Correct inverted nipple(s) at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,040.00
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.
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What you pay up front if you don't use insurance.
$1,600.00
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.
$376.96 with Optum vs $8,802.20 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 |
|---|---|---|---|
| Optum | Managed Medicaid | $376.96 | ↓ -64% |
| Blue Cross | Health Options | $536.27 | ↓ -48% |
| Blue Cross | Network Blue | $549.46 | ↓ -47% |
| Blue Cross | Perferred Patient Care | $562.65 | ↓ -46% |
| Blue Cross | Traditional (PPS) | $562.65 | ↓ -46% |
| Magellan | Medicare Advantage | $609.49 | ↓ -41% |
| Careplus | Medicare Advantage | $609.49 | ↓ -41% |
| Blue Cross | Medicare Advantage PPO | $609.49 | ↓ -41% |
| Wellcare | Medicare Advantage | $609.49 | ↓ -41% |
| Value Options | Medicare Advantage | $609.49 | ↓ -41% |
| Avmed | Medicare Advantage | $609.49 | ↓ -41% |
| Blue Cross | Medicare Advantage HMO | $609.49 | ↓ -41% |
| Freedom Health | Medicare Advantage | $639.96 | ↓ -38% |
| WellMed | Medicare Advantage | $639.96 | ↓ -38% |
| Independent Living Systems | Medicare Advantage | $639.96 | ↓ -38% |
| United | Medicare Advantage | $645.76 | ↓ -38% |
| Clear Spring Health | All Products | $658.25 | ↓ -37% |
| Aetna | Medicare Advantage Behavioral Health | $731.39 | ↓ -30% |
| Aetna | Medicare Advantage PCP | $755.77 | ↓ -27% |
| Aetna | Medicare Advantage Specialist | $767.96 | ↓ -26% |
| Avmed | Exchange | $856.04 | ↓ -18% |
| Avmed | Select | $888.96 | ↓ -15% |
| Cigna | Individual Family Plan Mid-Level | $948.98 | ↓ -9% |
| Avmed | Broad | $954.81 | ↓ -8% |
| Cigna | Surefit Mid-Level | $967.15 | ↓ -7% |
| Aetna | POS First Health | $975.30 | ↓ -6% |
| Clarity Health | All Products | $1,040.00 | ↑ +0% |
| The Legacy Companies | All Products | $1,040.00 | ↑ +0% |
| Three Rivers | All Products | $1,040.00 | ↑ +0% |
| Cigna | All Products Mid-Level | $1,044.40 | ↑ +0% |
| Cigna | Individual Family Plan Physician | $1,116.44 | ↑ +7% |
| Cigna | Surefit Physician | $1,137.80 | ↑ +9% |
| Aetna | PPO First Health | $1,171.38 | ↑ +13% |
| Consociate Health | ALL PRODUCTS | $1,200.00 | ↑ +15% |
| Cigna | All Products Physician | $1,228.70 | ↑ +18% |
| United | All Products | $1,245.93 | ↑ +20% |
| National Provider Network | All Products | $1,360.00 | ↑ +31% |
| Aetna | All Products First Health | $1,440.00 | ↑ +38% |
| OPTUM | Managed Medicaid | $2,132.55 | ↑ +105% |
| MOLINA | Florida KidCare | $2,244.79 | ↑ +116% |
| AMERIHEALTH | Managed Medicaid | $2,244.79 | ↑ +116% |
| Carelon BH Strategies | Managed Medicaid | $2,244.79 | ↑ +116% |
| Medicaid | Managed Medicaid | $2,244.79 | ↑ +116% |
| Molina | Florida Kidcare | $2,244.79 | ↑ +116% |
| SUNSHINE HEALTH | Managed Medicaid | $2,244.79 | ↑ +116% |
| Wellcare | Managed Medicaid | $2,244.79 | ↑ +116% |
| MOLINA | Managed Medicaid | $2,357.03 | ↑ +127% |
| AETNA | Managed Medicaid/CHIP | $2,469.27 | ↑ +137% |
| Independent Living Systems | Managed Medicaid | $2,693.75 | ↑ +159% |
| Freedom Health | MEDICARE ADVANTAGE | $3,843.75 | ↑ +270% |
| HUMANA | Medicare Advantage HMO | $3,843.75 | ↑ +270% |
| BLUE CROSS | Medicare Advantage HMO | $3,843.75 | ↑ +270% |
| UNITED | MEDICARE ADVANTAGE | $3,843.75 | ↑ +270% |
| Careplus | MEDICARE ADVANTAGE | $3,843.75 | ↑ +270% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $3,843.75 | ↑ +270% |
| BLUE CROSS | Medicare Advantage PPO | $3,843.75 | ↑ +270% |
| AVMED | MEDICARE ADVANTAGE | $3,997.50 | ↑ +284% |
| Independent Living Systems | MEDICARE ADVANTAGE | $4,035.94 | ↑ +288% |
| Wellcare | MEDICARE ADVANTAGE | $4,088.81 | ↑ +293% |
| WellMed | MEDICARE ADVANTAGE | $4,088.81 | ↑ +293% |
| AETNA | MEDICARE ADVANTAGE | $4,088.81 | ↑ +293% |
| DEVOTED HEALTH | Medicare Advantage HMO | $4,497.69 | ↑ +332% |
| AVMED | EXCHANGE | $6,034.69 | ↑ +480% |
| AVMED | Select | $6,765.01 | ↑ +550% |
| AVMED | BROAD | $8,802.20 | ↑ +746% |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
Visitor-reported prices
Comments
Correct inverted nipple(s) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $2,215.20 | $376.96 – $4,497.69 |
| martin north hospital | Stuart | $1,040.00 | $448.36 – $4,497.69 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,884.37 – $6,824.22 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $3,884.37 – $8,733.28 |
| Adventhealth Tampa | Tampa | not published | $758.00 – $9,077.15 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $3,884.37 – $8,932.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $4,105.66 – $4,192.10 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $4,088.81 – $7,466.16 |