Bronchoscopy dilate w/stent at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,133.60
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.
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What you pay up front if you don't use insurance.
$1,744.00
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.
$170.30 with Medicaid vs $15,912.38 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 |
|---|---|---|---|
| Medicaid | Managed Medicaid | $170.30 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $170.30 | ↓ -85% |
| Molina | Managed Medicaid | $170.30 | ↓ -85% |
| Wellcare | Managed Medicaid | $170.30 | ↓ -85% |
| Value Options | Managed Medicaid | $170.30 | ↓ -85% |
| Optum | Managed Medicaid | $191.67 | ↓ -83% |
| Avmed | Medicare Advantage | $214.30 | ↓ -81% |
| Wellcare | Medicare Advantage | $214.30 | ↓ -81% |
| Value Options | Medicare Advantage | $214.30 | ↓ -81% |
| Careplus | Medicare Advantage | $214.30 | ↓ -81% |
| Magellan | Medicare Advantage | $214.30 | ↓ -81% |
| Blue Cross | Medicare Advantage PPO | $214.30 | ↓ -81% |
| Blue Cross | Medicare Advantage HMO | $214.30 | ↓ -81% |
| Blue Cross | Health Options | $216.88 | ↓ -81% |
| Blue Cross | Network Blue | $222.22 | ↓ -80% |
| Freedom Health | Medicare Advantage | $225.02 | ↓ -80% |
| WellMed | Medicare Advantage | $225.02 | ↓ -80% |
| Independent Living Systems | Medicare Advantage | $225.02 | ↓ -80% |
| Blue Cross | Perferred Patient Care | $227.55 | ↓ -80% |
| Blue Cross | Traditional (PPS) | $227.55 | ↓ -80% |
| United | Medicare Advantage | $228.34 | ↓ -80% |
| Clear Spring Health | All Products | $231.44 | ↓ -80% |
| Aetna | Medicare Advantage Behavioral Health | $257.16 | ↓ -77% |
| Aetna | Medicare Advantage PCP | $265.73 | ↓ -77% |
| Aetna | Medicare Advantage Specialist | $270.02 | ↓ -76% |
| Avmed | Exchange | $304.08 | ↓ -73% |
| Avmed | Select | $315.78 | ↓ -72% |
| Avmed | Broad | $339.17 | ↓ -70% |
| Aetna | PPO First Health | $362.51 | ↓ -68% |
| United | All Products | $442.58 | ↓ -61% |
| Aetna | POS First Health | $784.80 | ↓ -31% |
| Clarity Health | All Products | $1,133.60 | ↑ +0% |
| Three Rivers | All Products | $1,133.60 | ↑ +0% |
| The Legacy Companies | All Products | $1,133.60 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $1,308.00 | ↑ +15% |
| National Provider Network | All Products | $1,482.40 | ↑ +31% |
| Aetna | All Products First Health | $1,569.60 | ↑ +38% |
| Cigna | Individual Family Plan Mid-Level | $1,744.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $1,744.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $1,744.00 | ↑ +54% |
| Cigna | All Products Physician | $1,744.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $1,744.00 | ↑ +54% |
| Cigna | Surefit Physician | $1,744.00 | ↑ +54% |
| OPTUM | Managed Medicaid | $2,523.58 | ↑ +123% |
| MOLINA | Florida KidCare | $2,656.40 | ↑ +134% |
| AMERIHEALTH | Managed Medicaid | $2,656.40 | ↑ +134% |
| Carelon BH Strategies | Managed Medicaid | $2,656.40 | ↑ +134% |
| Molina | Florida Kidcare | $2,656.40 | ↑ +134% |
| SUNSHINE HEALTH | Managed Medicaid | $2,656.40 | ↑ +134% |
| MOLINA | Managed Medicaid | $2,789.22 | ↑ +146% |
| AETNA | Managed Medicaid/CHIP | $2,922.04 | ↑ +158% |
| Independent Living Systems | Managed Medicaid | $3,187.68 | ↑ +181% |
| Freedom Health | MEDICARE ADVANTAGE | $6,948.64 | ↑ +513% |
| Careplus | MEDICARE ADVANTAGE | $6,948.64 | ↑ +513% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $6,948.64 | ↑ +513% |
| BLUE CROSS | Medicare Advantage PPO | $6,948.64 | ↑ +513% |
| BLUE CROSS | Medicare Advantage HMO | $6,948.64 | ↑ +513% |
| UNITED | MEDICARE ADVANTAGE | $6,948.64 | ↑ +513% |
| HUMANA | Medicare Advantage HMO | $6,948.64 | ↑ +513% |
| AVMED | MEDICARE ADVANTAGE | $7,226.58 | ↑ +537% |
| Independent Living Systems | MEDICARE ADVANTAGE | $7,296.07 | ↑ +544% |
| AETNA | MEDICARE ADVANTAGE | $7,369.96 | ↑ +550% |
| WellMed | MEDICARE ADVANTAGE | $7,369.96 | ↑ +550% |
| Wellcare | MEDICARE ADVANTAGE | $7,369.96 | ↑ +550% |
| DEVOTED HEALTH | Medicare Advantage HMO | $8,106.95 | ↑ +615% |
| AVMED | EXCHANGE | $10,909.36 | ↑ +862% |
| AVMED | Select | $12,229.60 | ↑ +979% |
| AVMED | BROAD | $15,912.38 | ↑ +1304% |
| Magellan | Pinnacle | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Bronchoscopy dilate w/stent at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $25,872.60 | $170.30 – $33,833.40 |
| martin north hospital | Stuart | $1,133.60 | $170.30 – $8,106.95 |
| Baptist Hospital | MIAMI | $8,042.45 | $173.17 – $11,135.70 |
| Bethesda Hospital East | BOYNTON BEACH | $8,042.45 | $2,269.00 – $11,135.70 |
| Doctors Hospital | CORAL GABLES | $8,042.45 | $2,165.28 – $11,135.70 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $8,042.45 | $2,152.90 – $11,135.70 |
| Homestead Hospital | HOMESTEAD | $8,042.45 | $167.89 – $11,135.70 |
| West Kendall Baptist Hospital | MIAMI | $8,042.45 | $2,115.78 – $11,135.70 |