Drainage absc/cyst/hmtma/vestibule mouth smpl at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$2,629.90
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.
$4,046.00
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.
$160.90 with Clear Spring Health vs $7,917.00 with AETNA — 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 |
|---|---|---|---|
| Clear Spring Health | ALL PRODUCTS | $160.90 | ↓ -94% |
| AETNA | QHP | $554.00 | ↓ -79% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $706.25 | ↓ -73% |
| Freedom Health | MEDICARE ADVANTAGE | $706.25 | ↓ -73% |
| Careplus | MEDICARE ADVANTAGE | $706.25 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $706.25 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $706.25 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $706.25 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $706.25 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $734.50 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $739.49 | ↓ -72% |
| WellMed | MEDICARE ADVANTAGE | $739.49 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $739.49 | ↓ -72% |
| Independent Living Systems | MEDICARE ADVANTAGE | $741.56 | ↓ -72% |
| DEVOTED HEALTH | Medicare Advantage HMO | $813.44 | ↓ -69% |
| OPTUM | Managed Medicaid | $844.88 | ↓ -68% |
| UNITED | NHP | $850.00 | ↓ -68% |
| Medicaid | Managed Medicaid | $889.35 | ↓ -66% |
| AMERIHEALTH | Managed Medicaid | $889.35 | ↓ -66% |
| Wellcare | Managed Medicaid | $889.35 | ↓ -66% |
| SUNSHINE HEALTH | Managed Medicaid | $889.35 | ↓ -66% |
| Carelon BH Strategies | Managed Medicaid | $889.35 | ↓ -66% |
| MOLINA | Florida KidCare | $889.35 | ↓ -66% |
| Molina | Florida Kidcare | $889.35 | ↓ -66% |
| MOLINA | Managed Medicaid | $933.82 | ↓ -64% |
| AETNA | Managed Medicaid/CHIP | $978.29 | ↓ -63% |
| CIGNA | Individual Family Plan | $1,039.82 | ↓ -60% |
| Independent Living Systems | Managed Medicaid | $1,067.22 | ↓ -59% |
| AVMED | EXCHANGE | $1,108.81 | ↓ -58% |
| UNITED | International | $1,151.00 | ↓ -56% |
| UNITED | ALL PRODUCTS | $1,151.00 | ↓ -56% |
| AVMED | Select | $1,243.00 | ↓ -53% |
| CIGNA | SUREFIT | $1,254.26 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $1,286.63 | ↓ -51% |
| AVMED | BROAD | $1,617.31 | ↓ -39% |
| BMI | ALL PRODUCTS | $2,023.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $2,427.60 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $2,629.90 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $2,629.90 | ↑ +0% |
| BLUE CROSS | BSL | $2,784.00 | ↑ +6% |
| BLUE CROSS | HMO | $2,784.00 | ↑ +6% |
| Consociate Health | ALL PRODUCTS | $3,034.50 | ↑ +15% |
| MULTIPLAN | ALL PRODUCTS | $3,236.80 | ↑ +23% |
| AETNA | All Products First Health | $3,236.80 | ↑ +23% |
| BLUE CROSS | NWBI | $3,679.00 | ↑ +40% |
| BLUE CROSS | NWB | $3,679.00 | ↑ +40% |
| BLUE CROSS | PHS | $4,545.00 | ↑ +73% |
| BLUE CROSS | PPO | $4,545.00 | ↑ +73% |
| AETNA | ALL PRODUCTS | $7,917.00 | ↑ +201% |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
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Drainage absc/cyst/hmtma/vestibule mouth smpl at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $2,207.15 | $702.51 – $1,234.20 |
| Adventhealth Palm Coast Parkway | Palm Coast | $2,207.15 | $702.51 – $1,579.47 |
| Adventhealth Tampa | Tampa | $6,198.68 | $739.49 – $1,641.66 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $2,417.36 | $702.51 – $1,615.41 |
| cleveland clinic florida weston hospital | Weston | $2,629.90 | $81.46 – $3,439.10 |
| martin north hospital | Stuart | $2,629.90 | $156.43 – $3,034.50 |
| Baptist Hospital | MIAMI | $1,990.95 | $173.17 – $2,756.70 |
| Boca Raton Regional Hospital | BOCA RATON | $1,935.05 | $301.32 – $837.00 |