Closed tx/talus fracture without manip 28430 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$896.35
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.
$1,379.00
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.
$125.21 with Optum vs $4,545.00 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 | $125.21 | ↓ -86% |
| Blue Cross | Health Options | $191.39 | ↓ -79% |
| Medicaid | Managed Medicaid | $192.00 | ↓ -79% |
| Value Options | Managed Medicaid | $192.00 | ↓ -79% |
| Wellcare | Managed Medicaid | $192.00 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $192.00 | ↓ -79% |
| Molina | Managed Medicaid | $192.00 | ↓ -79% |
| Blue Cross | Network Blue | $196.10 | ↓ -78% |
| Blue Cross | Traditional (PPS) | $200.80 | ↓ -78% |
| Blue Cross | Perferred Patient Care | $200.80 | ↓ -78% |
| United | Medicare Advantage | $222.84 | ↓ -75% |
| Blue Cross | Medicare Advantage HMO | $229.62 | ↓ -74% |
| Wellcare | Medicare Advantage | $229.62 | ↓ -74% |
| Careplus | Medicare Advantage | $229.62 | ↓ -74% |
| Value Options | Medicare Advantage | $229.62 | ↓ -74% |
| Magellan | Medicare Advantage | $229.62 | ↓ -74% |
| Avmed | Medicare Advantage | $229.62 | ↓ -74% |
| Blue Cross | Medicare Advantage PPO | $229.62 | ↓ -74% |
| Independent Living Systems | Medicare Advantage | $233.98 | ↓ -74% |
| BLUE CROSS | Medicare Advantage HMO | $240.79 | ↓ -73% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $240.79 | ↓ -73% |
| Careplus | MEDICARE ADVANTAGE | $240.79 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $240.79 | ↓ -73% |
| Freedom Health | MEDICARE ADVANTAGE | $240.79 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $240.79 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $240.79 | ↓ -73% |
| Freedom Health | Medicare Advantage | $241.10 | ↓ -73% |
| WellMed | Medicare Advantage | $241.10 | ↓ -73% |
| Clear Spring Health | All Products | $247.99 | ↓ -72% |
| AVMED | MEDICARE ADVANTAGE | $250.42 | ↓ -72% |
| Independent Living Systems | MEDICARE ADVANTAGE | $252.83 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $257.59 | ↓ -71% |
| AETNA | MEDICARE ADVANTAGE | $257.59 | ↓ -71% |
| WellMed | MEDICARE ADVANTAGE | $257.59 | ↓ -71% |
| Aetna | Medicare Advantage Behavioral Health | $275.54 | ↓ -69% |
| DEVOTED HEALTH | Medicare Advantage HMO | $283.35 | ↓ -68% |
| Aetna | Medicare Advantage PCP | $284.73 | ↓ -68% |
| Aetna | Medicare Advantage Specialist | $289.32 | ↓ -68% |
| Avmed | Exchange | $295.10 | ↓ -67% |
| Clear Spring Health | ALL PRODUCTS | $299.64 | ↓ -67% |
| Avmed | Select | $306.45 | ↓ -66% |
| OPTUM | Managed Medicaid | $310.03 | ↓ -65% |
| AETNA | QHP | $322.69 | ↓ -64% |
| Aetna | POS First Health | $324.52 | ↓ -64% |
| Carelon BH Strategies | Managed Medicaid | $326.35 | ↓ -64% |
| SUNSHINE HEALTH | Managed Medicaid | $326.35 | ↓ -64% |
| MOLINA | Florida KidCare | $326.35 | ↓ -64% |
| AMERIHEALTH | Managed Medicaid | $326.35 | ↓ -64% |
| Molina | Florida Kidcare | $326.35 | ↓ -64% |
| Avmed | Broad | $329.15 | ↓ -63% |
| Cigna | Individual Family Plan Mid-Level | $339.66 | ↓ -62% |
| MOLINA | Managed Medicaid | $342.67 | ↓ -62% |
| Cigna | Surefit Mid-Level | $346.17 | ↓ -61% |
| CIGNA | Individual Family Plan | $354.40 | ↓ -60% |
| AETNA | Managed Medicaid/CHIP | $358.99 | ↓ -60% |
| Aetna | PPO First Health | $366.13 | ↓ -59% |
| Cigna | All Products Mid-Level | $373.82 | ↓ -58% |
| AVMED | EXCHANGE | $378.04 | ↓ -58% |
| Independent Living Systems | Managed Medicaid | $391.62 | ↓ -56% |
| Cigna | Individual Family Plan Physician | $399.62 | ↓ -55% |
| Cigna | Surefit Physician | $407.26 | ↓ -55% |
| AVMED | Select | $423.78 | ↓ -53% |
| CIGNA | SUREFIT | $427.49 | ↓ -52% |
| United | All Products | $429.51 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $438.52 | ↓ -51% |
| Cigna | All Products Physician | $439.83 | ↓ -51% |
| AETNA | ALL PRODUCTS | $490.92 | ↓ -45% |
| AVMED | BROAD | $551.40 | ↓ -38% |
| Clarity Health | All Products | $577.20 | ↓ -36% |
| Three Rivers | All Products | $577.20 | ↓ -36% |
| The Legacy Companies | All Products | $577.20 | ↓ -36% |
| Consociate Health | ALL PRODUCTS | $666.00 | ↓ -26% |
| BMI | ALL PRODUCTS | $689.50 | ↓ -23% |
| National Provider Network | All Products | $754.80 | ↓ -16% |
| Aetna | All Products First Health | $799.20 | ↓ -11% |
| MAGELLAN | ALL PRODUCTS | $827.40 | ↓ -8% |
| UNITED | NHP | $850.00 | ↓ -5% |
| The Legacy Companies | ALL PRODUCTS | $896.35 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $896.35 | ↑ +0% |
| MULTIPLAN | ALL PRODUCTS | $1,103.20 | ↑ +23% |
| AETNA | All Products First Health | $1,103.20 | ↑ +23% |
| UNITED | International | $1,151.00 | ↑ +28% |
| UNITED | ALL PRODUCTS | $1,151.00 | ↑ +28% |
| BLUE CROSS | BSL | $2,784.00 | ↑ +211% |
| BLUE CROSS | HMO | $2,784.00 | ↑ +211% |
| BLUE CROSS | NWB | $3,679.00 | ↑ +310% |
| BLUE CROSS | NWBI | $3,679.00 | ↑ +310% |
| BLUE CROSS | PPO | $4,545.00 | ↑ +407% |
| BLUE CROSS | PHS | $4,545.00 | ↑ +407% |
| Magellan | Pinnacle | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | 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 | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
Visitor-reported prices
Comments
Closed tx/talus fracture without manip 28430 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $2,536.71 | $257.59 – $571.85 |
| cleveland clinic florida weston hospital | Weston | $896.35 | $125.21 – $1,172.15 |
| martin north hospital | Stuart | $896.35 | $160.02 – $689.50 |
| AdventHealth Orlando | Orlando | $777.00 | $257.59 – $682.61 |
| Adventhealth Riverview | Riverview | $2,536.71 | not published |
| Adventhealth Carrollwood | Tampa | $2,536.71 | not published |
| Adventhealth Daytona Beach | Daytona Beach | not published | $244.71 – $429.92 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $244.71 – $550.19 |