Digital analysis of eeg at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$514.80
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.
$792.00
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.
$21.15 with OPTUM vs $1,880.00 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 | $21.15 | ↓ -96% |
| Wellcare | Managed Medicaid | $22.26 | ↓ -96% |
| Carelon BH Strategies | Managed Medicaid | $22.26 | ↓ -96% |
| SUNSHINE HEALTH | Managed Medicaid | $22.26 | ↓ -96% |
| MOLINA | Florida KidCare | $22.26 | ↓ -96% |
| Molina | Florida Kidcare | $22.26 | ↓ -96% |
| AMERIHEALTH | Managed Medicaid | $22.26 | ↓ -96% |
| Medicaid | Managed Medicaid | $22.26 | ↓ -96% |
| MOLINA | Managed Medicaid | $23.37 | ↓ -95% |
| AETNA | Managed Medicaid/CHIP | $24.49 | ↓ -95% |
| Independent Living Systems | Managed Medicaid | $26.71 | ↓ -95% |
| AETNA | QHP | $80.96 | ↓ -84% |
| AETNA | MEDICARE ADVANTAGE | $81.31 | ↓ -84% |
| AVMED | Select | $83.04 | ↓ -84% |
| AVMED | EXCHANGE | $83.04 | ↓ -84% |
| CIGNA | Individual Family Plan | $88.92 | ↓ -83% |
| AVMED | BROAD | $107.26 | ↓ -79% |
| CIGNA | SUREFIT | $107.26 | ↓ -79% |
| CIGNA | ALL PRODUCTS | $110.03 | ↓ -79% |
| AETNA | ALL PRODUCTS | $123.18 | ↓ -76% |
| Optum | Managed Medicaid | $126.90 | ↓ -75% |
| BMI | ALL PRODUCTS | $173.00 | ↓ -66% |
| MAGELLAN | ALL PRODUCTS | $207.60 | ↓ -60% |
| Value Options | Managed Medicaid | $222.39 | ↓ -57% |
| AmeriHealth | Managed Medicaid | $222.39 | ↓ -57% |
| Molina | Managed Medicaid | $222.39 | ↓ -57% |
| Clarity Health | ALL PRODUCTS | $224.90 | ↓ -56% |
| The Legacy Companies | ALL PRODUCTS | $224.90 | ↓ -56% |
| Consociate Health | ALL PRODUCTS | $259.50 | ↓ -50% |
| AETNA | All Products First Health | $276.80 | ↓ -46% |
| MULTIPLAN | ALL PRODUCTS | $276.80 | ↓ -46% |
| United | Medicare Advantage | $284.05 | ↓ -45% |
| Independent Living Systems | Medicare Advantage | $298.25 | ↓ -42% |
| Wellcare | Medicare Advantage | $317.65 | ↓ -38% |
| Value Options | Medicare Advantage | $317.65 | ↓ -38% |
| Blue Cross | Medicare Advantage PPO | $317.65 | ↓ -38% |
| Avmed | Medicare Advantage | $317.65 | ↓ -38% |
| Careplus | Medicare Advantage | $317.65 | ↓ -38% |
| Blue Cross | Medicare Advantage HMO | $317.65 | ↓ -38% |
| Magellan | Medicare Advantage | $317.65 | ↓ -38% |
| UNITED | NHP | $328.00 | ↓ -36% |
| Freedom Health | Medicare Advantage | $333.53 | ↓ -35% |
| WellMed | Medicare Advantage | $333.53 | ↓ -35% |
| Clear Spring Health | All Products | $343.06 | ↓ -33% |
| Blue Cross | Health Options | $349.89 | ↓ -32% |
| Aetna | POS First Health | $356.40 | ↓ -31% |
| Blue Cross | Network Blue | $358.49 | ↓ -30% |
| Blue Cross | Traditional (PPS) | $367.09 | ↓ -29% |
| Blue Cross | Perferred Patient Care | $367.09 | ↓ -29% |
| Aetna | Medicare Advantage Behavioral Health | $381.18 | ↓ -26% |
| Avmed | Exchange | $384.23 | ↓ -25% |
| Aetna | Medicare Advantage PCP | $393.89 | ↓ -23% |
| Avmed | Select | $399.01 | ↓ -22% |
| Aetna | Medicare Advantage Specialist | $400.24 | ↓ -22% |
| Aetna | PPO First Health | $400.33 | ↓ -22% |
| UNITED | International | $421.00 | ↓ -18% |
| UNITED | ALL PRODUCTS | $421.00 | ↓ -18% |
| Avmed | Broad | $428.56 | ↓ -17% |
| Clear Spring Health | ALL PRODUCTS | $456.01 | ↓ -11% |
| United | All Products | $513.79 | ↓ -0% |
| The Legacy Companies | All Products | $514.80 | ↑ +0% |
| Clarity Health | All Products | $514.80 | ↑ +0% |
| Three Rivers | All Products | $514.80 | ↑ +0% |
| National Provider Network | All Products | $673.20 | ↑ +31% |
| Aetna | All Products First Health | $712.80 | ↑ +38% |
| Cigna | All Products Mid-Level | $792.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $792.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $792.00 | ↑ +54% |
| Cigna | Surefit Physician | $792.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $792.00 | ↑ +54% |
| Cigna | All Products Physician | $792.00 | ↑ +54% |
| BLUE CROSS | BSL | $1,474.00 | ↑ +186% |
| BLUE CROSS | HMO | $1,474.00 | ↑ +186% |
| BLUE CROSS | NWB | $1,780.00 | ↑ +246% |
| BLUE CROSS | NWBI | $1,780.00 | ↑ +246% |
| BLUE CROSS | PPO | $1,880.00 | ↑ +265% |
| BLUE CROSS | PHS | $1,880.00 | ↑ +265% |
| WellMed | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| Carelon BH Strategies | MEDICARE ADVANTAGE | 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 | — |
Visitor-reported prices
Comments
Digital analysis of eeg at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $2,790.69 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $1,939.00 | $153.90 – $157.14 |
| cleveland clinic florida weston hospital | Weston | $739.70 | $21.15 – $346.00 |
| martin north hospital | Stuart | $514.80 | $22.26 – $1,333.00 |
| Baptist Hospital | MIAMI | $904.80 | $22.77 – $1,252.80 |
| Bethesda Hospital East | BOYNTON BEACH | $904.80 | $22.77 – $1,252.80 |
| Boca Raton Regional Hospital | BOCA RATON | $809.90 | $355.00 – $918.00 |
| Doctors Hospital | CORAL GABLES | $904.80 | $22.07 – $1,252.80 |