Closed tx humerus fx with manip 23605 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$5,981.95
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.
$9,203.00
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.
$254.07 with Optum vs $8,326.00 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 | $254.07 | ↓ -96% |
| OPTUM | Managed Medicaid | $310.03 | ↓ -95% |
| Molina | Florida Kidcare | $326.35 | ↓ -95% |
| Wellcare | Managed Medicaid | $326.35 | ↓ -95% |
| MOLINA | Florida KidCare | $326.35 | ↓ -95% |
| SUNSHINE HEALTH | Managed Medicaid | $326.35 | ↓ -95% |
| AMERIHEALTH | Managed Medicaid | $326.35 | ↓ -95% |
| Carelon BH Strategies | Managed Medicaid | $326.35 | ↓ -95% |
| Medicaid | Managed Medicaid | $326.35 | ↓ -95% |
| MOLINA | Managed Medicaid | $342.67 | ↓ -94% |
| AETNA | Managed Medicaid/CHIP | $358.99 | ↓ -94% |
| Value Options | Managed Medicaid | $375.84 | ↓ -94% |
| AmeriHealth | Managed Medicaid | $375.84 | ↓ -94% |
| Molina | Managed Medicaid | $375.84 | ↓ -94% |
| Independent Living Systems | Managed Medicaid | $391.62 | ↓ -93% |
| Blue Cross | Health Options | $394.68 | ↓ -93% |
| Blue Cross | Network Blue | $404.38 | ↓ -93% |
| Blue Cross | Traditional (PPS) | $414.09 | ↓ -93% |
| Blue Cross | Perferred Patient Care | $414.09 | ↓ -93% |
| United | Medicare Advantage | $457.01 | ↓ -92% |
| Careplus | Medicare Advantage | $475.52 | ↓ -92% |
| Avmed | Medicare Advantage | $475.52 | ↓ -92% |
| Value Options | Medicare Advantage | $475.52 | ↓ -92% |
| Wellcare | Medicare Advantage | $475.52 | ↓ -92% |
| Blue Cross | Medicare Advantage HMO | $475.52 | ↓ -92% |
| Blue Cross | Medicare Advantage PPO | $475.52 | ↓ -92% |
| Magellan | Medicare Advantage | $475.52 | ↓ -92% |
| Independent Living Systems | Medicare Advantage | $479.86 | ↓ -92% |
| Freedom Health | Medicare Advantage | $499.30 | ↓ -92% |
| WellMed | Medicare Advantage | $499.30 | ↓ -92% |
| Clear Spring Health | All Products | $513.56 | ↓ -91% |
| AETNA | QHP | $554.00 | ↓ -91% |
| Aetna | Medicare Advantage Behavioral Health | $570.62 | ↓ -90% |
| Aetna | Medicare Advantage PCP | $589.64 | ↓ -90% |
| Clear Spring Health | ALL PRODUCTS | $592.28 | ↓ -90% |
| Aetna | Medicare Advantage Specialist | $599.16 | ↓ -90% |
| Avmed | Exchange | $608.18 | ↓ -90% |
| Avmed | Select | $631.57 | ↓ -89% |
| Aetna | POS First Health | $668.15 | ↓ -89% |
| Cigna | Individual Family Plan Mid-Level | $671.41 | ↓ -89% |
| Avmed | Broad | $678.35 | ↓ -89% |
| Cigna | Surefit Mid-Level | $684.28 | ↓ -89% |
| Aetna | PPO First Health | $728.47 | ↓ -88% |
| Cigna | All Products Mid-Level | $738.94 | ↓ -88% |
| Cigna | Individual Family Plan Physician | $789.94 | ↓ -87% |
| Cigna | Surefit Physician | $805.04 | ↓ -87% |
| UNITED | NHP | $850.00 | ↓ -86% |
| Cigna | All Products Physician | $869.42 | ↓ -85% |
| United | All Products | $885.18 | ↓ -85% |
| UNITED | ALL PRODUCTS | $1,151.00 | ↓ -81% |
| UNITED | International | $1,151.00 | ↓ -81% |
| The Legacy Companies | All Products | $1,315.60 | ↓ -78% |
| Three Rivers | All Products | $1,315.60 | ↓ -78% |
| Clarity Health | All Products | $1,315.60 | ↓ -78% |
| Consociate Health | ALL PRODUCTS | $1,518.00 | ↓ -75% |
| BLUE CROSS | Medicare Advantage PPO | $1,606.46 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $1,606.46 | ↓ -73% |
| Careplus | MEDICARE ADVANTAGE | $1,606.46 | ↓ -73% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $1,606.46 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $1,606.46 | ↓ -73% |
| Freedom Health | MEDICARE ADVANTAGE | $1,606.46 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $1,606.46 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $1,670.72 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $1,679.19 | ↓ -72% |
| WellMed | MEDICARE ADVANTAGE | $1,679.19 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $1,679.19 | ↓ -72% |
| Independent Living Systems | MEDICARE ADVANTAGE | $1,686.78 | ↓ -72% |
| National Provider Network | All Products | $1,720.40 | ↓ -71% |
| Aetna | All Products First Health | $1,821.60 | ↓ -70% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,847.11 | ↓ -69% |
| CIGNA | Individual Family Plan | $2,365.17 | ↓ -60% |
| AVMED | EXCHANGE | $2,522.14 | ↓ -58% |
| AVMED | Select | $2,827.37 | ↓ -53% |
| CIGNA | SUREFIT | $2,852.93 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $2,926.55 | ↓ -51% |
| AVMED | BROAD | $3,678.79 | ↓ -39% |
| BLUE CROSS | HMO | $4,536.00 | ↓ -24% |
| BLUE CROSS | BSL | $4,536.00 | ↓ -24% |
| AETNA | ALL PRODUCTS | $4,542.00 | ↓ -24% |
| BMI | ALL PRODUCTS | $4,601.50 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $5,521.80 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $5,981.95 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $5,981.95 | ↑ +0% |
| BLUE CROSS | NWBI | $6,003.00 | ↑ +0% |
| BLUE CROSS | NWB | $6,003.00 | ↑ +0% |
| MULTIPLAN | ALL PRODUCTS | $7,362.40 | ↑ +23% |
| AETNA | All Products First Health | $7,362.40 | ↑ +23% |
| BLUE CROSS | PHS | $8,326.00 | ↑ +39% |
| BLUE CROSS | PPO | $8,326.00 | ↑ +39% |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| HUMANA | Managed Medicaid | 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 | Medical Rental | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Closed tx humerus fx with manip 23605 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $4,940.21 | $1,595.23 – $2,802.57 |
| Adventhealth Palm Coast Parkway | Palm Coast | $4,940.21 | $1,595.23 – $3,586.59 |
| Adventhealth Tampa | Tampa | $16,347.39 | $537.00 – $3,727.81 |
| cleveland clinic florida weston hospital | Weston | $5,981.95 | $254.07 – $7,822.55 |
| martin north hospital | Stuart | $5,981.95 | $326.35 – $4,601.50 |
| Boca Raton Regional Hospital | BOCA RATON | $4,226.95 | $476.00 – $4,246.46 |
| Adventhealth Palm Coast | Palm Coast | $4,940.21 | $1,595.23 – $3,586.59 |
| Adventhealth Waterman | Tavares | $4,940.21 | $1,679.19 – $3,388.27 |