#creutz-prot.,western blot at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$265.85
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.
$409.00
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.
$19.47 with OPTUM vs $89.60 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 | $19.47 | ↓ -93% |
| SUNSHINE HEALTH | Managed Medicaid | $20.49 | ↓ -92% |
| Medicaid | Managed Medicaid | $20.49 | ↓ -92% |
| AMERIHEALTH | Managed Medicaid | $20.49 | ↓ -92% |
| Wellcare | Managed Medicaid | $20.49 | ↓ -92% |
| MOLINA | Florida KidCare | $20.49 | ↓ -92% |
| Molina | Florida Kidcare | $20.49 | ↓ -92% |
| Carelon BH Strategies | Managed Medicaid | $20.49 | ↓ -92% |
| MOLINA | Managed Medicaid | $21.51 | ↓ -92% |
| AETNA | Managed Medicaid/CHIP | $22.54 | ↓ -92% |
| Independent Living Systems | Managed Medicaid | $24.59 | ↓ -91% |
| AETNA | QHP | $26.21 | ↓ -90% |
| AVMED | Select | $26.88 | ↓ -90% |
| AVMED | EXCHANGE | $26.88 | ↓ -90% |
| Freedom Health | MEDICARE ADVANTAGE | $29.21 | ↓ -89% |
| WellMed | MEDICARE ADVANTAGE | $29.21 | ↓ -89% |
| AETNA | MEDICARE ADVANTAGE | $29.21 | ↓ -89% |
| Wellcare | MEDICARE ADVANTAGE | $29.21 | ↓ -89% |
| UNITED | MEDICARE ADVANTAGE | $29.21 | ↓ -89% |
| BLUE CROSS | Medicare Advantage HMO | $29.21 | ↓ -89% |
| BLUE CROSS | Medicare Advantage PPO | $29.21 | ↓ -89% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $29.21 | ↓ -89% |
| Careplus | MEDICARE ADVANTAGE | $29.21 | ↓ -89% |
| HUMANA | Medicare Advantage HMO | $29.21 | ↓ -89% |
| AVMED | MEDICARE ADVANTAGE | $30.38 | ↓ -89% |
| Independent Living Systems | MEDICARE ADVANTAGE | $30.67 | ↓ -88% |
| DEVOTED HEALTH | Medicare Advantage HMO | $32.13 | ↓ -88% |
| AVMED | BROAD | $34.72 | ↓ -87% |
| AETNA | ALL PRODUCTS | $39.87 | ↓ -85% |
| CIGNA | Individual Family Plan | $53.97 | ↓ -80% |
| BMI | ALL PRODUCTS | $56.00 | ↓ -79% |
| CIGNA | SUREFIT | $65.34 | ↓ -75% |
| MAGELLAN | ALL PRODUCTS | $67.20 | ↓ -75% |
| CIGNA | ALL PRODUCTS | $68.32 | ↓ -74% |
| Clarity Health | ALL PRODUCTS | $72.80 | ↓ -73% |
| The Legacy Companies | ALL PRODUCTS | $72.80 | ↓ -73% |
| Consociate Health | ALL PRODUCTS | $84.00 | ↓ -68% |
| MULTIPLAN | ALL PRODUCTS | $89.60 | ↓ -66% |
| AETNA | All Products First Health | $89.60 | ↓ -66% |
| UNITED | NHP | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
Visitor-reported prices
Comments
#creutz-prot.,western blot at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $101.44 | $27.75 – $48.75 |
| Adventhealth Lake Wales | Lake Wales | $101.44 | $29.21 – $64.85 |
| Adventhealth Palm Coast Parkway | Palm Coast | $101.44 | $27.75 – $62.39 |
| Adventhealth Tampa | Tampa | $450.86 | $29.21 – $64.85 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $86.95 | $27.75 – $63.81 |
| Adventhealth Port Charlotte | Port Charlotte | $215.43 | $29.21 – $53.34 |
| cleveland clinic florida weston hospital | Weston | $570.70 | $12.75 – $45.04 |
| martin north hospital | Stuart | $570.70 | $14.94 – $43.04 |