Drain neck/chest lesion 21501 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,034.80
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.
$1,592.00
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.
$162.74 with Optum vs $6,578.87 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 | $162.74 | ↓ -84% |
| Blue Cross | Health Options | $301.37 | ↓ -71% |
| Blue Cross | Network Blue | $308.78 | ↓ -70% |
| Blue Cross | Perferred Patient Care | $316.19 | ↓ -69% |
| Blue Cross | Traditional (PPS) | $316.19 | ↓ -69% |
| Magellan | Medicare Advantage | $354.03 | ↓ -66% |
| Blue Cross | Medicare Advantage PPO | $354.03 | ↓ -66% |
| Wellcare | Medicare Advantage | $354.03 | ↓ -66% |
| Avmed | Medicare Advantage | $354.03 | ↓ -66% |
| Careplus | Medicare Advantage | $354.03 | ↓ -66% |
| Blue Cross | Medicare Advantage HMO | $354.03 | ↓ -66% |
| Value Options | Medicare Advantage | $354.03 | ↓ -66% |
| United | Medicare Advantage | $355.17 | ↓ -66% |
| Freedom Health | Medicare Advantage | $371.73 | ↓ -64% |
| Independent Living Systems | Medicare Advantage | $371.73 | ↓ -64% |
| WellMed | Medicare Advantage | $371.73 | ↓ -64% |
| AmeriHealth | Managed Medicaid | $376.35 | ↓ -64% |
| Value Options | Managed Medicaid | $376.35 | ↓ -64% |
| Molina | Managed Medicaid | $376.35 | ↓ -64% |
| Medicaid | Managed Medicaid | $376.35 | ↓ -64% |
| Wellcare | Managed Medicaid | $376.35 | ↓ -64% |
| Clear Spring Health | All Products | $382.35 | ↓ -63% |
| Aetna | Medicare Advantage Behavioral Health | $424.84 | ↓ -59% |
| Aetna | Medicare Advantage PCP | $439.00 | ↓ -58% |
| Aetna | Medicare Advantage Specialist | $446.08 | ↓ -57% |
| Avmed | Exchange | $470.41 | ↓ -55% |
| Avmed | Select | $488.50 | ↓ -53% |
| Aetna | POS First Health | $512.18 | ↓ -51% |
| Avmed | Broad | $524.68 | ↓ -49% |
| Cigna | Individual Family Plan Mid-Level | $652.14 | ↓ -37% |
| Cigna | Surefit Mid-Level | $664.63 | ↓ -36% |
| United | All Products | $684.66 | ↓ -34% |
| Aetna | PPO First Health | $714.48 | ↓ -31% |
| Cigna | All Products Mid-Level | $717.72 | ↓ -31% |
| Cigna | Individual Family Plan Physician | $767.26 | ↓ -26% |
| Cigna | Surefit Physician | $781.93 | ↓ -24% |
| Cigna | All Products Physician | $844.46 | ↓ -18% |
| Three Rivers | All Products | $1,034.80 | ↑ +0% |
| Clarity Health | All Products | $1,034.80 | ↑ +0% |
| The Legacy Companies | All Products | $1,034.80 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $1,194.00 | ↑ +15% |
| National Provider Network | All Products | $1,353.20 | ↑ +31% |
| OPTUM | Managed Medicaid | $1,419.15 | ↑ +37% |
| Aetna | All Products First Health | $1,432.80 | ↑ +38% |
| MOLINA | Florida KidCare | $1,493.84 | ↑ +44% |
| AMERIHEALTH | Managed Medicaid | $1,493.84 | ↑ +44% |
| Carelon BH Strategies | Managed Medicaid | $1,493.84 | ↑ +44% |
| Molina | Florida Kidcare | $1,493.84 | ↑ +44% |
| SUNSHINE HEALTH | Managed Medicaid | $1,493.84 | ↑ +44% |
| MOLINA | Managed Medicaid | $1,568.53 | ↑ +52% |
| AETNA | Managed Medicaid/CHIP | $1,643.22 | ↑ +59% |
| Independent Living Systems | Managed Medicaid | $1,792.61 | ↑ +73% |
| HUMANA | Medicare Advantage HMO | $2,872.87 | ↑ +178% |
| Careplus | MEDICARE ADVANTAGE | $2,872.87 | ↑ +178% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $2,872.87 | ↑ +178% |
| BLUE CROSS | Medicare Advantage PPO | $2,872.87 | ↑ +178% |
| BLUE CROSS | Medicare Advantage HMO | $2,872.87 | ↑ +178% |
| UNITED | MEDICARE ADVANTAGE | $2,872.87 | ↑ +178% |
| Freedom Health | MEDICARE ADVANTAGE | $2,872.87 | ↑ +178% |
| AVMED | MEDICARE ADVANTAGE | $2,987.78 | ↑ +189% |
| Independent Living Systems | MEDICARE ADVANTAGE | $3,016.51 | ↑ +192% |
| AETNA | MEDICARE ADVANTAGE | $3,033.33 | ↑ +193% |
| Wellcare | MEDICARE ADVANTAGE | $3,033.33 | ↑ +193% |
| WellMed | MEDICARE ADVANTAGE | $3,033.33 | ↑ +193% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,336.67 | ↑ +222% |
| AVMED | EXCHANGE | $4,510.40 | ↑ +336% |
| AVMED | Select | $5,056.25 | ↑ +389% |
| BLUE CROSS | NWB | $6,391.00 | ↑ +518% |
| AVMED | BROAD | $6,578.87 | ↑ +536% |
| Aetna | All Products Anesthesia | 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 | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
Visitor-reported prices
Comments
Drain neck/chest lesion 21501 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $1,034.80 | $162.74 – $3,336.67 |
| martin north hospital | Stuart | $10,696.40 | $251.97 – $8,228.00 |
| Baptist Hospital | MIAMI | $7,364.50 | $173.17 – $10,197.00 |
| AdventHealth Orlando | Orlando | $11,999.00 | $3,033.33 – $8,038.33 |
| Adventhealth Carrollwood | Tampa | $27,561.20 | $537.00 – $6,734.00 |
| Adventhealth Dade City | Dade City | $9,467.71 | $3,033.33 – $6,875.66 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $2,881.67 – $5,062.63 |
| Adventhealth Lake Wales | Lake Wales | not published | $3,033.33 – $6,734.00 |