Critical Care (first 30 to 74 minutes) at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$4,724.20
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.
$7,268.00
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.
$104.05 with Optum vs $5,814.40 with MULTIPLAN — 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 | $104.05 | ↓ -98% |
| Blue Cross | Health Options | $199.10 | ↓ -96% |
| Blue Cross | Network Blue | $203.99 | ↓ -96% |
| Blue Cross | Perferred Patient Care | $208.89 | ↓ -96% |
| Blue Cross | Traditional (PPS) | $208.89 | ↓ -96% |
| AmeriHealth | Managed Medicaid | $209.62 | ↓ -96% |
| Molina | Managed Medicaid | $209.62 | ↓ -96% |
| Medicaid | Managed Medicaid | $209.62 | ↓ -96% |
| Wellcare | Managed Medicaid | $209.62 | ↓ -96% |
| Value Options | Managed Medicaid | $209.62 | ↓ -96% |
| Blue Cross | Medicare Advantage PPO | $212.98 | ↓ -95% |
| Wellcare | Medicare Advantage | $212.98 | ↓ -95% |
| Value Options | Medicare Advantage | $212.98 | ↓ -95% |
| Magellan | Medicare Advantage | $212.98 | ↓ -95% |
| Avmed | Medicare Advantage | $212.98 | ↓ -95% |
| Careplus | Medicare Advantage | $212.98 | ↓ -95% |
| Blue Cross | Medicare Advantage HMO | $212.98 | ↓ -95% |
| United | Medicare Advantage | $216.59 | ↓ -95% |
| Independent Living Systems | Medicare Advantage | $223.63 | ↓ -95% |
| WellMed | Medicare Advantage | $223.63 | ↓ -95% |
| Freedom Health | Medicare Advantage | $223.63 | ↓ -95% |
| Clear Spring Health | All Products | $230.02 | ↓ -95% |
| Aetna | Medicare Advantage Behavioral Health | $255.58 | ↓ -95% |
| Aetna | Medicare Advantage PCP | $264.10 | ↓ -94% |
| Aetna | Medicare Advantage Specialist | $268.35 | ↓ -94% |
| Avmed | Exchange | $286.94 | ↓ -94% |
| Clear Spring Health | ALL PRODUCTS | $291.05 | ↓ -94% |
| Avmed | Select | $297.97 | ↓ -94% |
| Avmed | Broad | $320.04 | ↓ -93% |
| Cigna | Individual Family Plan Mid-Level | $330.86 | ↓ -93% |
| Cigna | Surefit Mid-Level | $337.23 | ↓ -93% |
| Aetna | POS First Health | $339.57 | ↓ -93% |
| Cigna | All Products Mid-Level | $363.46 | ↓ -92% |
| United | All Products | $373.15 | ↓ -92% |
| Cigna | Individual Family Plan Physician | $389.25 | ↓ -92% |
| Cigna | Surefit Physician | $396.68 | ↓ -92% |
| Aetna | PPO First Health | $419.66 | ↓ -91% |
| Cigna | All Products Physician | $427.59 | ↓ -91% |
| AETNA | QHP | $554.00 | ↓ -88% |
| HUMANA | Medicare Advantage HMO | $845.80 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $845.80 | ↓ -82% |
| BLUE CROSS | Medicare Advantage PPO | $845.80 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $845.80 | ↓ -82% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $845.80 | ↓ -82% |
| Careplus | MEDICARE ADVANTAGE | $845.80 | ↓ -82% |
| Freedom Health | MEDICARE ADVANTAGE | $845.80 | ↓ -82% |
| UNITED | NHP | $850.00 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $862.60 | ↓ -82% |
| Wellcare | MEDICARE ADVANTAGE | $862.60 | ↓ -82% |
| WellMed | MEDICARE ADVANTAGE | $862.60 | ↓ -82% |
| AETNA | ALL PRODUCTS | $874.00 | ↓ -81% |
| AVMED | MEDICARE ADVANTAGE | $879.63 | ↓ -81% |
| Independent Living Systems | MEDICARE ADVANTAGE | $888.08 | ↓ -81% |
| DEVOTED HEALTH | Medicare Advantage HMO | $948.86 | ↓ -80% |
| UNITED | ALL PRODUCTS | $1,151.00 | ↓ -76% |
| UNITED | International | $1,151.00 | ↓ -76% |
| The Legacy Companies | All Products | $1,287.00 | ↓ -73% |
| Clarity Health | All Products | $1,287.00 | ↓ -73% |
| Three Rivers | All Products | $1,287.00 | ↓ -73% |
| BLUE CROSS | HMO | $1,308.00 | ↓ -72% |
| BLUE CROSS | BSL | $1,308.00 | ↓ -72% |
| AVMED | EXCHANGE | $1,327.90 | ↓ -72% |
| Consociate Health | ALL PRODUCTS | $1,485.00 | ↓ -69% |
| AVMED | Select | $1,488.60 | ↓ -68% |
| National Provider Network | All Products | $1,683.00 | ↓ -64% |
| BLUE CROSS | NWB | $1,710.00 | ↓ -64% |
| BLUE CROSS | NWBI | $1,710.00 | ↓ -64% |
| Aetna | All Products First Health | $1,782.00 | ↓ -62% |
| CIGNA | Individual Family Plan | $1,867.88 | ↓ -60% |
| AVMED | BROAD | $1,936.87 | ↓ -59% |
| CIGNA | SUREFIT | $2,253.08 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $2,311.22 | ↓ -51% |
| BLUE CROSS | PPO | $2,806.00 | ↓ -41% |
| BLUE CROSS | PHS | $2,806.00 | ↓ -41% |
| BMI | ALL PRODUCTS | $3,634.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $4,360.80 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $4,724.20 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $4,724.20 | ↑ +0% |
| AETNA | All Products First Health | $5,814.40 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $5,814.40 | ↑ +23% |
| 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 Behavioral Health | not published by hospital | — |
| SUNSHINE HEALTH | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Independent Living Systems | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| AMERIHEALTH | Managed Medicaid | not published by hospital | — |
| AETNA | Managed Medicaid/CHIP | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
| MOLINA | Florida KidCare | not published by hospital | — |
| MOLINA | Managed Medicaid | not published by hospital | — |
| OPTUM | Managed Medicaid | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Carelon BH Strategies | Managed Medicaid | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
Visitor-reported prices
Comments
Critical Care (first 30 to 74 minutes) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $4,730.83 | $819.47 – $1,439.69 |
| Adventhealth Lake Wales | Lake Wales | $7,333.50 | $862.60 – $1,914.98 |
| Adventhealth Palm Coast Parkway | Palm Coast | $4,125.29 | $819.47 – $1,842.44 |
| Adventhealth Tampa | Tampa | $7,182.44 | $862.60 – $1,914.98 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $5,628.40 | $819.47 – $1,884.36 |
| Adventhealth Port Charlotte | Port Charlotte | $7,982.40 | $862.60 – $1,575.12 |
| cleveland clinic florida weston hospital | Weston | $4,724.20 | $104.05 – $6,177.80 |
| martin north hospital | Stuart | $4,724.20 | $166.46 – $3,634.00 |