Bronchoscopy/lung bx addl 31632 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$962.00
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.
$1,480.00
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.
$28.37 with Optum vs $7,655.00 with BLUE CROSS — 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 | $28.37 | ↓ -97% |
| Blue Cross | Health Options | $45.14 | ↓ -95% |
| Blue Cross | Medicare Advantage PPO | $45.56 | ↓ -95% |
| Value Options | Medicare Advantage | $45.56 | ↓ -95% |
| Blue Cross | Medicare Advantage HMO | $45.56 | ↓ -95% |
| Careplus | Medicare Advantage | $45.56 | ↓ -95% |
| Avmed | Medicare Advantage | $45.56 | ↓ -95% |
| Magellan | Medicare Advantage | $45.56 | ↓ -95% |
| Wellcare | Medicare Advantage | $45.56 | ↓ -95% |
| Blue Cross | Network Blue | $46.25 | ↓ -95% |
| Blue Cross | Perferred Patient Care | $47.36 | ↓ -95% |
| Blue Cross | Traditional (PPS) | $47.36 | ↓ -95% |
| Freedom Health | Medicare Advantage | $47.84 | ↓ -95% |
| WellMed | Medicare Advantage | $47.84 | ↓ -95% |
| Independent Living Systems | Medicare Advantage | $47.84 | ↓ -95% |
| United | Medicare Advantage | $47.90 | ↓ -95% |
| Molina | Managed Medicaid | $49.02 | ↓ -95% |
| Medicaid | Managed Medicaid | $49.02 | ↓ -95% |
| AmeriHealth | Managed Medicaid | $49.02 | ↓ -95% |
| Value Options | Managed Medicaid | $49.02 | ↓ -95% |
| Wellcare | Managed Medicaid | $49.02 | ↓ -95% |
| Clear Spring Health | All Products | $49.20 | ↓ -95% |
| Aetna | Medicare Advantage Behavioral Health | $54.67 | ↓ -94% |
| Aetna | Medicare Advantage PCP | $56.49 | ↓ -94% |
| Aetna | Medicare Advantage Specialist | $57.41 | ↓ -94% |
| Clear Spring Health | ALL PRODUCTS | $63.76 | ↓ -93% |
| Avmed | Exchange | $64.86 | ↓ -93% |
| Avmed | Select | $67.35 | ↓ -93% |
| Avmed | Broad | $72.34 | ↓ -92% |
| Aetna | POS First Health | $75.92 | ↓ -92% |
| Cigna | Individual Family Plan Mid-Level | $85.63 | ↓ -91% |
| Cigna | Surefit Mid-Level | $87.26 | ↓ -91% |
| Cigna | All Products Mid-Level | $94.26 | ↓ -90% |
| United | All Products | $94.40 | ↓ -90% |
| Aetna | PPO First Health | $96.73 | ↓ -90% |
| Cigna | Individual Family Plan Physician | $100.75 | ↓ -90% |
| Cigna | Surefit Physician | $102.67 | ↓ -89% |
| Cigna | All Products Physician | $110.89 | ↓ -88% |
| The Legacy Companies | All Products | $267.80 | ↓ -72% |
| Clarity Health | All Products | $267.80 | ↓ -72% |
| Three Rivers | All Products | $267.80 | ↓ -72% |
| Consociate Health | ALL PRODUCTS | $309.00 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $347.80 | ↓ -64% |
| National Provider Network | All Products | $350.20 | ↓ -64% |
| AVMED | EXCHANGE | $355.20 | ↓ -63% |
| AVMED | Select | $355.20 | ↓ -63% |
| Aetna | All Products First Health | $370.80 | ↓ -61% |
| CIGNA | Individual Family Plan | $380.36 | ↓ -60% |
| AVMED | BROAD | $458.80 | ↓ -52% |
| CIGNA | SUREFIT | $458.80 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $470.64 | ↓ -51% |
| BMI | ALL PRODUCTS | $740.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $888.00 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $962.00 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $962.00 | ↑ +0% |
| OPTUM | Managed Medicaid | $1,152.77 | ↑ +20% |
| MULTIPLAN | ALL PRODUCTS | $1,184.00 | ↑ +23% |
| AETNA | All Products First Health | $1,184.00 | ↑ +23% |
| AMERIHEALTH | Managed Medicaid | $1,213.44 | ↑ +26% |
| Carelon BH Strategies | Managed Medicaid | $1,213.44 | ↑ +26% |
| Molina | Florida Kidcare | $1,213.44 | ↑ +26% |
| MOLINA | Florida KidCare | $1,213.44 | ↑ +26% |
| SUNSHINE HEALTH | Managed Medicaid | $1,213.44 | ↑ +26% |
| MOLINA | Managed Medicaid | $1,274.11 | ↑ +32% |
| AETNA | Managed Medicaid/CHIP | $1,334.78 | ↑ +39% |
| Independent Living Systems | Managed Medicaid | $1,456.13 | ↑ +51% |
| AETNA | QHP | $2,789.00 | ↑ +190% |
| BLUE CROSS | HMO | $4,115.00 | ↑ +328% |
| BLUE CROSS | BSL | $4,115.00 | ↑ +328% |
| AETNA | ALL PRODUCTS | $4,542.00 | ↑ +372% |
| BLUE CROSS | NWB | $5,438.00 | ↑ +465% |
| BLUE CROSS | NWBI | $5,438.00 | ↑ +465% |
| BLUE CROSS | PHS | $7,655.00 | ↑ +696% |
| BLUE CROSS | PPO | $7,655.00 | ↑ +696% |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Carelon BH Strategies | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| WellMed | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| Value Options | All Products | 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 | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Bronchoscopy/lung bx addl 31632 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $962.00 | $28.37 – $3,160.00 |
| martin north hospital | Stuart | $962.00 | $37.74 – $5,924.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $2,535.80 – $2,589.18 |
| Baptist Hospital | MIAMI | not published | not published |
| Boca Raton Regional Hospital | BOCA RATON | not published | not published |
| Baptist Health Hospital Doral | SOUTH MIAMI | not published | not published |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $2,574.19 – $2,628.38 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $2,662.50 – $2,718.55 |