Deep muscle biopsy 20205 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$10,696.40
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.
$16,456.00
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.
$77.94 with Optum vs $13,164.80 with MULTIPLAN — 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 | $77.94 | ↓ -99% |
| Blue Cross | Health Options | $145.30 | ↓ -99% |
| Blue Cross | Network Blue | $148.87 | ↓ -99% |
| Blue Cross | Perferred Patient Care | $152.44 | ↓ -99% |
| Blue Cross | Traditional (PPS) | $152.44 | ↓ -99% |
| Avmed | Medicare Advantage | $165.96 | ↓ -98% |
| Blue Cross | Medicare Advantage HMO | $165.96 | ↓ -98% |
| Magellan | Medicare Advantage | $165.96 | ↓ -98% |
| Wellcare | Medicare Advantage | $165.96 | ↓ -98% |
| Careplus | Medicare Advantage | $165.96 | ↓ -98% |
| Value Options | Medicare Advantage | $165.96 | ↓ -98% |
| Blue Cross | Medicare Advantage PPO | $165.96 | ↓ -98% |
| United | Medicare Advantage | $167.21 | ↓ -98% |
| Freedom Health | Medicare Advantage | $174.26 | ↓ -98% |
| WellMed | Medicare Advantage | $174.26 | ↓ -98% |
| Independent Living Systems | Medicare Advantage | $174.26 | ↓ -98% |
| Clear Spring Health | All Products | $179.24 | ↓ -98% |
| Clear Spring Health | ALL PRODUCTS | $196.73 | ↓ -98% |
| Aetna | Medicare Advantage Behavioral Health | $199.15 | ↓ -98% |
| Aetna | Medicare Advantage PCP | $205.79 | ↓ -98% |
| Aetna | Medicare Advantage Specialist | $209.11 | ↓ -98% |
| Avmed | Exchange | $223.51 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $230.81 | ↓ -98% |
| Wellcare | Managed Medicaid | $230.81 | ↓ -98% |
| Molina | Managed Medicaid | $230.81 | ↓ -98% |
| Medicaid | Managed Medicaid | $230.81 | ↓ -98% |
| Value Options | Managed Medicaid | $230.81 | ↓ -98% |
| Avmed | Select | $232.11 | ↓ -98% |
| Avmed | Broad | $249.30 | ↓ -98% |
| Aetna | POS First Health | $256.97 | ↓ -98% |
| United | All Products | $325.31 | ↓ -97% |
| Cigna | Individual Family Plan Mid-Level | $419.67 | ↓ -96% |
| Cigna | Surefit Mid-Level | $427.71 | ↓ -96% |
| Aetna | PPO First Health | $458.23 | ↓ -96% |
| Cigna | All Products Mid-Level | $461.87 | ↓ -96% |
| Cigna | Individual Family Plan Physician | $493.76 | ↓ -95% |
| Cigna | Surefit Physician | $503.19 | ↓ -95% |
| Cigna | All Products Physician | $543.43 | ↓ -95% |
| Three Rivers | All Products | $611.00 | ↓ -94% |
| Clarity Health | All Products | $611.00 | ↓ -94% |
| The Legacy Companies | All Products | $611.00 | ↓ -94% |
| Consociate Health | ALL PRODUCTS | $705.00 | ↓ -93% |
| National Provider Network | All Products | $799.00 | ↓ -93% |
| Aetna | All Products First Health | $846.00 | ↓ -92% |
| OPTUM | Managed Medicaid | $1,112.95 | ↓ -90% |
| MOLINA | Florida KidCare | $1,171.53 | ↓ -89% |
| Molina | Florida Kidcare | $1,171.53 | ↓ -89% |
| AMERIHEALTH | Managed Medicaid | $1,171.53 | ↓ -89% |
| SUNSHINE HEALTH | Managed Medicaid | $1,171.53 | ↓ -89% |
| Carelon BH Strategies | Managed Medicaid | $1,171.53 | ↓ -89% |
| MOLINA | Managed Medicaid | $1,230.11 | ↓ -88% |
| AETNA | Managed Medicaid/CHIP | $1,288.68 | ↓ -88% |
| Independent Living Systems | Managed Medicaid | $1,405.84 | ↓ -87% |
| HUMANA | Medicare Advantage HMO | $2,872.87 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $2,872.87 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $2,872.87 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $2,872.87 | ↓ -73% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $2,872.87 | ↓ -73% |
| Careplus | MEDICARE ADVANTAGE | $2,872.87 | ↓ -73% |
| Freedom Health | MEDICARE ADVANTAGE | $2,872.87 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $2,987.78 | ↓ -72% |
| Independent Living Systems | MEDICARE ADVANTAGE | $3,016.51 | ↓ -72% |
| WellMed | MEDICARE ADVANTAGE | $3,033.33 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $3,033.33 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $3,033.33 | ↓ -72% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,336.67 | ↓ -69% |
| AETNA | QHP | $3,850.70 | ↓ -64% |
| CIGNA | Individual Family Plan | $4,229.19 | ↓ -60% |
| BLUE CROSS | BSL | $4,328.00 | ↓ -60% |
| BLUE CROSS | HMO | $4,328.00 | ↓ -60% |
| AVMED | EXCHANGE | $4,510.40 | ↓ -58% |
| AVMED | Select | $5,056.25 | ↓ -53% |
| CIGNA | SUREFIT | $5,101.36 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $5,233.01 | ↓ -51% |
| BLUE CROSS | NWBI | $5,723.00 | ↓ -46% |
| BLUE CROSS | NWB | $5,723.00 | ↓ -46% |
| AETNA | ALL PRODUCTS | $5,858.34 | ↓ -45% |
| AVMED | BROAD | $6,578.87 | ↓ -38% |
| BLUE CROSS | PPO | $7,992.00 | ↓ -25% |
| BLUE CROSS | PHS | $7,992.00 | ↓ -25% |
| BMI | ALL PRODUCTS | $8,228.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $9,873.60 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $10,696.40 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $10,696.40 | ↑ +0% |
| AETNA | All Products First Health | $13,164.80 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $13,164.80 | ↑ +23% |
| Magellan | Pinnacle | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
Visitor-reported prices
Comments
Deep muscle biopsy 20205 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $10,696.40 | $77.94 – $13,987.60 |
| martin north hospital | Stuart | $10,696.40 | $121.48 – $8,228.00 |
| Baptist Hospital | MIAMI | $2,101.45 | $173.17 – $3,397.33 |
| Bethesda Hospital East | BOYNTON BEACH | $2,101.45 | $649.83 – $3,154.67 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $2,101.45 | $562.54 – $3,336.67 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $2,881.67 – $5,062.63 |
| Adventhealth Lake Wales | Lake Wales | not published | $3,033.33 – $6,734.00 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $2,881.67 – $6,478.90 |