Consultation pathology during surgery cytological exam initial site at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$506.35
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.
$779.00
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.
$55.13 with United vs $1,877.77 with AVMED — 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 |
|---|---|---|---|
| United | All Products | $55.13 | ↓ -89% |
| OPTUM | Managed Medicaid | $56.79 | ↓ -89% |
| Carelon BH Strategies | Managed Medicaid | $59.78 | ↓ -88% |
| Wellcare | Managed Medicaid | $59.78 | ↓ -88% |
| SUNSHINE HEALTH | Managed Medicaid | $59.78 | ↓ -88% |
| Medicaid | Managed Medicaid | $59.78 | ↓ -88% |
| Molina | Florida Kidcare | $59.78 | ↓ -88% |
| AMERIHEALTH | Managed Medicaid | $59.78 | ↓ -88% |
| MOLINA | Florida KidCare | $59.78 | ↓ -88% |
| MOLINA | Managed Medicaid | $62.77 | ↓ -88% |
| AETNA | Managed Medicaid/CHIP | $65.76 | ↓ -87% |
| Aetna | PPO First Health | $66.24 | ↓ -87% |
| Independent Living Systems | Managed Medicaid | $71.74 | ↓ -86% |
| Blue Cross | Health Options | $88.10 | ↓ -83% |
| United | Medicare Advantage | $88.96 | ↓ -82% |
| Blue Cross | Medicare Advantage PPO | $90.06 | ↓ -82% |
| Careplus | Medicare Advantage | $90.06 | ↓ -82% |
| Magellan | Medicare Advantage | $90.06 | ↓ -82% |
| Wellcare | Medicare Advantage | $90.06 | ↓ -82% |
| Value Options | Medicare Advantage | $90.06 | ↓ -82% |
| Avmed | Medicare Advantage | $90.06 | ↓ -82% |
| Blue Cross | Medicare Advantage HMO | $90.06 | ↓ -82% |
| Blue Cross | Network Blue | $90.26 | ↓ -82% |
| Blue Cross | Traditional (PPS) | $92.43 | ↓ -82% |
| Blue Cross | Perferred Patient Care | $92.43 | ↓ -82% |
| Independent Living Systems | Medicare Advantage | $93.41 | ↓ -82% |
| WellMed | Medicare Advantage | $94.56 | ↓ -81% |
| Freedom Health | Medicare Advantage | $94.56 | ↓ -81% |
| Clear Spring Health | All Products | $97.26 | ↓ -81% |
| Aetna | Medicare Advantage Behavioral Health | $108.07 | ↓ -79% |
| Aetna | Medicare Advantage PCP | $111.67 | ↓ -78% |
| Aetna | Medicare Advantage Specialist | $113.48 | ↓ -78% |
| Avmed | Exchange | $119.44 | ↓ -76% |
| Clear Spring Health | ALL PRODUCTS | $122.33 | ↓ -76% |
| Avmed | Select | $124.04 | ↓ -76% |
| Avmed | Broad | $133.23 | ↓ -74% |
| AETNA | QHP | $182.29 | ↓ -64% |
| CIGNA | Individual Family Plan | $200.20 | ↓ -60% |
| Aetna | POS First Health | $232.65 | ↓ -54% |
| CIGNA | SUREFIT | $241.49 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $247.72 | ↓ -51% |
| AETNA | ALL PRODUCTS | $277.32 | ↓ -45% |
| Three Rivers | All Products | $336.05 | ↓ -34% |
| Clarity Health | All Products | $336.05 | ↓ -34% |
| The Legacy Companies | All Products | $336.05 | ↓ -34% |
| Consociate Health | ALL PRODUCTS | $387.75 | ↓ -23% |
| BMI | ALL PRODUCTS | $389.50 | ↓ -23% |
| National Provider Network | All Products | $439.45 | ↓ -13% |
| Aetna | All Products First Health | $465.30 | ↓ -8% |
| MAGELLAN | ALL PRODUCTS | $467.40 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $506.35 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $506.35 | ↑ +0% |
| Cigna | Individual Family Plan Physician | $517.00 | ↑ +2% |
| Cigna | Surefit Mid-Level | $517.00 | ↑ +2% |
| Cigna | All Products Physician | $517.00 | ↑ +2% |
| Cigna | All Products Mid-Level | $517.00 | ↑ +2% |
| Cigna | Surefit Physician | $517.00 | ↑ +2% |
| Cigna | Individual Family Plan Mid-Level | $517.00 | ↑ +2% |
| AETNA | All Products First Health | $623.20 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $623.20 | ↑ +23% |
| BLUE CROSS | Medicare Advantage HMO | $819.99 | ↑ +62% |
| Careplus | MEDICARE ADVANTAGE | $819.99 | ↑ +62% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $819.99 | ↑ +62% |
| UNITED | MEDICARE ADVANTAGE | $819.99 | ↑ +62% |
| BLUE CROSS | Medicare Advantage PPO | $819.99 | ↑ +62% |
| Freedom Health | MEDICARE ADVANTAGE | $819.99 | ↑ +62% |
| HUMANA | Medicare Advantage HMO | $819.99 | ↑ +62% |
| WellMed | MEDICARE ADVANTAGE | $841.35 | ↑ +66% |
| AETNA | MEDICARE ADVANTAGE | $841.35 | ↑ +66% |
| Wellcare | MEDICARE ADVANTAGE | $841.35 | ↑ +66% |
| AVMED | MEDICARE ADVANTAGE | $852.79 | ↑ +68% |
| Independent Living Systems | MEDICARE ADVANTAGE | $860.99 | ↑ +70% |
| DEVOTED HEALTH | Medicare Advantage HMO | $925.49 | ↑ +83% |
| AVMED | EXCHANGE | $1,287.38 | ↑ +154% |
| AVMED | Select | $1,443.18 | ↑ +185% |
| AVMED | BROAD | $1,877.77 | ↑ +271% |
| BLUE CROSS | PPO | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| Optum | Managed Medicaid | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | 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 | — |
| Consociate Health | Transplant | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Consultation pathology during surgery cytological exam initial site at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,732.55 | not published |
| Adventhealth Lake Wales | Lake Wales | $2,402.67 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $46.66 | not published |
| Adventhealth Tampa | Tampa | $2,669.63 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,650.05 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $288.00 | $274.61 – $656.15 |
| Adventhealth Port Charlotte | Port Charlotte | $2,921.63 | $841.35 – $1,536.31 |
| cleveland clinic florida weston hospital | Weston | $506.35 | $35.84 – $925.49 |