Colonoscopy (with polyp removal) at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,307.15
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.
$2,011.00
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.
$239.15 with Avmed vs $7,322.00 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 |
|---|---|---|---|
| Avmed | Medicare Advantage | $239.15 | ↓ -82% |
| Wellcare | Medicare Advantage | $239.15 | ↓ -82% |
| Value Options | Medicare Advantage | $239.15 | ↓ -82% |
| Careplus | Medicare Advantage | $239.15 | ↓ -82% |
| Magellan | Medicare Advantage | $239.15 | ↓ -82% |
| Blue Cross | Medicare Advantage PPO | $239.15 | ↓ -82% |
| Blue Cross | Medicare Advantage HMO | $239.15 | ↓ -82% |
| Optum | Managed Medicaid | $244.93 | ↓ -81% |
| Independent Living Systems | Medicare Advantage | $251.11 | ↓ -81% |
| WellMed | Medicare Advantage | $251.11 | ↓ -81% |
| Freedom Health | Medicare Advantage | $251.11 | ↓ -81% |
| United | Medicare Advantage | $256.72 | ↓ -80% |
| Clear Spring Health | All Products | $258.28 | ↓ -80% |
| Aetna | Medicare Advantage Behavioral Health | $286.98 | ↓ -78% |
| Blue Cross | Health Options | $291.98 | ↓ -78% |
| Aetna | Medicare Advantage PCP | $296.55 | ↓ -77% |
| Blue Cross | Network Blue | $299.16 | ↓ -77% |
| Aetna | Medicare Advantage Specialist | $301.33 | ↓ -77% |
| Blue Cross | Perferred Patient Care | $306.34 | ↓ -77% |
| Blue Cross | Traditional (PPS) | $306.34 | ↓ -77% |
| Avmed | Exchange | $342.58 | ↓ -74% |
| Wellcare | Managed Medicaid | $343.67 | ↓ -74% |
| Medicaid | Managed Medicaid | $343.67 | ↓ -74% |
| Value Options | Managed Medicaid | $343.67 | ↓ -74% |
| AmeriHealth | Managed Medicaid | $343.67 | ↓ -74% |
| Molina | Managed Medicaid | $343.67 | ↓ -74% |
| Avmed | Select | $355.75 | ↓ -73% |
| Avmed | Broad | $382.10 | ↓ -71% |
| Aetna | POS First Health | $409.25 | ↓ -69% |
| United | All Products | $498.61 | ↓ -62% |
| OPTUM | Managed Medicaid | $605.04 | ↓ -54% |
| MOLINA | Florida KidCare | $636.88 | ↓ -51% |
| AMERIHEALTH | Managed Medicaid | $636.88 | ↓ -51% |
| Carelon BH Strategies | Managed Medicaid | $636.88 | ↓ -51% |
| SUNSHINE HEALTH | Managed Medicaid | $636.88 | ↓ -51% |
| Molina | Florida Kidcare | $636.88 | ↓ -51% |
| Aetna | PPO First Health | $665.65 | ↓ -49% |
| MOLINA | Managed Medicaid | $668.72 | ↓ -49% |
| Cigna | Individual Family Plan Mid-Level | $683.70 | ↓ -48% |
| Cigna | Surefit Mid-Level | $696.79 | ↓ -47% |
| AETNA | Managed Medicaid/CHIP | $700.57 | ↓ -46% |
| Cigna | All Products Mid-Level | $752.45 | ↓ -42% |
| Independent Living Systems | Managed Medicaid | $764.26 | ↓ -42% |
| Cigna | Individual Family Plan Physician | $804.35 | ↓ -38% |
| Cigna | Surefit Physician | $819.73 | ↓ -37% |
| Cigna | All Products Physician | $885.22 | ↓ -32% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $1,183.54 | ↓ -9% |
| UNITED | MEDICARE ADVANTAGE | $1,183.54 | ↓ -9% |
| BLUE CROSS | Medicare Advantage HMO | $1,183.54 | ↓ -9% |
| BLUE CROSS | Medicare Advantage PPO | $1,183.54 | ↓ -9% |
| Careplus | MEDICARE ADVANTAGE | $1,183.54 | ↓ -9% |
| Freedom Health | MEDICARE ADVANTAGE | $1,183.54 | ↓ -9% |
| HUMANA | Medicare Advantage HMO | $1,183.54 | ↓ -9% |
| AVMED | MEDICARE ADVANTAGE | $1,230.88 | ↓ -6% |
| Independent Living Systems | MEDICARE ADVANTAGE | $1,242.71 | ↓ -5% |
| WellMed | MEDICARE ADVANTAGE | $1,249.63 | ↓ -4% |
| AETNA | MEDICARE ADVANTAGE | $1,249.63 | ↓ -4% |
| Wellcare | MEDICARE ADVANTAGE | $1,249.63 | ↓ -4% |
| Three Rivers | All Products | $1,307.15 | ↑ +0% |
| The Legacy Companies | All Products | $1,307.15 | ↑ +0% |
| Clarity Health | All Products | $1,307.15 | ↑ +0% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,374.59 | ↑ +5% |
| Consociate Health | ALL PRODUCTS | $1,508.25 | ↑ +15% |
| National Provider Network | All Products | $1,709.35 | ↑ +31% |
| Aetna | All Products First Health | $1,809.90 | ↑ +38% |
| AVMED | EXCHANGE | $1,858.15 | ↑ +42% |
| AVMED | Select | $2,083.02 | ↑ +59% |
| UNITED | NHP | $2,297.00 | ↑ +76% |
| AVMED | BROAD | $2,710.30 | ↑ +107% |
| UNITED | ALL PRODUCTS | $2,728.00 | ↑ +109% |
| BLUE CROSS | BSL | $3,899.00 | ↑ +198% |
| AETNA | ALL PRODUCTS | $4,542.00 | ↑ +247% |
| BLUE CROSS | NWB | $5,154.00 | ↑ +294% |
| BLUE CROSS | PPO | $7,322.00 | ↑ +460% |
| Magellan | Summit | not published by hospital | — |
| 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 | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
Visitor-reported prices
Comments
Colonoscopy (with polyp removal) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $4,407.00 | $239.15 – $5,763.00 |
| martin north hospital | Stuart | $4,407.00 | $239.15 – $3,390.00 |
| AdventHealth Orlando | Orlando | $3,914.00 | $1,249.63 – $3,311.51 |
| Adventhealth Wesley Chapel | Wesley Chapel | $12,166.92 | $1,249.63 – $2,774.17 |
| Adventhealth Zephyrhills | Zephyrhills | $12,166.92 | $1,249.63 – $2,898.01 |
| Adventhealth Carrollwood | Tampa | $12,166.92 | $537.00 – $2,774.17 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $1,187.15 – $2,085.63 |
| Adventhealth Lake Wales | Lake Wales | not published | $1,249.63 – $2,774.17 |