Ctrl nosebld postir subsq 30906 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$867.75
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.
$1,335.00
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.
$65.75 with Optum vs $4,027.00 with BLUE CROSS — 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 | $65.75 | ↓ -92% |
| OPTUM | Managed Medicaid | $112.01 | ↓ -87% |
| AMERIHEALTH | Managed Medicaid | $117.91 | ↓ -86% |
| Wellcare | Managed Medicaid | $117.91 | ↓ -86% |
| Carelon BH Strategies | Managed Medicaid | $117.91 | ↓ -86% |
| SUNSHINE HEALTH | Managed Medicaid | $117.91 | ↓ -86% |
| Medicaid | Managed Medicaid | $117.91 | ↓ -86% |
| MOLINA | Florida KidCare | $117.91 | ↓ -86% |
| Molina | Florida Kidcare | $117.91 | ↓ -86% |
| MOLINA | Managed Medicaid | $123.81 | ↓ -86% |
| Blue Cross | Health Options | $124.60 | ↓ -86% |
| Blue Cross | Network Blue | $127.66 | ↓ -85% |
| AETNA | Managed Medicaid/CHIP | $129.70 | ↓ -85% |
| Blue Cross | Perferred Patient Care | $130.72 | ↓ -85% |
| Blue Cross | Traditional (PPS) | $130.72 | ↓ -85% |
| Blue Cross | Medicare Advantage HMO | $131.83 | ↓ -85% |
| Value Options | Medicare Advantage | $131.83 | ↓ -85% |
| Careplus | Medicare Advantage | $131.83 | ↓ -85% |
| Wellcare | Medicare Advantage | $131.83 | ↓ -85% |
| Avmed | Medicare Advantage | $131.83 | ↓ -85% |
| Blue Cross | Medicare Advantage PPO | $131.83 | ↓ -85% |
| Magellan | Medicare Advantage | $131.83 | ↓ -85% |
| WellMed | Medicare Advantage | $138.42 | ↓ -84% |
| Independent Living Systems | Medicare Advantage | $138.42 | ↓ -84% |
| Freedom Health | Medicare Advantage | $138.42 | ↓ -84% |
| United | Medicare Advantage | $138.73 | ↓ -84% |
| Independent Living Systems | Managed Medicaid | $141.49 | ↓ -84% |
| Clear Spring Health | All Products | $142.38 | ↓ -84% |
| Aetna | Medicare Advantage Behavioral Health | $158.20 | ↓ -82% |
| Aetna | Medicare Advantage PCP | $163.47 | ↓ -81% |
| Aetna | Medicare Advantage Specialist | $166.11 | ↓ -81% |
| Clear Spring Health | ALL PRODUCTS | $166.68 | ↓ -81% |
| Avmed | Exchange | $184.60 | ↓ -79% |
| Avmed | Select | $191.70 | ↓ -78% |
| Avmed | Broad | $205.90 | ↓ -76% |
| Aetna | POS First Health | $215.44 | ↓ -75% |
| BLUE CROSS | Medicare Advantage PPO | $233.10 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $233.10 | ↓ -73% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $233.10 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $233.10 | ↓ -73% |
| Careplus | MEDICARE ADVANTAGE | $233.10 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $233.10 | ↓ -73% |
| Freedom Health | MEDICARE ADVANTAGE | $233.10 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $242.42 | ↓ -72% |
| Independent Living Systems | MEDICARE ADVANTAGE | $244.75 | ↓ -72% |
| WellMed | MEDICARE ADVANTAGE | $247.34 | ↓ -71% |
| AETNA | MEDICARE ADVANTAGE | $247.34 | ↓ -71% |
| Wellcare | MEDICARE ADVANTAGE | $247.34 | ↓ -71% |
| United | All Products | $268.68 | ↓ -69% |
| DEVOTED HEALTH | Medicare Advantage HMO | $272.07 | ↓ -69% |
| Molina | Managed Medicaid | $274.05 | ↓ -68% |
| AmeriHealth | Managed Medicaid | $274.05 | ↓ -68% |
| Value Options | Managed Medicaid | $274.05 | ↓ -68% |
| Cigna | Individual Family Plan Mid-Level | $341.47 | ↓ -61% |
| CIGNA | Individual Family Plan | $343.10 | ↓ -60% |
| Cigna | Surefit Mid-Level | $347.99 | ↓ -60% |
| AVMED | EXCHANGE | $365.96 | ↓ -58% |
| Cigna | All Products Mid-Level | $375.88 | ↓ -57% |
| Cigna | Individual Family Plan Physician | $401.76 | ↓ -54% |
| Cigna | Surefit Physician | $409.43 | ↓ -53% |
| AVMED | Select | $410.25 | ↓ -53% |
| CIGNA | SUREFIT | $413.85 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $424.53 | ↓ -51% |
| Cigna | All Products Physician | $442.22 | ↓ -49% |
| Aetna | PPO First Health | $521.78 | ↓ -40% |
| AVMED | BROAD | $533.79 | ↓ -38% |
| AETNA | QHP | $554.00 | ↓ -36% |
| BMI | ALL PRODUCTS | $667.50 | ↓ -23% |
| Clarity Health | All Products | $700.70 | ↓ -19% |
| Three Rivers | All Products | $700.70 | ↓ -19% |
| The Legacy Companies | All Products | $700.70 | ↓ -19% |
| MAGELLAN | ALL PRODUCTS | $801.00 | ↓ -8% |
| Consociate Health | ALL PRODUCTS | $808.50 | ↓ -7% |
| UNITED | NHP | $850.00 | ↓ -2% |
| Clarity Health | ALL PRODUCTS | $867.75 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $867.75 | ↑ +0% |
| AETNA | ALL PRODUCTS | $874.00 | ↑ +1% |
| National Provider Network | All Products | $916.30 | ↑ +6% |
| Aetna | All Products First Health | $970.20 | ↑ +12% |
| MULTIPLAN | ALL PRODUCTS | $1,068.00 | ↑ +23% |
| AETNA | All Products First Health | $1,068.00 | ↑ +23% |
| UNITED | ALL PRODUCTS | $1,151.00 | ↑ +33% |
| UNITED | International | $1,151.00 | ↑ +33% |
| BLUE CROSS | HMO | $2,467.00 | ↑ +184% |
| BLUE CROSS | BSL | $2,467.00 | ↑ +184% |
| BLUE CROSS | NWBI | $3,264.00 | ↑ +276% |
| BLUE CROSS | NWB | $3,264.00 | ↑ +276% |
| BLUE CROSS | PPO | $4,027.00 | ↑ +364% |
| BLUE CROSS | PHS | $4,027.00 | ↑ +364% |
| Magellan | Summit | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | 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 | — |
| Consociate Health | Transplant | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
Visitor-reported prices
Comments
Ctrl nosebld postir subsq 30906 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $750.38 | not published |
| Adventhealth Lake Wales | Lake Wales | $750.38 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $750.38 | $234.97 – $528.29 |
| Adventhealth Tampa | Tampa | $2,553.81 | $247.34 – $549.09 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $821.85 | not published |
| cleveland clinic florida weston hospital | Weston | $867.75 | $65.75 – $1,134.75 |
| martin north hospital | Stuart | $867.75 | $104.17 – $808.50 |
| Adventhealth Palm Coast | Palm Coast | $750.38 | not published |