Correction eyelid w/implant at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$8,719.75
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.
$13,415.00
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.
$231.94 with Optum vs $10,732.00 with AETNA — 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 | $231.94 | ↓ -97% |
| Wellcare | Medicare Advantage | $446.95 | ↓ -95% |
| Blue Cross | Medicare Advantage HMO | $446.95 | ↓ -95% |
| Value Options | Medicare Advantage | $446.95 | ↓ -95% |
| Blue Cross | Medicare Advantage PPO | $446.95 | ↓ -95% |
| Magellan | Medicare Advantage | $446.95 | ↓ -95% |
| Careplus | Medicare Advantage | $446.95 | ↓ -95% |
| Avmed | Medicare Advantage | $446.95 | ↓ -95% |
| Blue Cross | Health Options | $453.57 | ↓ -95% |
| Blue Cross | Network Blue | $464.72 | ↓ -95% |
| Independent Living Systems | Medicare Advantage | $469.30 | ↓ -95% |
| WellMed | Medicare Advantage | $469.30 | ↓ -95% |
| Freedom Health | Medicare Advantage | $469.30 | ↓ -95% |
| Blue Cross | Perferred Patient Care | $475.87 | ↓ -95% |
| Blue Cross | Traditional (PPS) | $475.87 | ↓ -95% |
| Clear Spring Health | All Products | $482.71 | ↓ -94% |
| United | Medicare Advantage | $483.61 | ↓ -94% |
| Aetna | Medicare Advantage Behavioral Health | $536.34 | ↓ -94% |
| Aetna | Medicare Advantage PCP | $554.22 | ↓ -94% |
| Aetna | Medicare Advantage Specialist | $563.16 | ↓ -94% |
| Clear Spring Health | ALL PRODUCTS | $572.21 | ↓ -93% |
| Avmed | Exchange | $648.09 | ↓ -93% |
| Medicaid | Managed Medicaid | $668.95 | ↓ -92% |
| AmeriHealth | Managed Medicaid | $668.95 | ↓ -92% |
| Value Options | Managed Medicaid | $668.95 | ↓ -92% |
| Wellcare | Managed Medicaid | $668.95 | ↓ -92% |
| Molina | Managed Medicaid | $668.95 | ↓ -92% |
| Avmed | Select | $673.02 | ↓ -92% |
| Avmed | Broad | $722.87 | ↓ -92% |
| Aetna | POS First Health | $743.37 | ↓ -91% |
| Cigna | Individual Family Plan Mid-Level | $840.60 | ↓ -90% |
| OPTUM | Managed Medicaid | $856.52 | ↓ -90% |
| Cigna | Surefit Mid-Level | $856.59 | ↓ -90% |
| Carelon BH Strategies | Managed Medicaid | $901.60 | ↓ -90% |
| SUNSHINE HEALTH | Managed Medicaid | $901.60 | ↓ -90% |
| Molina | Florida Kidcare | $901.60 | ↓ -90% |
| AMERIHEALTH | Managed Medicaid | $901.60 | ↓ -90% |
| MOLINA | Florida KidCare | $901.60 | ↓ -90% |
| Cigna | All Products Mid-Level | $925.03 | ↓ -89% |
| United | All Products | $943.27 | ↓ -89% |
| MOLINA | Managed Medicaid | $946.68 | ↓ -89% |
| Cigna | Individual Family Plan Physician | $988.83 | ↓ -89% |
| AETNA | Managed Medicaid/CHIP | $991.76 | ↓ -89% |
| Cigna | Surefit Physician | $1,007.79 | ↓ -88% |
| Independent Living Systems | Managed Medicaid | $1,081.92 | ↓ -88% |
| Cigna | All Products Physician | $1,088.34 | ↓ -88% |
| Aetna | PPO First Health | $1,343.55 | ↓ -85% |
| Three Rivers | All Products | $1,653.60 | ↓ -81% |
| The Legacy Companies | All Products | $1,653.60 | ↓ -81% |
| Clarity Health | All Products | $1,653.60 | ↓ -81% |
| Consociate Health | ALL PRODUCTS | $1,908.00 | ↓ -78% |
| National Provider Network | All Products | $2,162.40 | ↓ -75% |
| Aetna | All Products First Health | $2,289.60 | ↓ -74% |
| Freedom Health | MEDICARE ADVANTAGE | $2,341.78 | ↓ -73% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $2,341.78 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $2,341.78 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $2,341.78 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $2,341.78 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $2,341.78 | ↓ -73% |
| Careplus | MEDICARE ADVANTAGE | $2,341.78 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $2,435.45 | ↓ -72% |
| Independent Living Systems | MEDICARE ADVANTAGE | $2,458.87 | ↓ -72% |
| WellMed | MEDICARE ADVANTAGE | $2,482.76 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $2,482.76 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $2,482.76 | ↓ -72% |
| DEVOTED HEALTH | Medicare Advantage HMO | $2,731.03 | ↓ -69% |
| AETNA | QHP | $3,139.11 | ↓ -64% |
| CIGNA | Individual Family Plan | $3,447.66 | ↓ -60% |
| AVMED | EXCHANGE | $3,676.59 | ↓ -58% |
| AVMED | Select | $4,121.53 | ↓ -53% |
| CIGNA | SUREFIT | $4,158.65 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $4,265.97 | ↓ -51% |
| BLUE CROSS | BSL | $4,536.00 | ↓ -48% |
| BLUE CROSS | HMO | $4,536.00 | ↓ -48% |
| AETNA | ALL PRODUCTS | $4,775.74 | ↓ -45% |
| AVMED | BROAD | $5,362.67 | ↓ -38% |
| BLUE CROSS | NWBI | $6,003.00 | ↓ -31% |
| BLUE CROSS | NWB | $6,003.00 | ↓ -31% |
| BMI | ALL PRODUCTS | $6,707.50 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $8,049.00 | ↓ -8% |
| BLUE CROSS | PPO | $8,326.00 | ↓ -5% |
| BLUE CROSS | PHS | $8,326.00 | ↓ -5% |
| Clarity Health | ALL PRODUCTS | $8,719.75 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $8,719.75 | ↑ +0% |
| MULTIPLAN | ALL PRODUCTS | $10,732.00 | ↑ +23% |
| AETNA | All Products First Health | $10,732.00 | ↑ +23% |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products Behavioral Health | 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 | — |
| 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 | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Correction eyelid w/implant at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $1,653.60 | $231.94 – $2,731.03 |
| Adventhealth Lake Wales | Lake Wales | not published | $2,482.76 – $5,511.72 |
| Adventhealth Tampa | Tampa | not published | $614.00 – $5,511.72 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $1,390.32 – $1,419.59 |
| martin north hospital | Stuart | not published | $901.60 – $2,731.03 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $1,411.37 – $1,441.08 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $1,459.79 – $1,490.52 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $1,515.91 – $1,547.83 |