Bx skin tangential ea sep/ addl les at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$129.35
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.
$199.00
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.
$14.54 with Optum vs $4,027.00 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 | $14.54 | ↓ -89% |
| Wellcare | Medicare Advantage | $18.93 | ↓ -85% |
| Blue Cross | Medicare Advantage HMO | $18.93 | ↓ -85% |
| Value Options | Medicare Advantage | $18.93 | ↓ -85% |
| Careplus | Medicare Advantage | $18.93 | ↓ -85% |
| Blue Cross | Medicare Advantage PPO | $18.93 | ↓ -85% |
| Avmed | Medicare Advantage | $18.93 | ↓ -85% |
| Magellan | Medicare Advantage | $18.93 | ↓ -85% |
| Independent Living Systems | Medicare Advantage | $19.88 | ↓ -85% |
| WellMed | Medicare Advantage | $19.88 | ↓ -85% |
| Freedom Health | Medicare Advantage | $19.88 | ↓ -85% |
| Clear Spring Health | All Products | $20.44 | ↓ -84% |
| United | Medicare Advantage | $22.01 | ↓ -83% |
| Aetna | Medicare Advantage Behavioral Health | $22.72 | ↓ -82% |
| Aetna | Medicare Advantage PCP | $23.47 | ↓ -82% |
| Aetna | Medicare Advantage Specialist | $23.85 | ↓ -82% |
| Clear Spring Health | ALL PRODUCTS | $25.42 | ↓ -80% |
| Avmed | Exchange | $29.45 | ↓ -77% |
| Avmed | Select | $30.58 | ↓ -76% |
| Avmed | Broad | $32.84 | ↓ -75% |
| Aetna | POS First Health | $36.11 | ↓ -72% |
| Wellcare | Managed Medicaid | $37.79 | ↓ -71% |
| Medicaid | Managed Medicaid | $37.79 | ↓ -71% |
| Molina | Managed Medicaid | $37.79 | ↓ -71% |
| AmeriHealth | Managed Medicaid | $37.79 | ↓ -71% |
| Value Options | Managed Medicaid | $37.79 | ↓ -71% |
| United | All Products | $42.86 | ↓ -67% |
| AETNA | QHP | $46.57 | ↓ -64% |
| AETNA | MEDICARE ADVANTAGE | $46.77 | ↓ -64% |
| AVMED | Select | $47.76 | ↓ -63% |
| AVMED | EXCHANGE | $47.76 | ↓ -63% |
| CIGNA | Individual Family Plan | $51.14 | ↓ -60% |
| Cigna | Individual Family Plan Mid-Level | $58.76 | ↓ -55% |
| Cigna | Surefit Mid-Level | $59.88 | ↓ -54% |
| CIGNA | SUREFIT | $61.69 | ↓ -52% |
| AVMED | BROAD | $61.69 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $63.28 | ↓ -51% |
| Cigna | All Products Mid-Level | $64.68 | ↓ -50% |
| Cigna | Individual Family Plan Physician | $69.13 | ↓ -47% |
| Cigna | Surefit Physician | $70.45 | ↓ -46% |
| AETNA | ALL PRODUCTS | $70.84 | ↓ -45% |
| Cigna | All Products Physician | $76.09 | ↓ -41% |
| Aetna | PPO First Health | $80.32 | ↓ -38% |
| BMI | ALL PRODUCTS | $99.50 | ↓ -23% |
| Clarity Health | All Products | $108.55 | ↓ -16% |
| Three Rivers | All Products | $108.55 | ↓ -16% |
| The Legacy Companies | All Products | $108.55 | ↓ -16% |
| MAGELLAN | ALL PRODUCTS | $119.40 | ↓ -8% |
| Consociate Health | ALL PRODUCTS | $125.25 | ↓ -3% |
| The Legacy Companies | ALL PRODUCTS | $129.35 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $129.35 | ↑ +0% |
| National Provider Network | All Products | $141.95 | ↑ +10% |
| Aetna | All Products First Health | $150.30 | ↑ +16% |
| AETNA | All Products First Health | $159.20 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $159.20 | ↑ +23% |
| OPTUM | Managed Medicaid | $254.67 | ↑ +97% |
| AMERIHEALTH | Managed Medicaid | $268.07 | ↑ +107% |
| MOLINA | Florida KidCare | $268.07 | ↑ +107% |
| SUNSHINE HEALTH | Managed Medicaid | $268.07 | ↑ +107% |
| Molina | Florida Kidcare | $268.07 | ↑ +107% |
| Carelon BH Strategies | Managed Medicaid | $268.07 | ↑ +107% |
| MOLINA | Managed Medicaid | $281.47 | ↑ +118% |
| AETNA | Managed Medicaid/CHIP | $294.88 | ↑ +128% |
| Independent Living Systems | Managed Medicaid | $321.68 | ↑ +149% |
| BLUE CROSS | HMO | $2,467.00 | ↑ +1807% |
| BLUE CROSS | BSL | $2,467.00 | ↑ +1807% |
| BLUE CROSS | NWBI | $3,264.00 | ↑ +2423% |
| BLUE CROSS | NWB | $3,264.00 | ↑ +2423% |
| BLUE CROSS | PHS | $4,027.00 | ↑ +3013% |
| BLUE CROSS | PPO | $4,027.00 | ↑ +3013% |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| Carelon BH Strategies | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | 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 | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| WellMed | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Bx skin tangential ea sep/ addl les at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $280.48 | not published |
| cleveland clinic florida weston hospital | Weston | $129.35 | $14.54 – $1,595.00 |
| martin north hospital | Stuart | $129.35 | $18.93 – $1,339.00 |
| Baptist Hospital | MIAMI | $362.70 | $96.53 – $502.20 |
| Bethesda Hospital East | BOYNTON BEACH | $362.70 | $112.16 – $502.20 |
| Boca Raton Regional Hospital | BOCA RATON | $340.60 | $188.64 – $524.00 |
| Doctors Hospital | CORAL GABLES | $362.70 | $97.65 – $502.20 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $362.70 | $97.09 – $502.20 |