healthcosts.net
CT Scan of Abdomen and Pelvis (with contrast) at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$2,438.80
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.
$3,752.00
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.
$79.34 with Blue Cross vs $2,464.00 with AETNA — 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 |
|---|---|---|---|
| Blue Cross | Health Options | $79.34 | ↓ -97% |
| Blue Cross | Network Blue | $81.29 | ↓ -97% |
| Blue Cross | Traditional (PPS) | $83.24 | ↓ -97% |
| Blue Cross | Perferred Patient Care | $83.24 | ↓ -97% |
| United | Medicare Advantage | $85.90 | ↓ -96% |
| Avmed | Medicare Advantage | $87.51 | ↓ -96% |
| Value Options | Medicare Advantage | $87.51 | ↓ -96% |
| Magellan | Medicare Advantage | $87.51 | ↓ -96% |
| Careplus | Medicare Advantage | $87.51 | ↓ -96% |
| Wellcare | Medicare Advantage | $87.51 | ↓ -96% |
| Blue Cross | Medicare Advantage PPO | $87.51 | ↓ -96% |
| Blue Cross | Medicare Advantage HMO | $87.51 | ↓ -96% |
| Independent Living Systems | Medicare Advantage | $90.20 | ↓ -96% |
| Freedom Health | Medicare Advantage | $91.89 | ↓ -96% |
| WellMed | Medicare Advantage | $91.89 | ↓ -96% |
| Clear Spring Health | All Products | $94.51 | ↓ -96% |
| Aetna | Medicare Advantage Behavioral Health | $105.01 | ↓ -96% |
| Aetna | Medicare Advantage PCP | $108.51 | ↓ -96% |
| Aetna | Medicare Advantage Specialist | $110.26 | ↓ -95% |
| United | All Products | $111.90 | ↓ -95% |
| Avmed | Exchange | $113.30 | ↓ -95% |
| Avmed | Select | $117.65 | ↓ -95% |
| Avmed | Broad | $126.37 | ↓ -95% |
| Optum | Managed Medicaid | $175.85 | ↓ -93% |
| OPTUM | Managed Medicaid | $196.56 | ↓ -92% |
| MOLINA | Florida KidCare | $206.90 | ↓ -92% |
| Medicaid | Managed Medicaid | $206.90 | ↓ -92% |
| AMERIHEALTH | Managed Medicaid | $206.90 | ↓ -92% |
| Molina | Florida Kidcare | $206.90 | ↓ -92% |
| Wellcare | Managed Medicaid | $206.90 | ↓ -92% |
| SUNSHINE HEALTH | Managed Medicaid | $206.90 | ↓ -92% |
| Carelon BH Strategies | Managed Medicaid | $206.90 | ↓ -92% |
| MOLINA | Managed Medicaid | $217.25 | ↓ -91% |
| AETNA | Managed Medicaid/CHIP | $227.59 | ↓ -91% |
| Independent Living Systems | Managed Medicaid | $248.28 | ↓ -90% |
| Aetna | All Products Behavioral Health | $259.55 | ↓ -89% |
| Aetna | All Products Anesthesia | $268.20 | ↓ -89% |
| Aetna | POS First Health | $300.00 | ↓ -88% |
| Aetna | Medical Rental | $330.66 | ↓ -86% |
| Aetna | All Products PCP | $346.41 | ↓ -86% |
| UNITED | MEDICARE ADVANTAGE | $358.48 | ↓ -85% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $358.48 | ↓ -85% |
| Careplus | MEDICARE ADVANTAGE | $358.48 | ↓ -85% |
| Freedom Health | MEDICARE ADVANTAGE | $358.48 | ↓ -85% |
| BLUE CROSS | Medicare Advantage HMO | $358.48 | ↓ -85% |
| HUMANA | Medicare Advantage HMO | $358.48 | ↓ -85% |
