Dest mal lesion tal <0.5 17260 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$484.25
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.
$745.00
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.
$47.67 with Optum vs $4,545.00 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 | $47.67 | ↓ -90% |
| Magellan | Medicare Advantage | $61.91 | ↓ -87% |
| Value Options | Medicare Advantage | $61.91 | ↓ -87% |
| Avmed | Medicare Advantage | $61.91 | ↓ -87% |
| Careplus | Medicare Advantage | $61.91 | ↓ -87% |
| Wellcare | Medicare Advantage | $61.91 | ↓ -87% |
| Blue Cross | Medicare Advantage PPO | $61.91 | ↓ -87% |
| Blue Cross | Medicare Advantage HMO | $61.91 | ↓ -87% |
| Blue Cross | Health Options | $64.05 | ↓ -87% |
| WellMed | Medicare Advantage | $65.01 | ↓ -87% |
| Independent Living Systems | Medicare Advantage | $65.01 | ↓ -87% |
| Freedom Health | Medicare Advantage | $65.01 | ↓ -87% |
| Blue Cross | Network Blue | $65.63 | ↓ -86% |
| Clear Spring Health | All Products | $66.86 | ↓ -86% |
| Blue Cross | Traditional (PPS) | $67.20 | ↓ -86% |
| Blue Cross | Perferred Patient Care | $67.20 | ↓ -86% |
| United | Medicare Advantage | $71.64 | ↓ -85% |
| Aetna | Medicare Advantage Behavioral Health | $74.29 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $76.60 | ↓ -84% |
| Wellcare | Managed Medicaid | $76.60 | ↓ -84% |
| Value Options | Managed Medicaid | $76.60 | ↓ -84% |
| Molina | Managed Medicaid | $76.60 | ↓ -84% |
| Medicaid | Managed Medicaid | $76.60 | ↓ -84% |
| Aetna | Medicare Advantage PCP | $76.77 | ↓ -84% |
| Aetna | Medicare Advantage Specialist | $78.01 | ↓ -84% |
| Clear Spring Health | ALL PRODUCTS | $81.27 | ↓ -83% |
| Avmed | Exchange | $94.98 | ↓ -80% |
| OPTUM | Managed Medicaid | $98.33 | ↓ -80% |
| Avmed | Select | $98.63 | ↓ -80% |
| Carelon BH Strategies | Managed Medicaid | $103.50 | ↓ -79% |
| Molina | Florida Kidcare | $103.50 | ↓ -79% |
| SUNSHINE HEALTH | Managed Medicaid | $103.50 | ↓ -79% |
| MOLINA | Florida KidCare | $103.50 | ↓ -79% |
| AMERIHEALTH | Managed Medicaid | $103.50 | ↓ -79% |
| Cigna | Individual Family Plan Mid-Level | $104.38 | ↓ -78% |
| Avmed | Broad | $105.94 | ↓ -78% |
| Cigna | Surefit Mid-Level | $106.37 | ↓ -78% |
| MOLINA | Managed Medicaid | $108.68 | ↓ -78% |
| Aetna | POS First Health | $110.63 | ↓ -77% |
| AETNA | Managed Medicaid/CHIP | $113.85 | ↓ -76% |
| Cigna | All Products Mid-Level | $114.89 | ↓ -76% |
| Cigna | Individual Family Plan Physician | $122.80 | ↓ -75% |
| Independent Living Systems | Managed Medicaid | $124.20 | ↓ -74% |
| Cigna | Surefit Physician | $125.16 | ↓ -74% |
| Cigna | All Products Physician | $135.16 | ↓ -72% |
| United | All Products | $138.24 | ↓ -71% |
| Aetna | PPO First Health | $145.99 | ↓ -70% |
| AETNA | QHP | $174.33 | ↓ -64% |
| CIGNA | Individual Family Plan | $191.47 | ↓ -60% |
| Freedom Health | MEDICARE ADVANTAGE | $199.45 | ↓ -59% |
| UNITED | MEDICARE ADVANTAGE | $199.45 | ↓ -59% |
| BLUE CROSS | Medicare Advantage PPO | $199.45 | ↓ -59% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $199.45 | ↓ -59% |
| BLUE CROSS | Medicare Advantage HMO | $199.45 | ↓ -59% |
| Careplus | MEDICARE ADVANTAGE | $199.45 | ↓ -59% |
| HUMANA | Medicare Advantage HMO | $199.45 | ↓ -59% |
| AVMED | MEDICARE ADVANTAGE | $207.43 | ↓ -57% |
| Independent Living Systems | MEDICARE ADVANTAGE | $209.42 | ↓ -57% |
| AETNA | MEDICARE ADVANTAGE | $209.52 | ↓ -57% |
| Wellcare | MEDICARE ADVANTAGE | $209.52 | ↓ -57% |
| WellMed | MEDICARE ADVANTAGE | $209.52 | ↓ -57% |
| DEVOTED HEALTH | Medicare Advantage HMO | $230.47 | ↓ -52% |
| CIGNA | SUREFIT | $230.95 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $236.91 | ↓ -51% |
| AETNA | ALL PRODUCTS | $265.22 | ↓ -45% |
| Three Rivers | All Products | $274.30 | ↓ -43% |
| Clarity Health | All Products | $274.30 | ↓ -43% |
| The Legacy Companies | All Products | $274.30 | ↓ -43% |
| AVMED | EXCHANGE | $313.14 | ↓ -35% |
| Consociate Health | ALL PRODUCTS | $316.50 | ↓ -35% |
| AVMED | Select | $351.03 | ↓ -28% |
| National Provider Network | All Products | $358.70 | ↓ -26% |
| BMI | ALL PRODUCTS | $372.50 | ↓ -23% |
| Aetna | All Products First Health | $379.80 | ↓ -22% |
| MAGELLAN | ALL PRODUCTS | $447.00 | ↓ -8% |
| AVMED | BROAD | $456.74 | ↓ -6% |
| Clarity Health | ALL PRODUCTS | $484.25 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $484.25 | ↑ +0% |
| AETNA | All Products First Health | $596.00 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $596.00 | ↑ +23% |
| BLUE CROSS | HMO | $2,784.00 | ↑ +475% |
| BLUE CROSS | BSL | $2,784.00 | ↑ +475% |
| BLUE CROSS | NWBI | $3,679.00 | ↑ +660% |
| BLUE CROSS | NWB | $3,679.00 | ↑ +660% |
| BLUE CROSS | PHS | $4,545.00 | ↑ +839% |
| BLUE CROSS | PPO | $4,545.00 | ↑ +839% |
| Aetna | Medical Rental | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | 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 Behavioral Health | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
Visitor-reported prices
Comments
Dest mal lesion tal <0.5 17260 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $274.30 | $47.67 – $316.50 |
| martin north hospital | Stuart | $274.30 | $53.55 – $316.50 |
| Baptist Hospital | MIAMI | $604.50 | $110.64 – $837.00 |
| Bethesda Hospital East | BOYNTON BEACH | $604.50 | $110.64 – $837.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $604.50 | $107.25 – $837.00 |
| AdventHealth Orlando | Orlando | $608.00 | $209.52 – $555.22 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $199.04 – $349.69 |
| Adventhealth Lake Wales | Lake Wales | not published | $209.52 – $465.13 |