healthcosts.net
Carpal Tunnel Release Surgery at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,292.20
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.
$1,988.00
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.
$249.89 with Optum vs $4,536.00 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 | $249.89 | ↓ -81% |
| Value Options | Managed Medicaid | $350.31 | ↓ -73% |
| Medicaid | Managed Medicaid | $350.31 | ↓ -73% |
| Molina | Managed Medicaid | $350.31 | ↓ -73% |
| Wellcare | Managed Medicaid | $350.31 | ↓ -73% |
| AmeriHealth | Managed Medicaid | $350.31 | ↓ -73% |
| Blue Cross | Health Options | $396.26 | ↓ -69% |
| Blue Cross | Network Blue | $406.00 | ↓ -69% |
| Blue Cross | Traditional (PPS) | $415.74 | ↓ -68% |
| Blue Cross | Perferred Patient Care | $415.74 | ↓ -68% |
| Avmed | Medicare Advantage | $455.13 | ↓ -65% |
| Value Options | Medicare Advantage | $455.13 | ↓ -65% |
| Magellan | Medicare Advantage | $455.13 | ↓ -65% |
| Careplus | Medicare Advantage | $455.13 | ↓ -65% |
| Wellcare | Medicare Advantage | $455.13 | ↓ -65% |
| Blue Cross | Medicare Advantage PPO | $455.13 | ↓ -65% |
| Blue Cross | Medicare Advantage HMO | $455.13 | ↓ -65% |
| United | Medicare Advantage | $460.52 | ↓ -64% |
| Independent Living Systems | Medicare Advantage | $477.89 | ↓ -63% |
| Freedom Health | Medicare Advantage | $477.89 | ↓ -63% |
| WellMed | Medicare Advantage | $477.89 | ↓ -63% |
| Clear Spring Health | All Products | $491.54 | ↓ -62% |
| Aetna | Medicare Advantage Behavioral Health | $546.16 | ↓ -58% |
| Aetna | Medicare Advantage PCP | $564.36 | ↓ -56% |
| Aetna | Medicare Advantage Specialist | $573.46 | ↓ -56% |
| Cigna | Individual Family Plan Mid-Level | $577.26 | ↓ -55% |
| Cigna | Surefit Mid-Level | $588.30 | ↓ -54% |
| Avmed | Exchange | $611.59 | ↓ -53% |
| Avmed | Select | $635.11 | ↓ -51% |
| Cigna | All Products Mid-Level | $635.37 | ↓ -51% |
| Aetna | POS First Health | $678.02 | ↓ -48% |
| Cigna | Individual Family Plan Physician | $679.16 | ↓ -47% |
| Avmed | Broad | $682.15 | ↓ -47% |
| Aetna | PPO First Health | $684.78 | ↓ -47% |
| Cigna | Surefit Physician | $692.15 | ↓ -46% |
| Cigna | All Products Physician | $747.51 | ↓ -42% |
| OPTUM | Managed Medicaid | $835.73 | ↓ -35% |
| MOLINA | Florida KidCare | $879.72 | ↓ -32% |
| AMERIHEALTH | Managed Medicaid | $879.72 | ↓ -32% |
| Molina | Florida Kidcare | $879.72 | ↓ -32% |
| SUNSHINE HEALTH | Managed Medicaid | $879.72 | ↓ -32% |
| Carelon BH Strategies | Managed Medicaid | $879.72 | ↓ -32% |
| United | All Products | $890.14 | ↓ -31% |
| MOLINA | Managed Medicaid | $923.71 | ↓ -29% |
| AETNA | Managed Medicaid/CHIP | $967.69 | ↓ -25% |
| Independent Living Systems | Managed Medicaid | $1,055.66 | ↓ -18% |
| Clarity Health | All Products | $1,292.20 | ↑ +0% |
| Three Rivers | All Products | $1,292.20 | ↑ +0% |
| The Legacy Companies | All Products | $1,292.20 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $1,491.00 | ↑ +15% |
| National Provider Network | All Products | $1,689.80 | ↑ +31% |
| Aetna | All Products First Health | $1,789.20 | ↑ +38% |
| UNITED | MEDICARE ADVANTAGE | $1,960.15 | ↑ +52% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $1,960.15 | ↑ +52% |
| Careplus | MEDICARE ADVANTAGE | $1,960.15 | ↑ +52% |
| Freedom Health | MEDICARE ADVANTAGE | $1,960.15 | ↑ +52% |
| BLUE CROSS | Medicare Advantage HMO | $1,960.15 | ↑ +52% |
| HUMANA | Medicare Advantage HMO | $1,960.15 | ↑ +52% |
| BLUE CROSS | Medicare Advantage PPO | $1,960.15 | ↑ +52% |
| AVMED | MEDICARE ADVANTAGE | $2,038.56 | ↑ +58% |
| Wellcare | MEDICARE ADVANTAGE | $2,039.19 | ↑ +58% |
| AETNA | MEDICARE ADVANTAGE | $2,039.19 | ↑ +58% |
| WellMed | MEDICARE ADVANTAGE | $2,039.19 | ↑ +58% |
| Independent Living Systems | MEDICARE ADVANTAGE | $2,058.16 | ↑ +59% |
| DEVOTED HEALTH | Medicare Advantage HMO | $2,243.11 | ↑ +74% |
| AVMED | EXCHANGE | $3,077.44 | ↑ +138% |
| AVMED | Select | $3,449.87 | ↑ +167% |
| AVMED | BROAD | $4,488.75 | ↑ +247% |
| BLUE CROSS | BSL | $4,536.00 | ↑ +251% |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
Visitor-reported prices
Comments
Carpal Tunnel Release Surgery at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $10,947.95 | $249.89 – $14,316.55 |
| martin north hospital | Stuart | $10,947.95 | $331.30 – $8,421.50 |
| Baptist Hospital | MIAMI | not published | not published |
| Bethesda Hospital East | BOYNTON BEACH | not published | not published |
| Boca Raton Regional Hospital | BOCA RATON | not published | not published |
| Doctors Hospital | CORAL GABLES | not published | not published |
| Baptist Health Hospital Doral | SOUTH MIAMI | not published | not published |
| Fishermens Community Hospital | MARATHON | not published | not published |