Complex repair trunk 2.6-7.5cm 13101 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,491.75
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.
$2,295.00
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.
$119.18 with Optum vs $6,062.00 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 | $119.18 | ↓ -92% |
| Blue Cross | Medicare Advantage HMO | $223.07 | ↓ -85% |
| Avmed | Medicare Advantage | $223.07 | ↓ -85% |
| Value Options | Medicare Advantage | $223.07 | ↓ -85% |
| Careplus | Medicare Advantage | $223.07 | ↓ -85% |
| Magellan | Medicare Advantage | $223.07 | ↓ -85% |
| Wellcare | Medicare Advantage | $223.07 | ↓ -85% |
| Blue Cross | Medicare Advantage PPO | $223.07 | ↓ -85% |
| Freedom Health | Medicare Advantage | $234.22 | ↓ -84% |
| Independent Living Systems | Medicare Advantage | $234.22 | ↓ -84% |
| WellMed | Medicare Advantage | $234.22 | ↓ -84% |
| Clear Spring Health | All Products | $240.92 | ↓ -84% |
| United | Medicare Advantage | $249.85 | ↓ -83% |
| OPTUM | Managed Medicaid | $254.67 | ↓ -83% |
| Blue Cross | Health Options | $265.17 | ↓ -82% |
| Aetna | Medicare Advantage Behavioral Health | $267.68 | ↓ -82% |
| Carelon BH Strategies | Managed Medicaid | $268.07 | ↓ -82% |
| Wellcare | Managed Medicaid | $268.07 | ↓ -82% |
| SUNSHINE HEALTH | Managed Medicaid | $268.07 | ↓ -82% |
| AMERIHEALTH | Managed Medicaid | $268.07 | ↓ -82% |
| MOLINA | Florida KidCare | $268.07 | ↓ -82% |
| Molina | Florida Kidcare | $268.07 | ↓ -82% |
| Medicaid | Managed Medicaid | $268.07 | ↓ -82% |
| Blue Cross | Network Blue | $271.69 | ↓ -82% |
| Aetna | Medicare Advantage PCP | $276.61 | ↓ -81% |
| Blue Cross | Traditional (PPS) | $278.21 | ↓ -81% |
| Blue Cross | Perferred Patient Care | $278.21 | ↓ -81% |
| Aetna | Medicare Advantage Specialist | $281.07 | ↓ -81% |
| MOLINA | Managed Medicaid | $281.47 | ↓ -81% |
| Clear Spring Health | ALL PRODUCTS | $287.74 | ↓ -81% |
| AETNA | Managed Medicaid/CHIP | $294.88 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $301.03 | ↓ -80% |
| Molina | Managed Medicaid | $301.03 | ↓ -80% |
| Value Options | Managed Medicaid | $301.03 | ↓ -80% |
| Independent Living Systems | Managed Medicaid | $321.68 | ↓ -78% |
| Avmed | Exchange | $332.19 | ↓ -78% |
| Avmed | Select | $344.97 | ↓ -77% |
| Avmed | Broad | $370.52 | ↓ -75% |
| Aetna | POS First Health | $396.92 | ↓ -73% |
| United | All Products | $483.49 | ↓ -68% |
| Cigna | Individual Family Plan Mid-Level | $510.34 | ↓ -66% |
| Cigna | Surefit Mid-Level | $520.11 | ↓ -65% |
| AETNA | QHP | $537.03 | ↓ -64% |
| Cigna | All Products Mid-Level | $561.66 | ↓ -62% |
| CIGNA | Individual Family Plan | $589.82 | ↓ -60% |
| Cigna | Individual Family Plan Physician | $600.39 | ↓ -60% |
| Aetna | PPO First Health | $611.20 | ↓ -59% |
| Cigna | Surefit Physician | $611.88 | ↓ -59% |
| BLUE CROSS | Medicare Advantage PPO | $614.44 | ↓ -59% |
