Csf shunt reprogram 62252 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,680.90
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.
?
What you pay up front if you don't use insurance.
$2,586.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$21.15 with OPTUM vs $4,027.00 with BLUE CROSS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $21.15 | ↓ -99% |
| Carelon BH Strategies | Managed Medicaid | $22.26 | ↓ -99% |
| AMERIHEALTH | Managed Medicaid | $22.26 | ↓ -99% |
| SUNSHINE HEALTH | Managed Medicaid | $22.26 | ↓ -99% |
| Wellcare | Managed Medicaid | $22.26 | ↓ -99% |
| Medicaid | Managed Medicaid | $22.26 | ↓ -99% |
| Molina | Florida Kidcare | $22.26 | ↓ -99% |
| MOLINA | Florida KidCare | $22.26 | ↓ -99% |
| MOLINA | Managed Medicaid | $23.37 | ↓ -99% |
| AETNA | Managed Medicaid/CHIP | $24.49 | ↓ -99% |
| Independent Living Systems | Managed Medicaid | $26.71 | ↓ -98% |
| Optum | Managed Medicaid | $59.82 | ↓ -96% |
| Molina | Managed Medicaid | $67.66 | ↓ -96% |
| AmeriHealth | Managed Medicaid | $67.66 | ↓ -96% |
| Value Options | Managed Medicaid | $67.66 | ↓ -96% |
| Blue Cross | Health Options | $85.16 | ↓ -95% |
| Blue Cross | Network Blue | $87.25 | ↓ -95% |
| Blue Cross | Perferred Patient Care | $89.34 | ↓ -95% |
| Blue Cross | Traditional (PPS) | $89.34 | ↓ -95% |
| United | Medicare Advantage | $92.84 | ↓ -94% |
| Independent Living Systems | Medicare Advantage | $97.48 | ↓ -94% |
| Careplus | Medicare Advantage | $112.91 | ↓ -93% |
| Avmed | Medicare Advantage | $112.91 | ↓ -93% |
| Magellan | Medicare Advantage | $112.91 | ↓ -93% |
| Blue Cross | Medicare Advantage HMO | $112.91 | ↓ -93% |
| Blue Cross | Medicare Advantage PPO | $112.91 | ↓ -93% |
| Value Options | Medicare Advantage | $112.91 | ↓ -93% |
| Wellcare | Medicare Advantage | $112.91 | ↓ -93% |
| WellMed | Medicare Advantage | $118.56 | ↓ -93% |
| Freedom Health | Medicare Advantage | $118.56 | ↓ -93% |
| Avmed | Exchange | $121.28 | ↓ -93% |
| Clear Spring Health | All Products | $121.94 | ↓ -93% |
| Avmed | Select | $125.94 | ↓ -93% |
| Aetna | PPO First Health | $132.54 | ↓ -92% |
| Avmed | Broad | $135.27 | ↓ -92% |
| Aetna | Medicare Advantage Behavioral Health | $135.49 | ↓ -92% |
| Aetna | Medicare Advantage PCP | $140.01 | ↓ -92% |
| Aetna | Medicare Advantage Specialist | $142.27 | ↓ -92% |
| Clear Spring Health | ALL PRODUCTS | $144.00 | ↓ -91% |
| Aetna | POS First Health | $146.70 | ↓ -91% |
| United | All Products | $176.52 | ↓ -89% |
| The Legacy Companies | All Products | $211.90 | ↓ -87% |
| Three Rivers | All Products | $211.90 | ↓ -87% |
| Clarity Health | All Products | $211.90 | ↓ -87% |
| Consociate Health | ALL PRODUCTS | $244.50 | ↓ -85% |
| National Provider Network | All Products | $277.10 | ↓ -84% |
| Aetna | All Products First Health | $293.40 | ↓ -83% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $301.04 | ↓ -82% |
| Careplus | MEDICARE ADVANTAGE | $301.04 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $301.04 | ↓ -82% |
| BLUE CROSS | Medicare Advantage PPO | $301.04 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $301.04 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $301.04 | ↓ -82% |
| Freedom Health | MEDICARE ADVANTAGE | $301.04 | ↓ -82% |
| AVMED | MEDICARE ADVANTAGE | $313.09 | ↓ -81% |
| Independent Living Systems | MEDICARE ADVANTAGE | $316.10 | ↓ -81% |
| Wellcare | MEDICARE ADVANTAGE | $320.74 | ↓ -81% |
| WellMed | MEDICARE ADVANTAGE | $320.74 | ↓ -81% |
| AETNA | MEDICARE ADVANTAGE | $320.74 | ↓ -81% |
| Cigna | Surefit Mid-Level | $326.00 | ↓ -81% |
| Cigna | All Products Mid-Level | $326.00 | ↓ -81% |
| Cigna | All Products Physician | $326.00 | ↓ -81% |
| Cigna | Individual Family Plan Mid-Level | $326.00 | ↓ -81% |
| Cigna | Individual Family Plan Physician | $326.00 | ↓ -81% |
| Cigna | Surefit Physician | $326.00 | ↓ -81% |
| DEVOTED HEALTH | Medicare Advantage HMO | $352.81 | ↓ -79% |
| AVMED | EXCHANGE | $472.64 | ↓ -72% |
| AVMED | Select | $529.84 | ↓ -68% |
| AETNA | QHP | $605.12 | ↓ -64% |
| CIGNA | Individual Family Plan | $664.60 | ↓ -60% |
| AVMED | BROAD | $689.39 | ↓ -59% |
| CIGNA | SUREFIT | $801.66 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $822.35 | ↓ -51% |
| AETNA | ALL PRODUCTS | $920.62 | ↓ -45% |
| BMI | ALL PRODUCTS | $1,293.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $1,551.60 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $1,680.90 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $1,680.90 | ↑ +0% |
| MULTIPLAN | ALL PRODUCTS | $2,068.80 | ↑ +23% |
| AETNA | All Products First Health | $2,068.80 | ↑ +23% |
| BLUE CROSS | HMO | $2,467.00 | ↑ +47% |
| BLUE CROSS | BSL | $2,467.00 | ↑ +47% |
| BLUE CROSS | NWBI | $3,264.00 | ↑ +94% |
| BLUE CROSS | NWB | $3,264.00 | ↑ +94% |
| BLUE CROSS | PPO | $4,027.00 | ↑ +140% |
| BLUE CROSS | PHS | $4,027.00 | ↑ +140% |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | 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 | NAP | 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 | — |
Visitor-reported prices
Comments
Csf shunt reprogram 62252 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $1,680.90 | $21.15 – $2,198.10 |
| martin north hospital | Stuart | $1,680.90 | $22.26 – $1,293.00 |
| Baptist Hospital | MIAMI | $470.60 | $22.77 – $651.60 |
| Boca Raton Regional Hospital | BOCA RATON | $821.60 | $314.98 – $825.39 |
| AdventHealth Orlando | Orlando | $2,779.00 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $1,224.69 – $1,250.48 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $1,243.23 – $1,269.40 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $1,285.88 – $1,312.95 |