Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$2,654.60
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.
$4,084.00
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.
$28.44 with Optum vs $7,322.00 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 | $28.44 | ↓ -99% |
| Wellcare | Medicare Advantage | $54.13 | ↓ -98% |
| Avmed | Medicare Advantage | $54.13 | ↓ -98% |
| Value Options | Medicare Advantage | $54.13 | ↓ -98% |
| Blue Cross | Medicare Advantage PPO | $54.13 | ↓ -98% |
| Blue Cross | Medicare Advantage HMO | $54.13 | ↓ -98% |
| Careplus | Medicare Advantage | $54.13 | ↓ -98% |
| Magellan | Medicare Advantage | $54.13 | ↓ -98% |
| Blue Cross | Health Options | $56.13 | ↓ -98% |
| Freedom Health | Medicare Advantage | $56.84 | ↓ -98% |
| WellMed | Medicare Advantage | $56.84 | ↓ -98% |
| Independent Living Systems | Medicare Advantage | $56.84 | ↓ -98% |
| Blue Cross | Network Blue | $57.51 | ↓ -98% |
| Clear Spring Health | All Products | $58.46 | ↓ -98% |
| Blue Cross | Perferred Patient Care | $58.89 | ↓ -98% |
| Blue Cross | Traditional (PPS) | $58.89 | ↓ -98% |
| United | Medicare Advantage | $59.89 | ↓ -98% |
| Aetna | Medicare Advantage Behavioral Health | $64.96 | ↓ -98% |
| Aetna | Medicare Advantage PCP | $67.12 | ↓ -97% |
| Aetna | Medicare Advantage Specialist | $68.20 | ↓ -97% |
| Clear Spring Health | ALL PRODUCTS | $74.09 | ↓ -97% |
| Avmed | Exchange | $78.92 | ↓ -97% |
| Avmed | Select | $81.96 | ↓ -97% |
| Avmed | Broad | $88.03 | ↓ -97% |
| Aetna | POS First Health | $91.85 | ↓ -97% |
| United | All Products | $114.87 | ↓ -96% |
| Medicaid | Managed Medicaid | $161.37 | ↓ -94% |
| AmeriHealth | Managed Medicaid | $161.37 | ↓ -94% |
| Molina | Managed Medicaid | $161.37 | ↓ -94% |
| Value Options | Managed Medicaid | $161.37 | ↓ -94% |
| Wellcare | Managed Medicaid | $161.37 | ↓ -94% |
| Cigna | Individual Family Plan Mid-Level | $218.25 | ↓ -92% |
| Cigna | Surefit Mid-Level | $222.43 | ↓ -92% |
| Cigna | All Products Mid-Level | $240.22 | ↓ -91% |
| Aetna | PPO First Health | $255.15 | ↓ -90% |
| Cigna | Individual Family Plan Physician | $256.78 | ↓ -90% |
| Cigna | Surefit Physician | $261.69 | ↓ -90% |
| Cigna | All Products Physician | $282.62 | ↓ -89% |
| Clarity Health | All Products | $331.50 | ↓ -88% |
| Three Rivers | All Products | $331.50 | ↓ -88% |
| The Legacy Companies | All Products | $331.50 | ↓ -88% |
| Consociate Health | ALL PRODUCTS | $382.50 | ↓ -86% |
| National Provider Network | All Products | $433.50 | ↓ -84% |
| Aetna | All Products First Health | $459.00 | ↓ -83% |
| UNITED | NHP | $668.00 | ↓ -75% |
| UNITED | ALL PRODUCTS | $792.00 | ↓ -70% |
| UNITED | International | $870.00 | ↓ -67% |
| OPTUM | Managed Medicaid | $911.56 | ↓ -66% |
| AETNA | QHP | $955.66 | ↓ -64% |
| AMERIHEALTH | Managed Medicaid | $959.54 | ↓ -64% |
| SUNSHINE HEALTH | Managed Medicaid | $959.54 | ↓ -64% |
| MOLINA | Florida KidCare | $959.54 | ↓ -64% |
| Molina | Florida Kidcare | $959.54 | ↓ -64% |
| Carelon BH Strategies | Managed Medicaid | $959.54 | ↓ -64% |
| AETNA | MEDICARE ADVANTAGE | $959.74 | ↓ -64% |
| AVMED | Select | $980.16 | ↓ -63% |
| AVMED | EXCHANGE | $980.16 | ↓ -63% |
| MOLINA | Managed Medicaid | $1,007.52 | ↓ -62% |
| CIGNA | Individual Family Plan | $1,049.59 | ↓ -60% |
| AETNA | Managed Medicaid/CHIP | $1,055.49 | ↓ -60% |
| Independent Living Systems | Managed Medicaid | $1,151.45 | ↓ -57% |
| AVMED | BROAD | $1,266.04 | ↓ -52% |
| CIGNA | SUREFIT | $1,266.04 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $1,298.71 | ↓ -51% |
| AETNA | ALL PRODUCTS | $1,453.90 | ↓ -45% |
| BMI | ALL PRODUCTS | $2,042.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $2,450.40 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $2,654.60 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $2,654.60 | ↑ +0% |
| AETNA | All Products First Health | $3,267.20 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $3,267.20 | ↑ +23% |
| BLUE CROSS | BSL | $3,899.00 | ↑ +47% |
| BLUE CROSS | HMO | $3,899.00 | ↑ +47% |
| BLUE CROSS | NWB | $5,154.00 | ↑ +94% |
| BLUE CROSS | NWBI | $5,154.00 | ↑ +94% |
| BLUE CROSS | PPO | $7,322.00 | ↑ +176% |
| BLUE CROSS | PHS | $7,322.00 | ↑ +176% |
| 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 | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| WellMed | MEDICARE ADVANTAGE | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| Carelon BH Strategies | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
Visitor-reported prices
Comments
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $2,955.21 | not published |
| cleveland clinic florida weston hospital | Weston | $2,654.60 | $28.44 – $3,471.40 |
| martin north hospital | Stuart | $2,654.60 | $46.93 – $5,736.00 |
| Baptist Hospital | MIAMI | $3,182.40 | $173.17 – $2,204.10 |
| Bethesda Hospital East | BOYNTON BEACH | $3,182.40 | $690.62 – $2,449.00 |
| Boca Raton Regional Hospital | BOCA RATON | $2,853.50 | $591.00 – $2,866.67 |
| Doctors Hospital | CORAL GABLES | $3,182.40 | $366.00 – $2,204.10 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $3,182.40 | $366.00 – $2,204.10 |