Caregiver training strategies&tq ea addl 15 min at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$720.85
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.
$1,109.00
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.
$17.77 with Optum vs $887.20 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 | $17.77 | ↓ -98% |
| Blue Cross | Medicare Advantage HMO | $21.19 | ↓ -97% |
| Wellcare | Medicare Advantage | $21.19 | ↓ -97% |
| Value Options | Medicare Advantage | $21.19 | ↓ -97% |
| Magellan | Medicare Advantage | $21.19 | ↓ -97% |
| Careplus | Medicare Advantage | $21.19 | ↓ -97% |
| Blue Cross | Medicare Advantage PPO | $21.19 | ↓ -97% |
| Avmed | Medicare Advantage | $21.19 | ↓ -97% |
| WellMed | Medicare Advantage | $22.25 | ↓ -97% |
| Independent Living Systems | Medicare Advantage | $22.25 | ↓ -97% |
| Freedom Health | Medicare Advantage | $22.25 | ↓ -97% |
| Clear Spring Health | All Products | $22.89 | ↓ -97% |
| United | Medicare Advantage | $24.17 | ↓ -97% |
| Aetna | Medicare Advantage Behavioral Health | $25.43 | ↓ -96% |
| Aetna | Medicare Advantage PCP | $26.28 | ↓ -96% |
| Aetna | Medicare Advantage Specialist | $26.70 | ↓ -96% |
| Cigna | Individual Family Plan Mid-Level | $29.96 | ↓ -96% |
| Wellcare | MEDICARE ADVANTAGE | $30.26 | ↓ -96% |
| AETNA | MEDICARE ADVANTAGE | $30.26 | ↓ -96% |
| WellMed | MEDICARE ADVANTAGE | $30.26 | ↓ -96% |
| Cigna | Surefit Mid-Level | $30.54 | ↓ -96% |
| Avmed | Exchange | $31.90 | ↓ -96% |
| Clear Spring Health | ALL PRODUCTS | $32.68 | ↓ -95% |
| Cigna | All Products Mid-Level | $32.98 | ↓ -95% |
| HUMANA | Medicare Advantage HMO | $33.04 | ↓ -95% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $33.04 | ↓ -95% |
| Careplus | MEDICARE ADVANTAGE | $33.04 | ↓ -95% |
| Freedom Health | MEDICARE ADVANTAGE | $33.04 | ↓ -95% |
| UNITED | MEDICARE ADVANTAGE | $33.04 | ↓ -95% |
| BLUE CROSS | Medicare Advantage HMO | $33.04 | ↓ -95% |
| BLUE CROSS | Medicare Advantage PPO | $33.04 | ↓ -95% |
| Avmed | Select | $33.13 | ↓ -95% |
| DEVOTED HEALTH | Medicare Advantage HMO | $33.29 | ↓ -95% |
| AVMED | MEDICARE ADVANTAGE | $34.36 | ↓ -95% |
| Independent Living Systems | MEDICARE ADVANTAGE | $34.69 | ↓ -95% |
| Cigna | Individual Family Plan Physician | $35.25 | ↓ -95% |
| Avmed | Broad | $35.58 | ↓ -95% |
| Cigna | Surefit Physician | $35.92 | ↓ -95% |
| Cigna | All Products Physician | $38.79 | ↓ -95% |
| OPTUM | Managed Medicaid | $41.57 | ↓ -94% |
| United | All Products | $42.66 | ↓ -94% |
| Medicaid | Managed Medicaid | $43.76 | ↓ -94% |
| Wellcare | Managed Medicaid | $43.76 | ↓ -94% |
| AMERIHEALTH | Managed Medicaid | $43.76 | ↓ -94% |
| SUNSHINE HEALTH | Managed Medicaid | $43.76 | ↓ -94% |
| MOLINA | Florida KidCare | $43.76 | ↓ -94% |
| Molina | Florida Kidcare | $43.76 | ↓ -94% |
| Carelon BH Strategies | Managed Medicaid | $43.76 | ↓ -94% |
| CIGNA | Individual Family Plan | $43.99 | ↓ -94% |
| MOLINA | Managed Medicaid | $45.95 | ↓ -94% |
| AETNA | Managed Medicaid/CHIP | $48.14 | ↓ -93% |
| Independent Living Systems | Managed Medicaid | $52.51 | ↓ -93% |
| CIGNA | SUREFIT | $53.26 | ↓ -93% |
| CIGNA | ALL PRODUCTS | $55.69 | ↓ -92% |
| Aetna | POS First Health | $107.10 | ↓ -85% |
| Aetna | PPO First Health | $107.10 | ↓ -85% |
| AETNA | QHP | $146.00 | ↓ -80% |
| The Legacy Companies | All Products | $154.70 | ↓ -79% |
| Clarity Health | All Products | $154.70 | ↓ -79% |
| Three Rivers | All Products | $154.70 | ↓ -79% |
| AETNA | ALL PRODUCTS | $158.00 | ↓ -78% |
| UNITED | NHP | $168.00 | ↓ -77% |
| Consociate Health | ALL PRODUCTS | $178.50 | ↓ -75% |
| National Provider Network | All Products | $202.30 | ↓ -72% |
| UNITED | International | $213.00 | ↓ -70% |
| UNITED | ALL PRODUCTS | $213.00 | ↓ -70% |
| Aetna | All Products First Health | $214.20 | ↓ -70% |
| AVMED | Select | $266.16 | ↓ -63% |
| AVMED | EXCHANGE | $266.16 | ↓ -63% |
| AVMED | BROAD | $343.79 | ↓ -52% |
| BLUE CROSS | HMO | $394.00 | ↓ -45% |
| BLUE CROSS | BSL | $394.00 | ↓ -45% |
| BLUE CROSS | NWB | $458.00 | ↓ -36% |
| BLUE CROSS | NWBI | $458.00 | ↓ -36% |
| BMI | ALL PRODUCTS | $554.50 | ↓ -23% |
| BLUE CROSS | PPO | $656.00 | ↓ -9% |
| MAGELLAN | ALL PRODUCTS | $665.40 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $720.85 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $720.85 | ↑ +0% |
| BLUE CROSS | PHS | $723.00 | ↑ +0% |
| MULTIPLAN | ALL PRODUCTS | $887.20 | ↑ +23% |
| AETNA | All Products First Health | $887.20 | ↑ +23% |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | 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 | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Caregiver training strategies&tq ea addl 15 min at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $83.02 | not published |
| Baptist Hospital | MIAMI | $70.85 | $18.86 – $173.17 |
| Bethesda Hospital East | BOYNTON BEACH | $70.85 | $26.16 – $98.10 |
| Doctors Hospital | CORAL GABLES | $70.85 | $19.08 – $98.10 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $70.85 | $18.97 – $98.10 |
| Fishermens Community Hospital | MARATHON | $70.85 | $18.20 – $98.10 |
| Homestead Hospital | HOMESTEAD | $70.85 | $18.53 – $98.10 |
| Mariners Hospital | TAVERNIER | $70.85 | $18.86 – $98.10 |