Cryosurgery penis lesion(s) 54056 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$742.95
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.
$1,143.00
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.
$52.77 with Optum vs $7,917.00 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 | $52.77 | ↓ -93% |
| Blue Cross | Health Options | $102.91 | ↓ -86% |
| Blue Cross | Medicare Advantage PPO | $103.91 | ↓ -86% |
| Value Options | Medicare Advantage | $103.91 | ↓ -86% |
| Blue Cross | Medicare Advantage HMO | $103.91 | ↓ -86% |
| Careplus | Medicare Advantage | $103.91 | ↓ -86% |
| Avmed | Medicare Advantage | $103.91 | ↓ -86% |
| Magellan | Medicare Advantage | $103.91 | ↓ -86% |
| Wellcare | Medicare Advantage | $103.91 | ↓ -86% |
| Blue Cross | Network Blue | $105.44 | ↓ -86% |
| Blue Cross | Perferred Patient Care | $107.97 | ↓ -85% |
| Blue Cross | Traditional (PPS) | $107.97 | ↓ -85% |
| WellMed | Medicare Advantage | $109.11 | ↓ -85% |
| Independent Living Systems | Medicare Advantage | $109.11 | ↓ -85% |
| Freedom Health | Medicare Advantage | $109.11 | ↓ -85% |
| Clear Spring Health | All Products | $112.22 | ↓ -85% |
| Value Options | Managed Medicaid | $112.85 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $112.85 | ↓ -85% |
| Wellcare | Managed Medicaid | $112.85 | ↓ -85% |
| Medicaid | Managed Medicaid | $112.85 | ↓ -85% |
| Molina | Managed Medicaid | $112.85 | ↓ -85% |
| United | Medicare Advantage | $114.88 | ↓ -85% |
| Aetna | Medicare Advantage Behavioral Health | $124.69 | ↓ -83% |
| Aetna | Medicare Advantage PCP | $128.85 | ↓ -83% |
| Aetna | Medicare Advantage Specialist | $130.93 | ↓ -82% |
| Clear Spring Health | ALL PRODUCTS | $135.15 | ↓ -82% |
| Avmed | Exchange | $150.76 | ↓ -80% |
| Avmed | Select | $156.56 | ↓ -79% |
| Avmed | Broad | $168.16 | ↓ -77% |
| Aetna | POS First Health | $171.84 | ↓ -77% |
| Cigna | Individual Family Plan Mid-Level | $178.38 | ↓ -76% |
| Cigna | Surefit Mid-Level | $181.79 | ↓ -76% |
| Cigna | All Products Mid-Level | $196.31 | ↓ -74% |
| Careplus | MEDICARE ADVANTAGE | $199.45 | ↓ -73% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $199.45 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $199.45 | ↓ -73% |
| Freedom Health | MEDICARE ADVANTAGE | $199.45 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $199.45 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $199.45 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $199.45 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $207.43 | ↓ -72% |
| Independent Living Systems | MEDICARE ADVANTAGE | $209.42 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $209.52 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $209.52 | ↓ -72% |
| WellMed | MEDICARE ADVANTAGE | $209.52 | ↓ -72% |
| Cigna | Individual Family Plan Physician | $209.83 | ↓ -72% |
| Cigna | Surefit Physician | $213.86 | ↓ -71% |
| Aetna | PPO First Health | $216.05 | ↓ -71% |
| United | All Products | $219.43 | ↓ -70% |
| DEVOTED HEALTH | Medicare Advantage HMO | $230.47 | ↓ -69% |
| Cigna | All Products Physician | $230.95 | ↓ -69% |
| OPTUM | Managed Medicaid | $248.59 | ↓ -67% |
| Molina | Florida Kidcare | $261.67 | ↓ -65% |
| SUNSHINE HEALTH | Managed Medicaid | $261.67 | ↓ -65% |
| MOLINA | Florida KidCare | $261.67 | ↓ -65% |
| Carelon BH Strategies | Managed Medicaid | $261.67 | ↓ -65% |
| AMERIHEALTH | Managed Medicaid | $261.67 | ↓ -65% |
| MOLINA | Managed Medicaid | $274.75 | ↓ -63% |
| AETNA | Managed Medicaid/CHIP | $287.84 | ↓ -61% |
| CIGNA | Individual Family Plan | $293.75 | ↓ -60% |
| AVMED | EXCHANGE | $313.14 | ↓ -58% |
| Independent Living Systems | Managed Medicaid | $314.00 | ↓ -58% |
| AVMED | Select | $351.03 | ↓ -53% |
| CIGNA | SUREFIT | $354.33 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $363.47 | ↓ -51% |
| Clarity Health | All Products | $369.20 | ↓ -50% |
| Three Rivers | All Products | $369.20 | ↓ -50% |
| The Legacy Companies | All Products | $369.20 | ↓ -50% |
| Consociate Health | ALL PRODUCTS | $426.00 | ↓ -43% |
| AVMED | BROAD | $456.74 | ↓ -39% |
| National Provider Network | All Products | $482.80 | ↓ -35% |
| Aetna | All Products First Health | $511.20 | ↓ -31% |
| BMI | ALL PRODUCTS | $571.50 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $685.80 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $742.95 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $742.95 | ↑ +0% |
| AETNA | All Products First Health | $914.40 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $914.40 | ↑ +23% |
| BLUE CROSS | BSL | $2,467.00 | ↑ +232% |
| BLUE CROSS | HMO | $2,467.00 | ↑ +232% |
| BLUE CROSS | NWB | $3,264.00 | ↑ +339% |
| BLUE CROSS | NWBI | $3,264.00 | ↑ +339% |
| BLUE CROSS | PHS | $4,027.00 | ↑ +442% |
| BLUE CROSS | PPO | $4,027.00 | ↑ +442% |
| AETNA | QHP | $4,863.00 | ↑ +555% |
| AETNA | ALL PRODUCTS | $7,917.00 | ↑ +966% |
| Consociate Health | Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| Magellan | Pinnacle | 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 | — |
| HUMANA | Managed Medicaid | 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 | — |
Visitor-reported prices
Comments
Cryosurgery penis lesion(s) 54056 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $742.95 | $52.77 – $971.55 |
| martin north hospital | Stuart | $369.20 | $86.04 – $426.00 |
| Baptist Hospital | MIAMI | $604.50 | $160.89 – $837.00 |
| AdventHealth Orlando | Orlando | $678.00 | $209.52 – $555.22 |
| Adventhealth Carrollwood | Tampa | $2,130.07 | $209.52 – $465.13 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $199.04 – $349.69 |
| Adventhealth Lake Wales | Lake Wales | not published | $209.52 – $465.13 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $199.04 – $447.51 |