Carbohydrate deficient transf - sendout at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$328.25
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.
$505.00
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.
$5.78 with OPTUM vs $404.00 with AETNA — 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 |
|---|---|---|---|
| OPTUM | Managed Medicaid | $5.78 | ↓ -98% |
| MOLINA | Florida KidCare | $6.08 | ↓ -98% |
| Carelon BH Strategies | Managed Medicaid | $6.08 | ↓ -98% |
| Molina | Florida Kidcare | $6.08 | ↓ -98% |
| Wellcare | Managed Medicaid | $6.08 | ↓ -98% |
| AMERIHEALTH | Managed Medicaid | $6.08 | ↓ -98% |
| SUNSHINE HEALTH | Managed Medicaid | $6.08 | ↓ -98% |
| Medicaid | Managed Medicaid | $6.08 | ↓ -98% |
| MOLINA | Managed Medicaid | $6.38 | ↓ -98% |
| AETNA | Managed Medicaid/CHIP | $6.69 | ↓ -98% |
| Independent Living Systems | Managed Medicaid | $7.30 | ↓ -98% |
| Freedom Health | MEDICARE ADVANTAGE | $18.06 | ↓ -94% |
| WellMed | MEDICARE ADVANTAGE | $18.06 | ↓ -94% |
| AETNA | MEDICARE ADVANTAGE | $18.06 | ↓ -94% |
| Wellcare | MEDICARE ADVANTAGE | $18.06 | ↓ -94% |
| UNITED | MEDICARE ADVANTAGE | $18.06 | ↓ -94% |
| BLUE CROSS | Medicare Advantage HMO | $18.06 | ↓ -94% |
| BLUE CROSS | Medicare Advantage PPO | $18.06 | ↓ -94% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $18.06 | ↓ -94% |
| Careplus | MEDICARE ADVANTAGE | $18.06 | ↓ -94% |
| HUMANA | Medicare Advantage HMO | $18.06 | ↓ -94% |
| AVMED | MEDICARE ADVANTAGE | $18.78 | ↓ -94% |
| Independent Living Systems | MEDICARE ADVANTAGE | $18.96 | ↓ -94% |
| DEVOTED HEALTH | Medicare Advantage HMO | $19.87 | ↓ -94% |
| CIGNA | Individual Family Plan | $33.37 | ↓ -90% |
| CIGNA | SUREFIT | $40.40 | ↓ -88% |
| CIGNA | ALL PRODUCTS | $42.24 | ↓ -87% |
| AETNA | QHP | $118.17 | ↓ -64% |
| AVMED | EXCHANGE | $121.20 | ↓ -63% |
| AVMED | Select | $121.20 | ↓ -63% |
| AVMED | BROAD | $156.55 | ↓ -52% |
| AETNA | ALL PRODUCTS | $179.78 | ↓ -45% |
| BMI | ALL PRODUCTS | $252.50 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $303.00 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $328.25 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $328.25 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $378.75 | ↑ +15% |
| MULTIPLAN | ALL PRODUCTS | $404.00 | ↑ +23% |
| AETNA | All Products First Health | $404.00 | ↑ +23% |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
Visitor-reported prices
Comments
Carbohydrate deficient transf - sendout at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $296.38 | $17.16 – $30.14 |
| Adventhealth Tampa | Tampa | $278.75 | $18.06 – $40.09 |
| Adventhealth Port Charlotte | Port Charlotte | $63.21 | $18.06 – $32.98 |
| cleveland clinic florida weston hospital | Weston | $328.25 | $5.78 – $205.70 |
| martin north hospital | Stuart | $328.25 | $6.08 – $181.50 |
| Boca Raton Regional Hospital | BOCA RATON | $250.25 | $18.06 – $84.24 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $29.00 | $18.06 – $67.56 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $24.36 | $18.06 – $67.56 |