Chemo adm cns w/lmbr punct at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,859.65
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.
$2,861.00
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.
$48.30 with Optum vs $2,288.80 with AETNA — 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 | $48.30 | ↓ -97% |
| Wellcare | Medicare Advantage | $70.74 | ↓ -96% |
| Careplus | Medicare Advantage | $70.74 | ↓ -96% |
| Value Options | Medicare Advantage | $70.74 | ↓ -96% |
| Magellan | Medicare Advantage | $70.74 | ↓ -96% |
| Avmed | Medicare Advantage | $70.74 | ↓ -96% |
| Blue Cross | Medicare Advantage HMO | $70.74 | ↓ -96% |
| Blue Cross | Medicare Advantage PPO | $70.74 | ↓ -96% |
| Independent Living Systems | Medicare Advantage | $74.28 | ↓ -96% |
| WellMed | Medicare Advantage | $74.28 | ↓ -96% |
| Freedom Health | Medicare Advantage | $74.28 | ↓ -96% |
| Blue Cross | Health Options | $74.70 | ↓ -96% |
| Clear Spring Health | All Products | $76.40 | ↓ -96% |
| Blue Cross | Network Blue | $76.54 | ↓ -96% |
| United | Medicare Advantage | $77.77 | ↓ -96% |
| Blue Cross | Perferred Patient Care | $78.38 | ↓ -96% |
| Blue Cross | Traditional (PPS) | $78.38 | ↓ -96% |
| Aetna | Medicare Advantage Behavioral Health | $84.89 | ↓ -95% |
| Aetna | Medicare Advantage PCP | $87.72 | ↓ -95% |
| Aetna | Medicare Advantage Specialist | $89.13 | ↓ -95% |
| Clear Spring Health | ALL PRODUCTS | $97.86 | ↓ -95% |
| Avmed | Exchange | $102.41 | ↓ -94% |
| Avmed | Select | $106.35 | ↓ -94% |
| Avmed | Broad | $114.23 | ↓ -94% |
| Value Options | Managed Medicaid | $121.53 | ↓ -93% |
| Wellcare | Managed Medicaid | $121.53 | ↓ -93% |
| AmeriHealth | Managed Medicaid | $121.53 | ↓ -93% |
| Medicaid | Managed Medicaid | $121.53 | ↓ -93% |
| Molina | Managed Medicaid | $121.53 | ↓ -93% |
| Aetna | POS First Health | $121.95 | ↓ -93% |
| United | All Products | $132.52 | ↓ -93% |
| Cigna | Individual Family Plan Mid-Level | $270.51 | ↓ -85% |
| Aetna | PPO First Health | $270.70 | ↓ -85% |
| Cigna | Surefit Mid-Level | $275.69 | ↓ -85% |
| Cigna | All Products Mid-Level | $297.74 | ↓ -84% |
| OPTUM | Managed Medicaid | $307.14 | ↓ -83% |
| Cigna | Individual Family Plan Physician | $318.24 | ↓ -83% |
| SUNSHINE HEALTH | Managed Medicaid | $323.31 | ↓ -83% |
| Carelon BH Strategies | Managed Medicaid | $323.31 | ↓ -83% |
| MOLINA | Florida KidCare | $323.31 | ↓ -83% |
| AMERIHEALTH | Managed Medicaid | $323.31 | ↓ -83% |
| Molina | Florida Kidcare | $323.31 | ↓ -83% |
| Cigna | Surefit Physician | $324.33 | ↓ -83% |
| Freedom Health | MEDICARE ADVANTAGE | $332.94 | ↓ -82% |
| BLUE CROSS | Medicare Advantage PPO | $332.94 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $332.94 | ↓ -82% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $332.94 | ↓ -82% |
| Careplus | MEDICARE ADVANTAGE | $332.94 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $332.94 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $332.94 | ↓ -82% |
| MOLINA | Managed Medicaid | $339.48 | ↓ -82% |
| Wellcare | MEDICARE ADVANTAGE | $344.93 | ↓ -81% |
| AETNA | MEDICARE ADVANTAGE | $344.93 | ↓ -81% |
| WellMed | MEDICARE ADVANTAGE | $344.93 | ↓ -81% |
| AVMED | MEDICARE ADVANTAGE | $346.26 | ↓ -81% |
| Independent Living Systems | MEDICARE ADVANTAGE | $349.59 | ↓ -81% |
| Cigna | All Products Physician | $350.26 | ↓ -81% |
| AETNA | Managed Medicaid/CHIP | $355.64 | ↓ -81% |
| DEVOTED HEALTH | Medicare Advantage HMO | $379.42 | ↓ -80% |
| Independent Living Systems | Managed Medicaid | $387.97 | ↓ -79% |
| The Legacy Companies | All Products | $397.80 | ↓ -79% |
| Clarity Health | All Products | $397.80 | ↓ -79% |
| Three Rivers | All Products | $397.80 | ↓ -79% |
| Consociate Health | ALL PRODUCTS | $459.00 | ↓ -75% |
| National Provider Network | All Products | $520.20 | ↓ -72% |
| AVMED | EXCHANGE | $522.72 | ↓ -72% |
| Aetna | All Products First Health | $550.80 | ↓ -70% |
| AVMED | Select | $585.98 | ↓ -68% |
| BLUE CROSS | HMO | $664.00 | ↓ -64% |
| BLUE CROSS | BSL | $664.00 | ↓ -64% |
| AETNA | QHP | $669.47 | ↓ -64% |
| CIGNA | Individual Family Plan | $735.28 | ↓ -60% |
| AVMED | BROAD | $762.44 | ↓ -59% |
| UNITED | NHP | $821.00 | ↓ -56% |
| CIGNA | SUREFIT | $886.91 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $909.80 | ↓ -51% |
| BLUE CROSS | NWB | $930.00 | ↓ -50% |
| BLUE CROSS | NWBI | $930.00 | ↓ -50% |
| AETNA | ALL PRODUCTS | $1,018.52 | ↓ -45% |
| UNITED | International | $1,066.00 | ↓ -43% |
| UNITED | ALL PRODUCTS | $1,066.00 | ↓ -43% |
| BLUE CROSS | PHS | $1,089.00 | ↓ -41% |
| BLUE CROSS | PPO | $1,089.00 | ↓ -41% |
| BMI | ALL PRODUCTS | $1,430.50 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $1,716.60 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $1,859.65 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $1,859.65 | ↑ +0% |
| MULTIPLAN | ALL PRODUCTS | $2,288.80 | ↑ +23% |
| AETNA | All Products First Health | $2,288.80 | ↑ +23% |
| 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 | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
Visitor-reported prices
Comments
Chemo adm cns w/lmbr punct at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,032.64 | not published |
| Adventhealth Tampa | Tampa | $1,204.31 | $344.93 – $765.75 |
| Adventhealth Port Charlotte | Port Charlotte | $1,294.42 | not published |
| cleveland clinic florida weston hospital | Weston | $1,859.65 | $48.30 – $2,431.85 |
| martin north hospital | Stuart | $1,859.65 | $62.46 – $1,430.50 |
| Baptist Hospital | MIAMI | $720.20 | $173.17 – $997.20 |
| Bethesda Hospital East | BOYNTON BEACH | $720.20 | $299.16 – $997.20 |
| Boca Raton Regional Hospital | BOCA RATON | $904.80 | $338.74 – $1,392.00 |