Change cystostomy tube; complex 51710 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$2,494.70
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.
$3,838.00
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.
$59.13 with Optum vs $6,991.00 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 | $59.13 | ↓ -98% |
| Blue Cross | Health Options | $72.17 | ↓ -97% |
| Blue Cross | Network Blue | $73.94 | ↓ -97% |
| Blue Cross | Perferred Patient Care | $75.72 | ↓ -97% |
| Blue Cross | Traditional (PPS) | $75.72 | ↓ -97% |
| Wellcare | Medicare Advantage | $78.43 | ↓ -97% |
| Avmed | Medicare Advantage | $78.43 | ↓ -97% |
| Careplus | Medicare Advantage | $78.43 | ↓ -97% |
| Value Options | Medicare Advantage | $78.43 | ↓ -97% |
| Blue Cross | Medicare Advantage PPO | $78.43 | ↓ -97% |
| Magellan | Medicare Advantage | $78.43 | ↓ -97% |
| Blue Cross | Medicare Advantage HMO | $78.43 | ↓ -97% |
| United | Medicare Advantage | $81.56 | ↓ -97% |
| WellMed | Medicare Advantage | $82.35 | ↓ -97% |
| Independent Living Systems | Medicare Advantage | $82.35 | ↓ -97% |
| Freedom Health | Medicare Advantage | $82.35 | ↓ -97% |
| Clear Spring Health | All Products | $84.70 | ↓ -97% |
| Aetna | Medicare Advantage Behavioral Health | $94.12 | ↓ -96% |
| Aetna | Medicare Advantage PCP | $97.25 | ↓ -96% |
| Aetna | Medicare Advantage Specialist | $98.82 | ↓ -96% |
| Clear Spring Health | ALL PRODUCTS | $101.69 | ↓ -96% |
| AmeriHealth | Managed Medicaid | $103.66 | ↓ -96% |
| Wellcare | Managed Medicaid | $103.66 | ↓ -96% |
| Molina | Managed Medicaid | $103.66 | ↓ -96% |
| Medicaid | Managed Medicaid | $103.66 | ↓ -96% |
| Value Options | Managed Medicaid | $103.66 | ↓ -96% |
| Avmed | Exchange | $109.02 | ↓ -96% |
| Avmed | Select | $113.21 | ↓ -95% |
| Avmed | Broad | $121.60 | ↓ -95% |
| Aetna | POS First Health | $124.83 | ↓ -95% |
| United | All Products | $158.67 | ↓ -94% |
| Cigna | Individual Family Plan Mid-Level | $161.47 | ↓ -94% |
| Cigna | Surefit Mid-Level | $164.56 | ↓ -93% |
| Cigna | All Products Mid-Level | $177.71 | ↓ -93% |
| Cigna | Individual Family Plan Physician | $189.95 | ↓ -92% |
| Cigna | Surefit Physician | $193.60 | ↓ -92% |
| Aetna | PPO First Health | $197.13 | ↓ -92% |
| Cigna | All Products Physician | $209.07 | ↓ -92% |
| OPTUM | Managed Medicaid | $248.59 | ↓ -90% |
| AMERIHEALTH | Managed Medicaid | $261.67 | ↓ -90% |
| MOLINA | Florida KidCare | $261.67 | ↓ -90% |
| SUNSHINE HEALTH | Managed Medicaid | $261.67 | ↓ -90% |
| Carelon BH Strategies | Managed Medicaid | $261.67 | ↓ -90% |
| Molina | Florida Kidcare | $261.67 | ↓ -90% |
| MOLINA | Managed Medicaid | $274.75 | ↓ -89% |
| AETNA | Managed Medicaid/CHIP | $287.84 | ↓ -88% |
| Independent Living Systems | Managed Medicaid | $314.00 | ↓ -87% |
| Three Rivers | All Products | $351.00 | ↓ -86% |
| Clarity Health | All Products | $351.00 | ↓ -86% |
| The Legacy Companies | All Products | $351.00 | ↓ -86% |
| Consociate Health | ALL PRODUCTS | $405.00 | ↓ -84% |
| National Provider Network | All Products | $459.00 | ↓ -82% |
| Aetna | All Products First Health | $486.00 | ↓ -81% |
| HUMANA | Medicare Advantage HMO | $669.99 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $669.99 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $669.99 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $669.99 | ↓ -73% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $669.99 | ↓ -73% |
| Careplus | MEDICARE ADVANTAGE | $669.99 | ↓ -73% |
| Freedom Health | MEDICARE ADVANTAGE | $669.99 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $696.79 | ↓ -72% |
| Independent Living Systems | MEDICARE ADVANTAGE | $703.49 | ↓ -72% |
| WellMed | MEDICARE ADVANTAGE | $728.17 | ↓ -71% |
| AETNA | MEDICARE ADVANTAGE | $728.17 | ↓ -71% |
| Wellcare | MEDICARE ADVANTAGE | $728.17 | ↓ -71% |
| DEVOTED HEALTH | Medicare Advantage HMO | $800.99 | ↓ -68% |
| CIGNA | Individual Family Plan | $986.37 | ↓ -60% |
| AVMED | EXCHANGE | $1,051.89 | ↓ -58% |
| AVMED | Select | $1,179.19 | ↓ -53% |
| CIGNA | SUREFIT | $1,189.78 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $1,220.48 | ↓ -51% |
| AVMED | BROAD | $1,534.28 | ↓ -38% |
| UNITED | NHP | $1,770.00 | ↓ -29% |
| BMI | ALL PRODUCTS | $1,919.00 | ↓ -23% |
| UNITED | ALL PRODUCTS | $2,101.00 | ↓ -16% |
| MAGELLAN | ALL PRODUCTS | $2,302.80 | ↓ -8% |
| UNITED | International | $2,307.00 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $2,494.70 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $2,494.70 | ↑ +0% |
| AETNA | QHP | $2,579.00 | ↑ +3% |
| AETNA | All Products First Health | $3,070.40 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $3,070.40 | ↑ +23% |
| BLUE CROSS | BSL | $3,691.00 | ↑ +48% |
| BLUE CROSS | HMO | $3,691.00 | ↑ +48% |
| AETNA | ALL PRODUCTS | $4,198.00 | ↑ +68% |
| BLUE CROSS | NWBI | $4,885.00 | ↑ +96% |
| BLUE CROSS | NWB | $4,885.00 | ↑ +96% |
| BLUE CROSS | PPO | $6,991.00 | ↑ +180% |
| BLUE CROSS | PHS | $6,991.00 | ↑ +180% |
| Aetna | Medical Rental | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Change cystostomy tube; complex 51710 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $2,040.52 | $691.76 – $1,215.32 |
| Adventhealth Lake Wales | Lake Wales | $2,040.52 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,403.09 | $691.76 – $1,555.30 |
| Adventhealth Tampa | Tampa | $6,913.16 | $401.00 – $1,616.54 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $2,682.92 | $691.76 – $1,590.69 |
| Adventhealth Port Charlotte | Port Charlotte | $6,913.16 | $728.17 – $1,329.64 |
| cleveland clinic florida weston hospital | Weston | $2,494.70 | $59.13 – $3,262.30 |
| martin north hospital | Stuart | $2,494.70 | $60.34 – $1,919.00 |