicaid | $2,656.40 | ↓ -90% |
| Molina | Florida Kidcare | $2,656.40 | ↓ -90% |
| MOLINA | Florida KidCare | $2,656.40 | ↓ -90% |
| Carelon BH Strategies | Managed Medicaid | $2,656.40 | ↓ -90% |
| AMERIHEALTH | Managed Medicaid | $2,656.40 | ↓ -90% |
| Wellcare | Managed Medicaid | $2,656.40 | ↓ -90% |
| Cigna | Surefit Physician | $2,694.40 | ↓ -90% |
| MOLINA | Managed Medicaid | $2,789.22 | ↓ -89% |
| Cigna | All Products Physician | $2,910.19 | ↓ -89% |
| AETNA | Managed Medicaid/CHIP | $2,922.04 | ↓ -89% |
| Independent Living Systems | Managed Medicaid | $3,187.68 | ↓ -88% |
| BLUE CROSS | HMO | $3,899.00 | ↓ -85% |
| BLUE CROSS | BSL | $3,899.00 | ↓ -85% |
| BLUE CROSS | NWB | $5,154.00 | ↓ -80% |
| BLUE CROSS | NWBI | $5,154.00 | ↓ -80% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $6,948.64 | ↓ -73% |
| Freedom Health | MEDICARE ADVANTAGE | $6,948.64 | ↓ -73% |
| Careplus | MEDICARE ADVANTAGE | $6,948.64 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $6,948.64 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $6,948.64 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $6,948.64 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $6,948.64 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $7,226.58 | ↓ -72% |
| Independent Living Systems | MEDICARE ADVANTAGE | $7,296.07 | ↓ -72% |
| BLUE CROSS | PHS | $7,322.00 | ↓ -72% |
| BLUE CROSS | PPO | $7,322.00 | ↓ -72% |
| WellMed | MEDICARE ADVANTAGE | $7,369.96 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $7,369.96 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $7,369.96 | ↓ -72% |
| DEVOTED HEALTH | Medicare Advantage HMO | $8,106.95 | ↓ -69% |
| AETNA | QHP | $9,314.14 | ↓ -64% |
| CIGNA | Individual Family Plan | $10,229.63 | ↓ -60% |
| AVMED | EXCHANGE | $10,909.36 | ↓ -58% |
| AVMED | Select | $12,229.60 | ↓ -53% |
| CIGNA | SUREFIT | $12,339.24 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $12,657.67 | ↓ -51% |
| AETNA | ALL PRODUCTS | $14,170.22 | ↓ -45% |
| AVMED | BROAD | $15,912.38 | ↓ -38% |
| BMI | ALL PRODUCTS | $19,902.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $23,882.40 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $25,872.60 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $25,872.60 | ↑ +0% |
| AETNA | All Products First Health | $31,843.20 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $31,843.20 | ↑ +23% |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | 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 | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Bronch w/balloon occlusion at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $25,872.60 | $91.89 – $33,833.40 |
| martin north hospital | Stuart | $25,872.60 | $165.24 – $19,902.00 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $7,001.46 – $12,300.46 |
| Adventhealth Tampa | Tampa | not published | $7,369.96 – $16,361.30 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $1,665.88 – $1,700.95 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $7,369.96 – $13,457.54 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $1,691.10 – $1,726.71 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $1,749.12 – $1,785.94 |