Darbepoetin alfa, esrd use at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$21.45
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.
$33.00
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.
$3.02 with Wellcare vs $93.47 with Independent Living Systems — 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 |
|---|---|---|---|
| Wellcare | MEDICARE ADVANTAGE | $3.02 | ↓ -86% |
| WellMed | MEDICARE ADVANTAGE | $3.02 | ↓ -86% |
| AETNA | MEDICARE ADVANTAGE | $3.02 | ↓ -86% |
| Careplus | MEDICARE ADVANTAGE | $3.04 | ↓ -86% |
| BLUE CROSS | Medicare Advantage HMO | $3.04 | ↓ -86% |
| BLUE CROSS | Medicare Advantage PPO | $3.04 | ↓ -86% |
| UNITED | MEDICARE ADVANTAGE | $3.04 | ↓ -86% |
| Freedom Health | MEDICARE ADVANTAGE | $3.04 | ↓ -86% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $3.04 | ↓ -86% |
| HUMANA | Medicare Advantage HMO | $3.04 | ↓ -86% |
| AVMED | MEDICARE ADVANTAGE | $3.16 | ↓ -85% |
| Independent Living Systems | MEDICARE ADVANTAGE | $3.19 | ↓ -85% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3.32 | ↓ -85% |
| AVMED | EXCHANGE | $4.55 | ↓ -79% |
| AVMED | Select | $5.11 | ↓ -76% |
| CIGNA | Individual Family Plan | $5.28 | ↓ -75% |
| BLUE CROSS | PHS | $5.74 | ↓ -73% |
| BLUE CROSS | NWB | $5.74 | ↓ -73% |
| BLUE CROSS | BSL | $5.74 | ↓ -73% |
| BLUE CROSS | NWBI | $5.74 | ↓ -73% |
| BLUE CROSS | PPO | $5.74 | ↓ -73% |
| BLUE CROSS | HMO | $5.74 | ↓ -73% |
| CIGNA | SUREFIT | $6.39 | ↓ -70% |
| AVMED | BROAD | $6.64 | ↓ -69% |
| CIGNA | ALL PRODUCTS | $6.68 | ↓ -69% |
| AETNA | QHP | $7.72 | ↓ -64% |
| AETNA | ALL PRODUCTS | $11.75 | ↓ -45% |
| BMI | ALL PRODUCTS | $16.50 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $19.80 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $21.45 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $21.45 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $24.75 | ↑ +15% |
| MULTIPLAN | ALL PRODUCTS | $26.40 | ↑ +23% |
| AETNA | All Products First Health | $26.40 | ↑ +23% |
| OPTUM | Managed Medicaid | $74.00 | ↑ +245% |
| Molina | Florida Kidcare | $77.89 | ↑ +263% |
| Medicaid | Managed Medicaid | $77.89 | ↑ +263% |
| Carelon BH Strategies | Managed Medicaid | $77.89 | ↑ +263% |
| MOLINA | Florida KidCare | $77.89 | ↑ +263% |
| AMERIHEALTH | Managed Medicaid | $77.89 | ↑ +263% |
| SUNSHINE HEALTH | Managed Medicaid | $77.89 | ↑ +263% |
| Wellcare | Managed Medicaid | $77.89 | ↑ +263% |
| MOLINA | Managed Medicaid | $81.78 | ↑ +281% |
| AETNA | Managed Medicaid/CHIP | $85.68 | ↑ +299% |
| Independent Living Systems | Managed Medicaid | $93.47 | ↑ +336% |
| Consociate Health | Transplant | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Darbepoetin alfa, esrd use at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $5.85 | $2.61 – $77.89 |
| martin north hospital | Stuart | $21.45 | $3.02 – $93.47 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $17.40 | $4.46 – $9.82 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $2.92 – $4.98 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $2.83 – $6.49 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $2.83 – $4.98 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | not published | $2.83 – $8.00 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness | not published | $2.83 – $6.49 |