Cysto insj dev ischmc rmdlg at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$886.60
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.
$1,364.00
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.
$116.62 with Optum vs $21,256.02 with AVMED — 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 | $116.62 | ↓ -87% |
| Careplus | Medicare Advantage | $157.35 | ↓ -82% |
| Value Options | Medicare Advantage | $157.35 | ↓ -82% |
| Blue Cross | Medicare Advantage HMO | $157.35 | ↓ -82% |
| Avmed | Medicare Advantage | $157.35 | ↓ -82% |
| Blue Cross | Medicare Advantage PPO | $157.35 | ↓ -82% |
| Wellcare | Medicare Advantage | $157.35 | ↓ -82% |
| Magellan | Medicare Advantage | $157.35 | ↓ -82% |
| Freedom Health | Medicare Advantage | $165.22 | ↓ -81% |
| WellMed | Medicare Advantage | $165.22 | ↓ -81% |
| Independent Living Systems | Medicare Advantage | $165.22 | ↓ -81% |
| United | Medicare Advantage | $168.44 | ↓ -81% |
| Clear Spring Health | All Products | $169.94 | ↓ -81% |
| Aetna | Medicare Advantage Behavioral Health | $188.82 | ↓ -79% |
| Aetna | Medicare Advantage PCP | $195.11 | ↓ -78% |
| Aetna | Medicare Advantage Specialist | $198.26 | ↓ -78% |
| United | All Products | $327.98 | ↓ -63% |
| Aetna | PPO First Health | $613.80 | ↓ -31% |
| Aetna | POS First Health | $613.80 | ↓ -31% |
| The Legacy Companies | All Products | $886.60 | ↑ +0% |
| Three Rivers | All Products | $886.60 | ↑ +0% |
| Clarity Health | All Products | $886.60 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $1,023.00 | ↑ +15% |
| OPTUM | Managed Medicaid | $1,043.57 | ↑ +18% |
| Carelon BH Strategies | Managed Medicaid | $1,098.49 | ↑ +24% |
| AMERIHEALTH | Managed Medicaid | $1,098.49 | ↑ +24% |
| SUNSHINE HEALTH | Managed Medicaid | $1,098.49 | ↑ +24% |
| MOLINA | Florida KidCare | $1,098.49 | ↑ +24% |
| Molina | Florida Kidcare | $1,098.49 | ↑ +24% |
| Medicaid | Managed Medicaid | $1,098.49 | ↑ +24% |
| Wellcare | Managed Medicaid | $1,098.49 | ↑ +24% |
| MOLINA | Managed Medicaid | $1,153.41 | ↑ +30% |
| National Provider Network | All Products | $1,159.40 | ↑ +31% |
| AETNA | Managed Medicaid/CHIP | $1,208.34 | ↑ +36% |
| Aetna | All Products First Health | $1,227.60 | ↑ +38% |
| Independent Living Systems | Managed Medicaid | $1,318.19 | ↑ +49% |
| Cigna | Individual Family Plan Mid-Level | $3,836.15 | ↑ +333% |
| Cigna | Surefit Mid-Level | $3,909.51 | ↑ +341% |
| Cigna | All Products Mid-Level | $4,221.81 | ↑ +376% |
| Cigna | Individual Family Plan Physician | $4,512.68 | ↑ +409% |
| Cigna | Surefit Physician | $4,599.35 | ↑ +419% |
| Cigna | All Products Physician | $4,966.83 | ↑ +460% |
| HUMANA | Medicare Advantage HMO | $9,282.10 | ↑ +947% |
| BLUE CROSS | Medicare Advantage HMO | $9,282.10 | ↑ +947% |
| BLUE CROSS | Medicare Advantage PPO | $9,282.10 | ↑ +947% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $9,282.10 | ↑ +947% |
| Careplus | MEDICARE ADVANTAGE | $9,282.10 | ↑ +947% |
| Freedom Health | MEDICARE ADVANTAGE | $9,282.10 | ↑ +947% |
| UNITED | MEDICARE ADVANTAGE | $9,282.10 | ↑ +947% |
| AVMED | MEDICARE ADVANTAGE | $9,653.39 | ↑ +989% |
| Independent Living Systems | MEDICARE ADVANTAGE | $9,746.21 | ↑ +999% |
| WellMed | MEDICARE ADVANTAGE | $9,885.63 | ↑ +1015% |
| Wellcare | MEDICARE ADVANTAGE | $9,885.63 | ↑ +1015% |
| AETNA | MEDICARE ADVANTAGE | $9,885.63 | ↑ +1015% |
| DEVOTED HEALTH | Medicare Advantage HMO | $10,874.19 | ↑ +1127% |
| AVMED | EXCHANGE | $14,572.90 | ↑ +1544% |
| AVMED | Select | $16,336.50 | ↑ +1743% |
| AVMED | BROAD | $21,256.02 | ↑ +2297% |
| Avmed | Exchange | not published by hospital | — |
| Avmed | Broad | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | 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 | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Avmed | Select | not published by hospital | — |
Visitor-reported prices
Comments
Cysto insj dev ischmc rmdlg at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $27,235.65 | $116.62 – $35,615.85 |
| martin north hospital | Stuart | $886.60 | $157.35 – $10,874.19 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $9,391.35 – $16,499.11 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $9,391.35 – $21,114.71 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $9,885.63 – $18,051.15 |
| Baptist Health Hospital Doral | SOUTH MIAMI | not published | not published |
| Adventhealth Waterman | Tavares | not published | $9,885.63 – $19,947.22 |
| AdventHealth Orlando | Orlando | not published | $9,885.63 – $26,196.91 |