Bx vulva or perineum/ea add lesion 56606 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$637.00
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.
$980.00
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.
$19.23 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 | $19.23 | ↓ -97% |
| Blue Cross | Health Options | $27.68 | ↓ -96% |
| Wellcare | Medicare Advantage | $28.01 | ↓ -96% |
| Blue Cross | Medicare Advantage HMO | $28.01 | ↓ -96% |
| Value Options | Medicare Advantage | $28.01 | ↓ -96% |
| Careplus | Medicare Advantage | $28.01 | ↓ -96% |
| Avmed | Medicare Advantage | $28.01 | ↓ -96% |
| Magellan | Medicare Advantage | $28.01 | ↓ -96% |
| Blue Cross | Medicare Advantage PPO | $28.01 | ↓ -96% |
| Blue Cross | Network Blue | $28.36 | ↓ -96% |
| Wellcare | Managed Medicaid | $28.85 | ↓ -95% |
| Molina | Managed Medicaid | $28.85 | ↓ -95% |
| Medicaid | Managed Medicaid | $28.85 | ↓ -95% |
| Value Options | Managed Medicaid | $28.85 | ↓ -95% |
| AmeriHealth | Managed Medicaid | $28.85 | ↓ -95% |
| Blue Cross | Traditional (PPS) | $29.04 | ↓ -95% |
| Blue Cross | Perferred Patient Care | $29.04 | ↓ -95% |
| Independent Living Systems | Medicare Advantage | $29.41 | ↓ -95% |
| WellMed | Medicare Advantage | $29.41 | ↓ -95% |
| Freedom Health | Medicare Advantage | $29.41 | ↓ -95% |
| United | Medicare Advantage | $29.80 | ↓ -95% |
| Clear Spring Health | All Products | $30.25 | ↓ -95% |
| Aetna | Medicare Advantage Behavioral Health | $33.61 | ↓ -95% |
| Aetna | Medicare Advantage PCP | $34.73 | ↓ -95% |
| Aetna | Medicare Advantage Specialist | $35.29 | ↓ -94% |
| Clear Spring Health | ALL PRODUCTS | $36.01 | ↓ -94% |
| Avmed | Exchange | $40.63 | ↓ -94% |
| Avmed | Select | $42.19 | ↓ -93% |
| Avmed | Broad | $45.31 | ↓ -93% |
| Cigna | Individual Family Plan Mid-Level | $45.88 | ↓ -93% |
| Cigna | Surefit Mid-Level | $46.76 | ↓ -93% |
| Aetna | POS First Health | $47.10 | ↓ -93% |
| Cigna | All Products Mid-Level | $50.49 | ↓ -92% |
| Cigna | Individual Family Plan Physician | $53.97 | ↓ -92% |
| Cigna | Surefit Physician | $55.01 | ↓ -91% |
| United | All Products | $59.13 | ↓ -91% |
| Cigna | All Products Physician | $59.40 | ↓ -91% |
| Aetna | PPO First Health | $59.58 | ↓ -91% |
| Clarity Health | All Products | $143.00 | ↓ -78% |
| Three Rivers | All Products | $143.00 | ↓ -78% |
| The Legacy Companies | All Products | $143.00 | ↓ -78% |
| Consociate Health | ALL PRODUCTS | $165.00 | ↓ -74% |
| National Provider Network | All Products | $187.00 | ↓ -71% |
| Aetna | All Products First Health | $198.00 | ↓ -69% |
| AETNA | QHP | $229.32 | ↓ -64% |
| AETNA | MEDICARE ADVANTAGE | $230.30 | ↓ -64% |
| AVMED | EXCHANGE | $235.20 | ↓ -63% |
| AVMED | Select | $235.20 | ↓ -63% |
| CIGNA | Individual Family Plan | $251.86 | ↓ -60% |
| AVMED | BROAD | $303.80 | ↓ -52% |
| CIGNA | SUREFIT | $303.80 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $311.64 | ↓ -51% |
| OPTUM | Managed Medicaid | $325.92 | ↓ -49% |
| Molina | Florida Kidcare | $343.07 | ↓ -46% |
| MOLINA | Florida KidCare | $343.07 | ↓ -46% |
| AMERIHEALTH | Managed Medicaid | $343.07 | ↓ -46% |
| SUNSHINE HEALTH | Managed Medicaid | $343.07 | ↓ -46% |
| Carelon BH Strategies | Managed Medicaid | $343.07 | ↓ -46% |
| AETNA | ALL PRODUCTS | $348.88 | ↓ -45% |
| MOLINA | Managed Medicaid | $360.22 | ↓ -43% |
| AETNA | Managed Medicaid/CHIP | $377.38 | ↓ -41% |
| Independent Living Systems | Managed Medicaid | $411.68 | ↓ -35% |
| BMI | ALL PRODUCTS | $490.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $588.00 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $637.00 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $637.00 | ↑ +0% |
| UNITED | NHP | $668.00 | ↑ +5% |
| AETNA | All Products First Health | $784.00 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $784.00 | ↑ +23% |
| UNITED | ALL PRODUCTS | $792.00 | ↑ +24% |
| UNITED | International | $870.00 | ↑ +37% |
| BLUE CROSS | HMO | $2,467.00 | ↑ +287% |
| BLUE CROSS | BSL | $2,467.00 | ↑ +287% |
| BLUE CROSS | NWB | $3,264.00 | ↑ +412% |
| BLUE CROSS | NWBI | $3,264.00 | ↑ +412% |
| BLUE CROSS | PHS | $4,027.00 | ↑ +532% |
| BLUE CROSS | PPO | $4,027.00 | ↑ +532% |
| 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 | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | 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 | — |
| AVMED | MEDICARE ADVANTAGE | 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 | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Freedom Health | 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 | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Bx vulva or perineum/ea add lesion 56606 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $637.00 | $19.23 – $1,595.00 |
| martin north hospital | Stuart | $637.00 | $23.14 – $1,339.00 |
| Baptist Hospital | MIAMI | $496.60 | $132.17 – $687.60 |
| AdventHealth Orlando | Orlando | $3,473.00 | not published |
| Adventhealth Carrollwood | Tampa | $1,624.39 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $6,021.19 – $6,147.96 |
| Bethesda Hospital East | BOYNTON BEACH | not published | not published |
| Baptist Health Hospital Doral | SOUTH MIAMI | not published | not published |