| BLUE CROSS | Medicare Advantage PPO | $358.48 | ↓ -85% |
| Wellcare | MEDICARE ADVANTAGE | $364.32 | ↓ -85% |
| AETNA | MEDICARE ADVANTAGE | $364.32 | ↓ -85% |
| WellMed | MEDICARE ADVANTAGE | $364.32 | ↓ -85% |
| AVMED | MEDICARE ADVANTAGE | $372.82 | ↓ -85% |
| Independent Living Systems | MEDICARE ADVANTAGE | $376.40 | ↓ -85% |
| DEVOTED HEALTH | Medicare Advantage HMO | $400.75 | ↓ -84% |
| Aetna | PPO First Health | $425.00 | ↓ -83% |
| Aetna | All Products Specialist | $426.09 | ↓ -83% |
| Clear Spring Health | ALL PRODUCTS | $442.18 | ↓ -82% |
| BLUE CROSS | HMO | $462.00 | ↓ -81% |
| BLUE CROSS | BSL | $462.00 | ↓ -81% |
| BLUE CROSS | NWBI | $482.00 | ↓ -80% |
| BLUE CROSS | NWB | $482.00 | ↓ -80% |
| Clarity Health | All Products | $520.65 | ↓ -79% |
| Three Rivers | All Products | $520.65 | ↓ -79% |
| The Legacy Companies | All Products | $520.65 | ↓ -79% |
| BLUE CROSS | PHS | $524.00 | ↓ -79% |
| BLUE CROSS | PPO | $524.00 | ↓ -79% |
| AVMED | EXCHANGE | $562.81 | ↓ -77% |
| Consociate Health | ALL PRODUCTS | $600.75 | ↓ -75% |
| AVMED | Select | $630.92 | ↓ -74% |
| National Provider Network | All Products | $680.85 | ↓ -72% |
| Aetna | All Products First Health | $720.90 | ↓ -70% |
| CIGNA | Individual Family Plan | $791.56 | ↓ -68% |
| Cigna | Individual Family Plan Mid-Level | $801.00 | ↓ -67% |
| Cigna | Surefit Physician | $801.00 | ↓ -67% |
| Cigna | All Products Physician | $801.00 | ↓ -67% |
| Cigna | All Products Mid-Level | $801.00 | ↓ -67% |
| Cigna | Individual Family Plan Physician | $801.00 | ↓ -67% |
| Cigna | Surefit Mid-Level | $801.00 | ↓ -67% |
| AVMED | BROAD | $820.92 | ↓ -66% |
| AETNA | QHP | $839.00 | ↓ -66% |
| CIGNA | SUREFIT | $954.80 | ↓ -61% |
| CIGNA | ALL PRODUCTS | $979.44 | ↓ -60% |
| AETNA | ALL PRODUCTS | $1,360.00 | ↓ -44% |
| BMI | ALL PRODUCTS | $1,540.00 | ↓ -37% |
| MAGELLAN | ALL PRODUCTS | $1,848.00 | ↓ -24% |
| The Legacy Companies | ALL PRODUCTS | $2,002.00 | ↓ -18% |
| Clarity Health | ALL PRODUCTS | $2,002.00 | ↓ -18% |
| MULTIPLAN | ALL PRODUCTS | $2,464.00 | ↑ +1% |
| AETNA | All Products First Health | $2,464.00 | ↑ +1% |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
CT Scan of Abdomen and Pelvis (with contrast) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $2,522.65 | $74.13 – $2,618.00 |
| martin north hospital | Stuart | $2,522.65 | $66.33 – $1,540.00 |
| Bethesda Hospital East | BOYNTON BEACH | $5,964.40 | $203.32 – $8,258.40 |
| Baptist Hospital | MIAMI | $6,699.55 | $173.17 – $8,258.40 |
| Boca Raton Regional Hospital | BOCA RATON | $3,688.10 | $357.78 – $3,705.12 |
| Doctors Hospital | CORAL GABLES | $5,964.40 | $197.10 – $8,258.40 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $6,699.55 | $197.10 – $8,258.40 |
| Fishermens Community Hospital | MARATHON | $5,964.40 | $197.10 – $8,258.40 |