Dilat xst trc ndurlgc px at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$722.80
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.
?
What you pay up front if you don't use insurance.
$1,112.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$114.64 with Molina vs $7,928.00 with AVMED — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Molina | Managed Medicaid | $114.64 | ↓ -84% |
| Medicaid | Managed Medicaid | $114.64 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $114.64 | ↓ -84% |
| Wellcare | Managed Medicaid | $114.64 | ↓ -84% |
| Value Options | Managed Medicaid | $114.64 | ↓ -84% |
| Optum | Managed Medicaid | $116.73 | ↓ -84% |
| Blue Cross | Medicare Advantage HMO | $146.89 | ↓ -80% |
| Wellcare | Medicare Advantage | $146.89 | ↓ -80% |
| Value Options | Medicare Advantage | $146.89 | ↓ -80% |
| Magellan | Medicare Advantage | $146.89 | ↓ -80% |
| Careplus | Medicare Advantage | $146.89 | ↓ -80% |
| Avmed | Medicare Advantage | $146.89 | ↓ -80% |
| Blue Cross | Medicare Advantage PPO | $146.89 | ↓ -80% |
| United | Medicare Advantage | $152.37 | ↓ -79% |
| Freedom Health | Medicare Advantage | $154.23 | ↓ -79% |
| WellMed | Medicare Advantage | $154.23 | ↓ -79% |
| Independent Living Systems | Medicare Advantage | $154.23 | ↓ -79% |
| Clear Spring Health | All Products | $158.64 | ↓ -78% |
| Aetna | Medicare Advantage Behavioral Health | $176.27 | ↓ -76% |
| Aetna | Medicare Advantage PCP | $182.14 | ↓ -75% |
| Aetna | Medicare Advantage Specialist | $185.08 | ↓ -74% |
| Avmed | Exchange | $199.10 | ↓ -72% |
| Avmed | Select | $206.75 | ↓ -71% |
| Avmed | Broad | $222.07 | ↓ -69% |
| Aetna | PPO First Health | $236.46 | ↓ -67% |
| United | All Products | $289.78 | ↓ -60% |
| Aetna | POS First Health | $500.40 | ↓ -31% |
| Three Rivers | All Products | $722.80 | ↑ +0% |
| The Legacy Companies | All Products | $722.80 | ↑ +0% |
| Clarity Health | All Products | $722.80 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $834.00 | ↑ +15% |
| OPTUM | Managed Medicaid | $918.04 | ↑ +27% |
| National Provider Network | All Products | $945.20 | ↑ +31% |
| MOLINA | Florida KidCare | $966.36 | ↑ +34% |
| AMERIHEALTH | Managed Medicaid | $966.36 | ↑ +34% |
| Carelon BH Strategies | Managed Medicaid | $966.36 | ↑ +34% |
| Molina | Florida Kidcare | $966.36 | ↑ +34% |
| SUNSHINE HEALTH | Managed Medicaid | $966.36 | ↑ +34% |
| Aetna | All Products First Health | $1,000.80 | ↑ +38% |
| MOLINA | Managed Medicaid | $1,014.68 | ↑ +40% |
| AETNA | Managed Medicaid/CHIP | $1,063.00 | ↑ +47% |
| Cigna | All Products Mid-Level | $1,112.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $1,112.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $1,112.00 | ↑ +54% |
| Cigna | Surefit Physician | $1,112.00 | ↑ +54% |
| Cigna | All Products Physician | $1,112.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $1,112.00 | ↑ +54% |
| Independent Living Systems | Managed Medicaid | $1,159.63 | ↑ +60% |
| BLUE CROSS | Medicare Advantage HMO | $3,462.01 | ↑ +379% |
| HUMANA | Medicare Advantage HMO | $3,462.01 | ↑ +379% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $3,462.01 | ↑ +379% |
| UNITED | MEDICARE ADVANTAGE | $3,462.01 | ↑ +379% |
| Careplus | MEDICARE ADVANTAGE | $3,462.01 | ↑ +379% |
| BLUE CROSS | Medicare Advantage PPO | $3,462.01 | ↑ +379% |
| Freedom Health | MEDICARE ADVANTAGE | $3,462.01 | ↑ +379% |
| AVMED | MEDICARE ADVANTAGE | $3,600.49 | ↑ +398% |
| Independent Living Systems | MEDICARE ADVANTAGE | $3,635.11 | ↑ +403% |
| Wellcare | MEDICARE ADVANTAGE | $3,681.06 | ↑ +409% |
| WellMed | MEDICARE ADVANTAGE | $3,681.06 | ↑ +409% |
| AETNA | MEDICARE ADVANTAGE | $3,681.06 | ↑ +409% |
| DEVOTED HEALTH | Medicare Advantage HMO | $4,049.17 | ↑ +460% |
| AVMED | EXCHANGE | $5,435.35 | ↑ +652% |
| AVMED | Select | $6,093.13 | ↑ +743% |
| AVMED | BROAD | $7,928.00 | ↑ +997% |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Aetna | All Products PCP | 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 | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
Visitor-reported prices
Comments
Dilat xst trc ndurlgc px at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $6,068.72 | $3,497.01 – $6,143.69 |
| Adventhealth Tampa | Tampa | $35,931.92 | $3,681.06 – $8,171.96 |
| cleveland clinic florida weston hospital | Weston | $12,890.15 | $114.64 – $16,856.35 |
| martin north hospital | Stuart | $722.80 | $114.64 – $4,049.17 |
| Baptist Hospital | MIAMI | $12,504.05 | $173.17 – $8,656.20 |
| Bethesda Hospital East | BOYNTON BEACH | $12,504.05 | $944.48 – $8,656.20 |
| Boca Raton Regional Hospital | BOCA RATON | $4,056.65 | $2,246.76 – $5,053.00 |
| Doctors Hospital | CORAL GABLES | $12,504.05 | $915.58 – $8,656.20 |