Destruction by injection tx of nerve 64630 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$872.30
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.
$1,342.00
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.
$104.78 with Optum vs $2,046.47 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 | $104.78 | ↓ -88% |
| Blue Cross | Health Options | $175.80 | ↓ -80% |
| Blue Cross | Network Blue | $180.12 | ↓ -79% |
| Blue Cross | Traditional (PPS) | $184.44 | ↓ -79% |
| Blue Cross | Perferred Patient Care | $184.44 | ↓ -79% |
| Wellcare | Managed Medicaid | $197.88 | ↓ -77% |
| Medicaid | Managed Medicaid | $197.88 | ↓ -77% |
| AmeriHealth | Managed Medicaid | $197.88 | ↓ -77% |
| Molina | Managed Medicaid | $197.88 | ↓ -77% |
| Value Options | Managed Medicaid | $197.88 | ↓ -77% |
| Avmed | Medicare Advantage | $200.40 | ↓ -77% |
| Magellan | Medicare Advantage | $200.40 | ↓ -77% |
| Wellcare | Medicare Advantage | $200.40 | ↓ -77% |
| Blue Cross | Medicare Advantage PPO | $200.40 | ↓ -77% |
| Blue Cross | Medicare Advantage HMO | $200.40 | ↓ -77% |
| Value Options | Medicare Advantage | $200.40 | ↓ -77% |
| Careplus | Medicare Advantage | $200.40 | ↓ -77% |
| United | Medicare Advantage | $200.56 | ↓ -77% |
| WellMed | Medicare Advantage | $210.42 | ↓ -76% |
| Independent Living Systems | Medicare Advantage | $210.42 | ↓ -76% |
| Freedom Health | Medicare Advantage | $210.42 | ↓ -76% |
| Clear Spring Health | All Products | $216.43 | ↓ -75% |
| Aetna | Medicare Advantage Behavioral Health | $240.48 | ↓ -72% |
| Aetna | Medicare Advantage PCP | $248.50 | ↓ -72% |
| Aetna | Medicare Advantage Specialist | $252.50 | ↓ -71% |
| Avmed | Exchange | $264.86 | ↓ -70% |
| Avmed | Select | $275.05 | ↓ -68% |
| Avmed | Broad | $295.42 | ↓ -66% |
| Aetna | POS First Health | $299.15 | ↓ -66% |
| Cigna | Individual Family Plan Mid-Level | $308.15 | ↓ -65% |
| Cigna | Surefit Mid-Level | $314.05 | ↓ -64% |
| Cigna | All Products Mid-Level | $339.17 | ↓ -61% |
| Cigna | Individual Family Plan Physician | $362.55 | ↓ -58% |
| Aetna | PPO First Health | $366.76 | ↓ -58% |
| Cigna | Surefit Physician | $369.48 | ↓ -58% |
| United | All Products | $385.50 | ↓ -56% |
| Cigna | All Products Physician | $399.04 | ↓ -54% |
| Clarity Health | All Products | $872.30 | ↑ +0% |
| Three Rivers | All Products | $872.30 | ↑ +0% |
| The Legacy Companies | All Products | $872.30 | ↑ +0% |
| HUMANA | Medicare Advantage HMO | $893.66 | ↑ +2% |
| BLUE CROSS | Medicare Advantage HMO | $893.66 | ↑ +2% |
| BLUE CROSS | Medicare Advantage PPO | $893.66 | ↑ +2% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $893.66 | ↑ +2% |
| Careplus | MEDICARE ADVANTAGE | $893.66 | ↑ +2% |
| Freedom Health | MEDICARE ADVANTAGE | $893.66 | ↑ +2% |
| UNITED | MEDICARE ADVANTAGE | $893.66 | ↑ +2% |
| OPTUM | Managed Medicaid | $911.56 | ↑ +5% |
| Wellcare | MEDICARE ADVANTAGE | $923.64 | ↑ +6% |
| WellMed | MEDICARE ADVANTAGE | $923.64 | ↑ +6% |
| AETNA | MEDICARE ADVANTAGE | $923.64 | ↑ +6% |
| AVMED | MEDICARE ADVANTAGE | $929.40 | ↑ +7% |
| Independent Living Systems | MEDICARE ADVANTAGE | $938.34 | ↑ +8% |
| AMERIHEALTH | Managed Medicaid | $959.54 | ↑ +10% |
| Carelon BH Strategies | Managed Medicaid | $959.54 | ↑ +10% |
| Molina | Florida Kidcare | $959.54 | ↑ +10% |
| MOLINA | Florida KidCare | $959.54 | ↑ +10% |
| SUNSHINE HEALTH | Managed Medicaid | $959.54 | ↑ +10% |
| Consociate Health | ALL PRODUCTS | $1,006.50 | ↑ +15% |
| MOLINA | Managed Medicaid | $1,007.52 | ↑ +16% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,016.00 | ↑ +16% |
| AETNA | Managed Medicaid/CHIP | $1,055.49 | ↑ +21% |
| National Provider Network | All Products | $1,140.70 | ↑ +31% |
| Independent Living Systems | Managed Medicaid | $1,151.45 | ↑ +32% |
| Aetna | All Products First Health | $1,207.80 | ↑ +38% |
| AVMED | EXCHANGE | $1,403.04 | ↑ +61% |
| AVMED | Select | $1,572.83 | ↑ +80% |
| AVMED | BROAD | $2,046.47 | ↑ +135% |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | 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 | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Destruction by injection tx of nerve 64630 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $4,991.35 | $104.78 – $6,527.15 |
| AdventHealth Orlando | Orlando | $5,675.00 | $923.64 – $2,447.64 |
| Adventhealth Tampa | Tampa | not published | $537.00 – $2,050.47 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $1,262.62 – $1,289.20 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $923.64 – $1,686.56 |
| martin north hospital | Stuart | not published | $893.66 – $1,151.45 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $1,281.73 – $1,308.71 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $1,325.71 – $1,353.62 |