Cystoscopy and treatment at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,016.60
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.
$1,564.00
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.
$157.48 with Optum vs $4,708.82 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 | $157.48 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $159.83 | ↓ -84% |
| Molina | Managed Medicaid | $159.83 | ↓ -84% |
| Wellcare | Managed Medicaid | $159.83 | ↓ -84% |
| Value Options | Managed Medicaid | $159.83 | ↓ -84% |
| Medicaid | Managed Medicaid | $159.83 | ↓ -84% |
| Blue Cross | Health Options | $196.12 | ↓ -81% |
| Blue Cross | Network Blue | $200.95 | ↓ -80% |
| Careplus | Medicare Advantage | $201.01 | ↓ -80% |
| Value Options | Medicare Advantage | $201.01 | ↓ -80% |
| Avmed | Medicare Advantage | $201.01 | ↓ -80% |
| Blue Cross | Medicare Advantage HMO | $201.01 | ↓ -80% |
| Blue Cross | Medicare Advantage PPO | $201.01 | ↓ -80% |
| Magellan | Medicare Advantage | $201.01 | ↓ -80% |
| Wellcare | Medicare Advantage | $201.01 | ↓ -80% |
| Blue Cross | Perferred Patient Care | $205.77 | ↓ -80% |
| Blue Cross | Traditional (PPS) | $205.77 | ↓ -80% |
| WellMed | Medicare Advantage | $211.06 | ↓ -79% |
| Independent Living Systems | Medicare Advantage | $211.06 | ↓ -79% |
| Freedom Health | Medicare Advantage | $211.06 | ↓ -79% |
| United | Medicare Advantage | $214.82 | ↓ -79% |
| Clear Spring Health | All Products | $217.09 | ↓ -79% |
| Aetna | Medicare Advantage Behavioral Health | $241.21 | ↓ -76% |
| Aetna | Medicare Advantage PCP | $249.25 | ↓ -75% |
| Aetna | Medicare Advantage Specialist | $253.27 | ↓ -75% |
| Avmed | Exchange | $285.66 | ↓ -72% |
| Avmed | Select | $296.65 | ↓ -71% |
| Avmed | Broad | $318.62 | ↓ -69% |
| Aetna | PPO First Health | $330.64 | ↓ -67% |
| United | All Products | $415.77 | ↓ -59% |
| Aetna | POS First Health | $703.80 | ↓ -31% |
| OPTUM | Managed Medicaid | $970.74 | ↓ -5% |
| Three Rivers | All Products | $1,016.60 | ↑ +0% |
| Clarity Health | All Products | $1,016.60 | ↑ +0% |
| The Legacy Companies | All Products | $1,016.60 | ↑ +0% |
| MOLINA | Florida KidCare | $1,021.83 | ↑ +1% |
| AMERIHEALTH | Managed Medicaid | $1,021.83 | ↑ +1% |
| Carelon BH Strategies | Managed Medicaid | $1,021.83 | ↑ +1% |
| Molina | Florida Kidcare | $1,021.83 | ↑ +1% |
| SUNSHINE HEALTH | Managed Medicaid | $1,021.83 | ↑ +1% |
| MOLINA | Managed Medicaid | $1,072.92 | ↑ +6% |
| AETNA | Managed Medicaid/CHIP | $1,124.01 | ↑ +11% |
| Consociate Health | ALL PRODUCTS | $1,173.00 | ↑ +15% |
| Independent Living Systems | Managed Medicaid | $1,226.20 | ↑ +21% |
| National Provider Network | All Products | $1,329.40 | ↑ +31% |
| Aetna | All Products First Health | $1,407.60 | ↑ +38% |
| Cigna | Surefit Mid-Level | $1,564.00 | ↑ +54% |
| Cigna | Surefit Physician | $1,564.00 | ↑ +54% |
| Cigna | All Products Physician | $1,564.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $1,564.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $1,564.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $1,564.00 | ↑ +54% |
| HUMANA | Medicare Advantage HMO | $2,056.25 | ↑ +102% |
| BLUE CROSS | Medicare Advantage PPO | $2,056.25 | ↑ +102% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $2,056.25 | ↑ +102% |
| BLUE CROSS | Medicare Advantage HMO | $2,056.25 | ↑ +102% |
| UNITED | MEDICARE ADVANTAGE | $2,056.25 | ↑ +102% |
| Careplus | MEDICARE ADVANTAGE | $2,056.25 | ↑ +102% |
| Freedom Health | MEDICARE ADVANTAGE | $2,056.25 | ↑ +102% |
| AVMED | MEDICARE ADVANTAGE | $2,138.50 | ↑ +110% |
| Independent Living Systems | MEDICARE ADVANTAGE | $2,159.07 | ↑ +112% |
| WellMed | MEDICARE ADVANTAGE | $2,182.94 | ↑ +115% |
| AETNA | MEDICARE ADVANTAGE | $2,182.94 | ↑ +115% |
| Wellcare | MEDICARE ADVANTAGE | $2,182.94 | ↑ +115% |
| DEVOTED HEALTH | Medicare Advantage HMO | $2,401.24 | ↑ +136% |
| AVMED | EXCHANGE | $3,228.32 | ↑ +218% |
| AVMED | Select | $3,619.01 | ↑ +256% |
| BLUE CROSS | BSL | $4,536.00 | ↑ +346% |
| AVMED | BROAD | $4,708.82 | ↑ +363% |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Behavioral Health | 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 | — |
| Magellan | Summit | not published by hospital | — |
Visitor-reported prices
Comments
Cystoscopy and treatment at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $1,016.60 | $157.48 – $2,401.24 |
| martin north hospital | Stuart | $1,016.60 | $159.83 – $2,401.24 |
| Baptist Hospital | MIAMI | $6,144.45 | $173.17 – $8,507.70 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $2,073.80 – $3,643.33 |
| Adventhealth Lake Wales | Lake Wales | not published | $2,182.94 – $4,846.13 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $2,073.80 – $4,662.55 |
| Adventhealth Tampa | Tampa | not published | $537.00 – $4,846.13 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $2,073.80 – $4,768.64 |