| HUMANA | Medicare Advantage HMO | $614.44 | ↓ -59% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $614.44 | ↓ -59% |
| Careplus | MEDICARE ADVANTAGE | $614.44 | ↓ -59% |
| BLUE CROSS | Medicare Advantage HMO | $614.44 | ↓ -59% |
| UNITED | MEDICARE ADVANTAGE | $614.44 | ↓ -59% |
| Freedom Health | MEDICARE ADVANTAGE | $614.44 | ↓ -59% |
| AVMED | MEDICARE ADVANTAGE | $639.02 | ↓ -57% |
| Independent Living Systems | MEDICARE ADVANTAGE | $645.17 | ↓ -57% |
| Cigna | All Products Physician | $660.76 | ↓ -56% |
| CIGNA | SUREFIT | $711.45 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $729.81 | ↓ -51% |
| Wellcare | MEDICARE ADVANTAGE | $771.80 | ↓ -48% |
| AETNA | MEDICARE ADVANTAGE | $771.80 | ↓ -48% |
| WellMed | MEDICARE ADVANTAGE | $771.80 | ↓ -48% |
| AETNA | ALL PRODUCTS | $817.02 | ↓ -45% |
| DEVOTED HEALTH | Medicare Advantage HMO | $848.98 | ↓ -43% |
| UNITED | NHP | $850.00 | ↓ -43% |
| Clarity Health | All Products | $910.00 | ↓ -39% |
| Three Rivers | All Products | $910.00 | ↓ -39% |
| The Legacy Companies | All Products | $910.00 | ↓ -39% |
| AVMED | EXCHANGE | $964.68 | ↓ -35% |
| Consociate Health | ALL PRODUCTS | $1,050.00 | ↓ -30% |
| AVMED | Select | $1,081.42 | ↓ -28% |
| BMI | ALL PRODUCTS | $1,147.50 | ↓ -23% |
| UNITED | ALL PRODUCTS | $1,151.00 | ↓ -23% |
| UNITED | International | $1,151.00 | ↓ -23% |
| National Provider Network | All Products | $1,190.00 | ↓ -20% |
| Aetna | All Products First Health | $1,260.00 | ↓ -16% |
| MAGELLAN | ALL PRODUCTS | $1,377.00 | ↓ -8% |
| AVMED | BROAD | $1,407.08 | ↓ -6% |
| The Legacy Companies | ALL PRODUCTS | $1,491.75 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $1,491.75 | ↑ +0% |
| AETNA | All Products First Health | $1,836.00 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $1,836.00 | ↑ +23% |
| BLUE CROSS | HMO | $3,163.00 | ↑ +112% |
| BLUE CROSS | BSL | $3,163.00 | ↑ +112% |
| BLUE CROSS | PPO | $4,075.00 | ↑ +173% |
| BLUE CROSS | NWBI | $4,194.00 | ↑ +181% |
| BLUE CROSS | NWB | $4,194.00 | ↑ +181% |
| BLUE CROSS | PHS | $6,062.00 | ↑ +306% |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products Anesthesia | 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 | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Complex repair trunk 2.6-7.5cm 13101 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,301.31 | $733.21 – $1,288.13 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,857.61 | $733.21 – $1,648.48 |
| Adventhealth Tampa | Tampa | $6,289.69 | $614.00 – $1,713.39 |
| cleveland clinic florida weston hospital | Weston | $1,491.75 | $119.18 – $1,950.75 |
| martin north hospital | Stuart | $1,491.75 | $221.70 – $1,147.50 |
| Baptist Hospital | MIAMI | $1,576.25 | $173.17 – $2,182.50 |
| Bethesda Hospital East | BOYNTON BEACH | $1,576.25 | $273.54 – $2,182.50 |
| Boca Raton Regional Hospital | BOCA RATON | $1,413.75 | $476.00 – $1,420.28 |