Composite graft/pri close/don area 15760 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$4,459.00
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.
?
What you pay up front if you don't use insurance.
$6,860.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$337.31 with Optum vs $8,858.00 with BLUE CROSS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $337.31 | ↓ -92% |
| Value Options | Managed Medicaid | $652.10 | ↓ -85% |
| Wellcare | Managed Medicaid | $652.10 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $652.10 | ↓ -85% |
| Molina | Managed Medicaid | $652.10 | ↓ -85% |
| Medicaid | Managed Medicaid | $652.10 | ↓ -85% |
| Avmed | Medicare Advantage | $653.57 | ↓ -85% |
| Blue Cross | Medicare Advantage PPO | $653.57 | ↓ -85% |
| Blue Cross | Medicare Advantage HMO | $653.57 | ↓ -85% |
| Wellcare | Medicare Advantage | $653.57 | ↓ -85% |
| Value Options | Medicare Advantage | $653.57 | ↓ -85% |
| Magellan | Medicare Advantage | $653.57 | ↓ -85% |
| Careplus | Medicare Advantage | $653.57 | ↓ -85% |
| Blue Cross | Health Options | $669.76 | ↓ -85% |
| Blue Cross | Network Blue | $686.22 | ↓ -85% |
| Freedom Health | Medicare Advantage | $686.25 | ↓ -85% |
| Independent Living Systems | Medicare Advantage | $686.25 | ↓ -85% |
| WellMed | Medicare Advantage | $686.25 | ↓ -85% |
| Blue Cross | Traditional (PPS) | $702.69 | ↓ -84% |
| Blue Cross | Perferred Patient Care | $702.69 | ↓ -84% |
| Clear Spring Health | All Products | $705.86 | ↓ -84% |
| United | Medicare Advantage | $716.64 | ↓ -84% |
| Aetna | Medicare Advantage Behavioral Health | $784.28 | ↓ -82% |
| Aetna | Medicare Advantage PCP | $810.43 | ↓ -82% |
| Aetna | Medicare Advantage Specialist | $823.50 | ↓ -82% |
| Clear Spring Health | ALL PRODUCTS | $829.18 | ↓ -81% |
| Avmed | Exchange | $952.26 | ↓ -79% |
| Cigna | Individual Family Plan Mid-Level | $953.74 | ↓ -79% |
| Cigna | Surefit Mid-Level | $971.97 | ↓ -78% |
| Avmed | Select | $988.89 | ↓ -78% |
| Cigna | All Products Mid-Level | $1,049.82 | ↓ -76% |
| Avmed | Broad | $1,062.14 | ↓ -76% |
| Aetna | POS First Health | $1,106.10 | ↓ -75% |
| Cigna | Individual Family Plan Physician | $1,122.09 | ↓ -75% |
| Cigna | Surefit Physician | $1,143.61 | ↓ -74% |
| OPTUM | Managed Medicaid | $1,181.56 | ↓ -74% |
| Cigna | All Products Physician | $1,235.02 | ↓ -72% |
| Molina | Florida Kidcare | $1,243.75 | ↓ -72% |
| AMERIHEALTH | Managed Medicaid | $1,243.75 | ↓ -72% |
| Carelon BH Strategies | Managed Medicaid | $1,243.75 | ↓ -72% |
| MOLINA | Florida KidCare | $1,243.75 | ↓ -72% |
| SUNSHINE HEALTH | Managed Medicaid | $1,243.75 | ↓ -72% |
| MOLINA | Managed Medicaid | $1,305.94 | ↓ -71% |
| Aetna | PPO First Health | $1,314.14 | ↓ -71% |
| AETNA | Managed Medicaid/CHIP | $1,368.13 | ↓ -69% |
| United | All Products | $1,385.98 | ↓ -69% |
| Independent Living Systems | Managed Medicaid | $1,492.50 | ↓ -67% |
| CIGNA | Individual Family Plan | $1,763.02 | ↓ -60% |
| BLUE CROSS | Medicare Advantage PPO | $1,836.14 | ↓ -59% |
| BLUE CROSS | Medicare Advantage HMO | $1,836.14 | ↓ -59% |
| HUMANA | Medicare Advantage HMO | $1,836.14 | ↓ -59% |
| Freedom Health | MEDICARE ADVANTAGE | $1,836.14 | ↓ -59% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $1,836.14 | ↓ -59% |
| Careplus | MEDICARE ADVANTAGE | $1,836.14 | ↓ -59% |
| UNITED | MEDICARE ADVANTAGE | $1,836.14 | ↓ -59% |
| AVMED | MEDICARE ADVANTAGE | $1,909.59 | ↓ -57% |
| Independent Living Systems | MEDICARE ADVANTAGE | $1,927.95 | ↓ -57% |
| CIGNA | SUREFIT | $2,126.60 | ↓ -52% |
| Wellcare | MEDICARE ADVANTAGE | $2,154.64 | ↓ -52% |
| AETNA | MEDICARE ADVANTAGE | $2,154.64 | ↓ -52% |
| WellMed | MEDICARE ADVANTAGE | $2,154.64 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $2,181.48 | ↓ -51% |
| DEVOTED HEALTH | Medicare Advantage HMO | $2,370.10 | ↓ -47% |
| The Legacy Companies | All Products | $2,563.60 | ↓ -43% |
| Clarity Health | All Products | $2,563.60 | ↓ -43% |
| Three Rivers | All Products | $2,563.60 | ↓ -43% |
| AETNA | QHP | $2,789.00 | ↓ -37% |
| AVMED | EXCHANGE | $2,882.75 | ↓ -35% |
| Consociate Health | ALL PRODUCTS | $2,958.00 | ↓ -34% |
| AVMED | Select | $3,231.61 | ↓ -28% |
| National Provider Network | All Products | $3,352.40 | ↓ -25% |
| BMI | ALL PRODUCTS | $3,430.00 | ↓ -23% |
| Aetna | All Products First Health | $3,549.60 | ↓ -20% |
| MAGELLAN | ALL PRODUCTS | $4,116.00 | ↓ -8% |
| AVMED | BROAD | $4,204.77 | ↓ -6% |
| The Legacy Companies | ALL PRODUCTS | $4,459.00 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $4,459.00 | ↑ +0% |
| AETNA | ALL PRODUCTS | $4,542.00 | ↑ +2% |
| BLUE CROSS | BSL | $5,233.00 | ↑ +17% |
| BLUE CROSS | HMO | $5,233.00 | ↑ +17% |
| AETNA | All Products First Health | $5,488.00 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $5,488.00 | ↑ +23% |
| BLUE CROSS | NWBI | $6,391.00 | ↑ +43% |
| BLUE CROSS | NWB | $6,391.00 | ↑ +43% |
| BLUE CROSS | PHS | $8,858.00 | ↑ +99% |
| BLUE CROSS | PPO | $8,858.00 | ↑ +99% |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| UNITED | NHP | 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 | NAP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
Visitor-reported prices
Comments
Composite graft/pri close/don area 15760 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $2,563.60 | $337.31 – $2,958.00 |
| martin north hospital | Stuart | $4,459.00 | $559.96 – $3,430.00 |
| Baptist Hospital | MIAMI | $5,709.60 | $173.17 – $7,905.60 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $2,046.91 – $3,596.09 |
| Adventhealth Lake Wales | Lake Wales | not published | $2,154.64 – $4,783.30 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $2,046.91 – $4,602.10 |
| Adventhealth Tampa | Tampa | not published | $537.00 – $4,783.30 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $2,046.91 – $4,706.81 |