Dest mal lesion tal 2.1-3.0cm 17263 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$526.50
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.
$810.00
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.
$78.16 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 | $78.16 | ↓ -85% |
| OPTUM | Managed Medicaid | $98.33 | ↓ -81% |
| Medicaid | Managed Medicaid | $103.50 | ↓ -80% |
| Carelon BH Strategies | Managed Medicaid | $103.50 | ↓ -80% |
| Wellcare | Managed Medicaid | $103.50 | ↓ -80% |
| AMERIHEALTH | Managed Medicaid | $103.50 | ↓ -80% |
| MOLINA | Florida KidCare | $103.50 | ↓ -80% |
| Molina | Florida Kidcare | $103.50 | ↓ -80% |
| SUNSHINE HEALTH | Managed Medicaid | $103.50 | ↓ -80% |
| Blue Cross | Medicare Advantage HMO | $108.41 | ↓ -79% |
| Wellcare | Medicare Advantage | $108.41 | ↓ -79% |
| Careplus | Medicare Advantage | $108.41 | ↓ -79% |
| Value Options | Medicare Advantage | $108.41 | ↓ -79% |
| Magellan | Medicare Advantage | $108.41 | ↓ -79% |
| Avmed | Medicare Advantage | $108.41 | ↓ -79% |
| Blue Cross | Medicare Advantage PPO | $108.41 | ↓ -79% |
| MOLINA | Managed Medicaid | $108.68 | ↓ -79% |
| WellMed | Medicare Advantage | $113.83 | ↓ -78% |
| Independent Living Systems | Medicare Advantage | $113.83 | ↓ -78% |
| Freedom Health | Medicare Advantage | $113.83 | ↓ -78% |
| AETNA | Managed Medicaid/CHIP | $113.85 | ↓ -78% |
| Clear Spring Health | All Products | $117.08 | ↓ -78% |
| Blue Cross | Health Options | $120.76 | ↓ -77% |
| United | Medicare Advantage | $123.73 | ↓ -76% |
| Blue Cross | Network Blue | $123.73 | ↓ -76% |
| Independent Living Systems | Managed Medicaid | $124.20 | ↓ -76% |
| Blue Cross | Perferred Patient Care | $126.70 | ↓ -76% |
| Blue Cross | Traditional (PPS) | $126.70 | ↓ -76% |
| Aetna | Medicare Advantage Behavioral Health | $130.09 | ↓ -75% |
| Aetna | Medicare Advantage PCP | $134.43 | ↓ -74% |
| Aetna | Medicare Advantage Specialist | $136.60 | ↓ -74% |
| Clear Spring Health | ALL PRODUCTS | $142.69 | ↓ -73% |
| Molina | Managed Medicaid | $148.09 | ↓ -72% |
| AmeriHealth | Managed Medicaid | $148.09 | ↓ -72% |
| Value Options | Managed Medicaid | $148.09 | ↓ -72% |
| Avmed | Exchange | $164.57 | ↓ -69% |
| Avmed | Select | $170.90 | ↓ -68% |
| AETNA | QHP | $174.33 | ↓ -67% |
| Avmed | Broad | $183.56 | ↓ -65% |
| CIGNA | Individual Family Plan | $191.47 | ↓ -64% |
| Freedom Health | MEDICARE ADVANTAGE | $199.45 | ↓ -62% |
| BLUE CROSS | Medicare Advantage HMO | $199.45 | ↓ -62% |
| BLUE CROSS | Medicare Advantage PPO | $199.45 | ↓ -62% |
| UNITED | MEDICARE ADVANTAGE | $199.45 | ↓ -62% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $199.45 | ↓ -62% |
| Careplus | MEDICARE ADVANTAGE | $199.45 | ↓ -62% |
| HUMANA | Medicare Advantage HMO | $199.45 | ↓ -62% |
| Aetna | POS First Health | $199.71 | ↓ -62% |
| AVMED | MEDICARE ADVANTAGE | $207.43 | ↓ -61% |
| Independent Living Systems | MEDICARE ADVANTAGE | $209.42 | ↓ -60% |
| Wellcare | MEDICARE ADVANTAGE | $209.52 | ↓ -60% |
| WellMed | MEDICARE ADVANTAGE | $209.52 | ↓ -60% |
| AETNA | MEDICARE ADVANTAGE | $209.52 | ↓ -60% |
| Cigna | Individual Family Plan Mid-Level | $210.38 | ↓ -60% |
| Cigna | Surefit Mid-Level | $214.40 | ↓ -59% |
| DEVOTED HEALTH | Medicare Advantage HMO | $230.47 | ↓ -56% |
| CIGNA | SUREFIT | $230.95 | ↓ -56% |
| Cigna | All Products Mid-Level | $231.57 | ↓ -56% |
| CIGNA | ALL PRODUCTS | $236.91 | ↓ -55% |
| United | All Products | $239.52 | ↓ -55% |
| Cigna | Individual Family Plan Physician | $247.51 | ↓ -53% |
| Cigna | Surefit Physician | $252.26 | ↓ -52% |
| AETNA | ALL PRODUCTS | $265.22 | ↓ -50% |
| Cigna | All Products Physician | $272.42 | ↓ -48% |
| Aetna | PPO First Health | $293.84 | ↓ -44% |
| AVMED | EXCHANGE | $313.14 | ↓ -41% |
| AVMED | Select | $351.03 | ↓ -33% |
| BMI | ALL PRODUCTS | $372.50 | ↓ -29% |
| MAGELLAN | ALL PRODUCTS | $447.00 | ↓ -15% |
| AVMED | BROAD | $456.74 | ↓ -13% |
| The Legacy Companies | ALL PRODUCTS | $484.25 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $484.25 | ↓ -8% |
| Clarity Health | All Products | $526.50 | ↑ +0% |
| The Legacy Companies | All Products | $526.50 | ↑ +0% |
| Three Rivers | All Products | $526.50 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $558.75 | ↑ +6% |
| MULTIPLAN | ALL PRODUCTS | $596.00 | ↑ +13% |
| AETNA | All Products First Health | $596.00 | ↑ +13% |
| National Provider Network | All Products | $688.50 | ↑ +31% |
| Aetna | All Products First Health | $729.00 | ↑ +38% |
| BLUE CROSS | HMO | $2,784.00 | ↑ +429% |
| BLUE CROSS | BSL | $2,784.00 | ↑ +429% |
| BLUE CROSS | NWB | $3,679.00 | ↑ +599% |
| BLUE CROSS | NWBI | $3,679.00 | ↑ +599% |
| BLUE CROSS | PHS | $4,545.00 | ↑ +763% |
| BLUE CROSS | PPO | $4,545.00 | ↑ +763% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Magellan | Summit | 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 | — |
| Value Options | All Products | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
Visitor-reported prices
Comments
Dest mal lesion tal 2.1-3.0cm 17263 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $526.50 | $78.16 – $633.25 |
| martin north hospital | Stuart | $526.50 | $100.96 – $558.75 |
| Baptist Hospital | MIAMI | $1,024.40 | $110.64 – $1,418.40 |
| Bethesda Hospital East | BOYNTON BEACH | $1,024.40 | $110.64 – $1,418.40 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $1,024.40 | $107.25 – $1,418.40 |
| 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 |