Bx breast pq tomo guide at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$3,900.00
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.
?
What you pay up front if you don't use insurance.
$6,000.00
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.
$324.44 with AmeriHealth vs $8,858.00 with BLUE CROSS — 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 |
|---|---|---|---|
| AmeriHealth | Managed Medicaid | $324.44 | ↓ -92% |
| Molina | Managed Medicaid | $324.44 | ↓ -92% |
| Medicaid | Managed Medicaid | $324.44 | ↓ -92% |
| Wellcare | Managed Medicaid | $324.44 | ↓ -92% |
| Value Options | Managed Medicaid | $324.44 | ↓ -92% |
| OPTUM | Managed Medicaid | $816.59 | ↓ -79% |
| Molina | Florida Kidcare | $859.57 | ↓ -78% |
| Carelon BH Strategies | Managed Medicaid | $859.57 | ↓ -78% |
| AMERIHEALTH | Managed Medicaid | $859.57 | ↓ -78% |
| SUNSHINE HEALTH | Managed Medicaid | $859.57 | ↓ -78% |
| MOLINA | Florida KidCare | $859.57 | ↓ -78% |
| CIGNA | Individual Family Plan | $873.80 | ↓ -78% |
| MOLINA | Managed Medicaid | $902.55 | ↓ -77% |
| AETNA | Managed Medicaid/CHIP | $945.53 | ↓ -76% |
| Independent Living Systems | Managed Medicaid | $1,031.48 | ↓ -74% |
| CIGNA | SUREFIT | $1,054.00 | ↓ -73% |
| CIGNA | ALL PRODUCTS | $1,081.20 | ↓ -72% |
| BMI | ALL PRODUCTS | $1,700.00 | ↓ -56% |
| MAGELLAN | ALL PRODUCTS | $2,040.00 | ↓ -48% |
| Clarity Health | ALL PRODUCTS | $2,210.00 | ↓ -43% |
| The Legacy Companies | ALL PRODUCTS | $2,210.00 | ↓ -43% |
| Consociate Health | ALL PRODUCTS | $2,550.00 | ↓ -35% |
| AETNA | QHP | $2,579.00 | ↓ -34% |
| Aetna | PPO First Health | $2,700.00 | ↓ -31% |
| Aetna | POS First Health | $2,700.00 | ↓ -31% |
| AETNA | All Products First Health | $2,720.00 | ↓ -30% |
| MULTIPLAN | ALL PRODUCTS | $2,720.00 | ↓ -30% |
| Magellan | Medicare Advantage | $3,600.00 | ↓ -8% |
| UNITED | MEDICARE ADVANTAGE | $3,843.75 | ↓ -1% |
| BLUE CROSS | Medicare Advantage HMO | $3,843.75 | ↓ -1% |
| BLUE CROSS | Medicare Advantage PPO | $3,843.75 | ↓ -1% |
| HUMANA | Medicare Advantage HMO | $3,843.75 | ↓ -1% |
| Freedom Health | MEDICARE ADVANTAGE | $3,843.75 | ↓ -1% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $3,843.75 | ↓ -1% |
| Careplus | MEDICARE ADVANTAGE | $3,843.75 | ↓ -1% |
| The Legacy Companies | All Products | $3,900.00 | ↑ +0% |
| Clarity Health | All Products | $3,900.00 | ↑ +0% |
| Three Rivers | All Products | $3,900.00 | ↑ +0% |
| AVMED | MEDICARE ADVANTAGE | $3,997.50 | ↑ +3% |
| Independent Living Systems | MEDICARE ADVANTAGE | $4,035.94 | ↑ +3% |
| AETNA | MEDICARE ADVANTAGE | $4,088.81 | ↑ +5% |
| Wellcare | MEDICARE ADVANTAGE | $4,088.81 | ↑ +5% |
| WellMed | MEDICARE ADVANTAGE | $4,088.81 | ↑ +5% |
| AETNA | ALL PRODUCTS | $4,198.00 | ↑ +8% |
| DEVOTED HEALTH | Medicare Advantage HMO | $4,497.69 | ↑ +15% |
| National Provider Network | All Products | $5,100.00 | ↑ +31% |
| BLUE CROSS | HMO | $5,233.00 | ↑ +34% |
| BLUE CROSS | BSL | $5,233.00 | ↑ +34% |
| Aetna | All Products First Health | $5,400.00 | ↑ +38% |
| UNITED | NHP | $5,505.00 | ↑ +41% |
| Cigna | All Products Mid-Level | $6,000.00 | ↑ +54% |
| Cigna | Surefit Physician | $6,000.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $6,000.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $6,000.00 | ↑ +54% |
| Cigna | All Products Physician | $6,000.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $6,000.00 | ↑ +54% |
| AVMED | EXCHANGE | $6,034.69 | ↑ +55% |
| BLUE CROSS | NWBI | $6,391.00 | ↑ +64% |
| BLUE CROSS | NWB | $6,391.00 | ↑ +64% |
| UNITED | ALL PRODUCTS | $6,534.00 | ↑ +68% |
| AVMED | Select | $6,765.01 | ↑ +73% |
| UNITED | International | $7,174.00 | ↑ +84% |
| AVMED | BROAD | $8,802.20 | ↑ +126% |
| BLUE CROSS | PHS | $8,858.00 | ↑ +127% |
| BLUE CROSS | PPO | $8,858.00 | ↑ +127% |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | Medicare Advantage PPO | not published by hospital | — |
| Blue Cross | Medicare Advantage HMO | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Avmed | Select | not published by hospital | — |
| Optum | Managed Medicaid | not published by hospital | — |
| Avmed | Medicare Advantage | not published by hospital | — |
| Avmed | Exchange | not published by hospital | — |
| Avmed | Broad | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | Medicare Advantage Specialist | not published by hospital | — |
| United | All Products | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage PCP | not published by hospital | — |
| Aetna | Medicare Advantage Behavioral Health | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Value Options | Medicare Advantage | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Wellcare | Medicare Advantage | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| WellMed | Medicare Advantage | not published by hospital | — |
| Clear Spring Health | All Products | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
| Careplus | Medicare Advantage | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Freedom Health | Medicare Advantage | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Independent Living Systems | Medicare Advantage | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
Visitor-reported prices
Comments
Bx breast pq tomo guide at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $5,885.75 | $324.44 – $5,678.00 |
| martin north hospital | Stuart | $3,900.00 | $324.44 – $4,497.69 |
| Baptist Hospital | MIAMI | $6,395.35 | $173.17 – $4,579.46 |
| Bethesda Hospital East | BOYNTON BEACH | $6,395.35 | $841.09 – $4,427.10 |
| Doctors Hospital | CORAL GABLES | $6,395.35 | $815.35 – $4,579.46 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $6,395.35 | $815.35 – $4,497.69 |
| Homestead Hospital | HOMESTEAD | $6,395.35 | $167.89 – $4,497.69 |
| West Kendall Baptist Hospital | MIAMI | $6,395.35 | $815.35 – $4,579.46 |