Dressing change not for burn w/anes 15852 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$815.75
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.
$1,255.00
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.
$33.96 with Medicaid vs $4,027.00 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 |
|---|---|---|---|
| Medicaid | Managed Medicaid | $33.96 | ↓ -96% |
| Wellcare | Managed Medicaid | $33.96 | ↓ -96% |
| Value Options | Managed Medicaid | $33.96 | ↓ -96% |
| AmeriHealth | Managed Medicaid | $33.96 | ↓ -96% |
| Molina | Managed Medicaid | $33.96 | ↓ -96% |
| Optum | Managed Medicaid | $38.23 | ↓ -95% |
| Careplus | Medicare Advantage | $42.28 | ↓ -95% |
| Blue Cross | Medicare Advantage PPO | $42.28 | ↓ -95% |
| Avmed | Medicare Advantage | $42.28 | ↓ -95% |
| Wellcare | Medicare Advantage | $42.28 | ↓ -95% |
| Blue Cross | Medicare Advantage HMO | $42.28 | ↓ -95% |
| Value Options | Medicare Advantage | $42.28 | ↓ -95% |
| Magellan | Medicare Advantage | $42.28 | ↓ -95% |
| Blue Cross | Health Options | $44.11 | ↓ -95% |
| WellMed | Medicare Advantage | $44.39 | ↓ -95% |
| Independent Living Systems | Medicare Advantage | $44.39 | ↓ -95% |
| Freedom Health | Medicare Advantage | $44.39 | ↓ -95% |
| Blue Cross | Network Blue | $45.20 | ↓ -94% |
| Clear Spring Health | All Products | $45.66 | ↓ -94% |
| United | Medicare Advantage | $46.24 | ↓ -94% |
| Blue Cross | Perferred Patient Care | $46.28 | ↓ -94% |
| Blue Cross | Traditional (PPS) | $46.28 | ↓ -94% |
| Aetna | Medicare Advantage Behavioral Health | $50.74 | ↓ -94% |
| Aetna | Medicare Advantage PCP | $52.43 | ↓ -94% |
| Aetna | Medicare Advantage Specialist | $53.27 | ↓ -93% |
| Clear Spring Health | ALL PRODUCTS | $55.52 | ↓ -93% |
| Avmed | Exchange | $62.19 | ↓ -92% |
| Avmed | Select | $64.58 | ↓ -92% |
| Avmed | Broad | $69.37 | ↓ -91% |
| Aetna | PPO First Health | $73.88 | ↓ -91% |
| United | All Products | $90.52 | ↓ -89% |
| OPTUM | Managed Medicaid | $115.89 | ↓ -86% |
| AMERIHEALTH | Managed Medicaid | $121.99 | ↓ -85% |
| Carelon BH Strategies | Managed Medicaid | $121.99 | ↓ -85% |
| Molina | Florida Kidcare | $121.99 | ↓ -85% |
| SUNSHINE HEALTH | Managed Medicaid | $121.99 | ↓ -85% |
| MOLINA | Florida KidCare | $121.99 | ↓ -85% |
| MOLINA | Managed Medicaid | $128.09 | ↓ -84% |
| AETNA | Managed Medicaid/CHIP | $134.19 | ↓ -84% |
| Independent Living Systems | Managed Medicaid | $146.39 | ↓ -82% |
| Aetna | POS First Health | $154.80 | ↓ -81% |
| Clarity Health | All Products | $223.60 | ↓ -73% |
| The Legacy Companies | All Products | $223.60 | ↓ -73% |
| Three Rivers | All Products | $223.60 | ↓ -73% |
| Consociate Health | ALL PRODUCTS | $258.00 | ↓ -68% |
| National Provider Network | All Products | $292.40 | ↓ -64% |
| AETNA | QHP | $293.67 | ↓ -64% |
| Aetna | All Products First Health | $309.60 | ↓ -62% |
| CIGNA | Individual Family Plan | $322.54 | ↓ -60% |
| Cigna | Individual Family Plan Mid-Level | $344.00 | ↓ -58% |
| Cigna | Individual Family Plan Physician | $344.00 | ↓ -58% |
| Cigna | Surefit Mid-Level | $344.00 | ↓ -58% |
| Cigna | Surefit Physician | $344.00 | ↓ -58% |
| Cigna | All Products Mid-Level | $344.00 | ↓ -58% |
| Cigna | All Products Physician | $344.00 | ↓ -58% |
| CIGNA | SUREFIT | $389.05 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $399.09 | ↓ -51% |
| AETNA | ALL PRODUCTS | $446.78 | ↓ -45% |
| UNITED | MEDICARE ADVANTAGE | $614.44 | ↓ -25% |
| BLUE CROSS | Medicare Advantage HMO | $614.44 | ↓ -25% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $614.44 | ↓ -25% |
| BLUE CROSS | Medicare Advantage PPO | $614.44 | ↓ -25% |
| Careplus | MEDICARE ADVANTAGE | $614.44 | ↓ -25% |
| HUMANA | Medicare Advantage HMO | $614.44 | ↓ -25% |
| Freedom Health | MEDICARE ADVANTAGE | $614.44 | ↓ -25% |
| BMI | ALL PRODUCTS | $627.50 | ↓ -23% |
| AVMED | MEDICARE ADVANTAGE | $639.02 | ↓ -22% |
| Independent Living Systems | MEDICARE ADVANTAGE | $645.17 | ↓ -21% |
| MAGELLAN | ALL PRODUCTS | $753.00 | ↓ -8% |
| WellMed | MEDICARE ADVANTAGE | $771.80 | ↓ -5% |
| Wellcare | MEDICARE ADVANTAGE | $771.80 | ↓ -5% |
| AETNA | MEDICARE ADVANTAGE | $771.80 | ↓ -5% |
| Clarity Health | ALL PRODUCTS | $815.75 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $815.75 | ↑ +0% |
| DEVOTED HEALTH | Medicare Advantage HMO | $848.98 | ↑ +4% |
| AVMED | EXCHANGE | $964.68 | ↑ +18% |
| MULTIPLAN | ALL PRODUCTS | $1,004.00 | ↑ +23% |
| AETNA | All Products First Health | $1,004.00 | ↑ +23% |
| AVMED | Select | $1,081.42 | ↑ +33% |
| AVMED | BROAD | $1,407.08 | ↑ +72% |
| BLUE CROSS | HMO | $2,467.00 | ↑ +202% |
| BLUE CROSS | BSL | $2,467.00 | ↑ +202% |
| BLUE CROSS | NWB | $3,264.00 | ↑ +300% |
| BLUE CROSS | NWBI | $3,264.00 | ↑ +300% |
| BLUE CROSS | PPO | $4,027.00 | ↑ +394% |
| BLUE CROSS | PHS | $4,027.00 | ↑ +394% |
| Magellan | Pinnacle | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| UNITED | NHP | 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 | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
Visitor-reported prices
Comments
Dressing change not for burn w/anes 15852 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $789.75 | $33.96 – $1,032.75 |
| martin north hospital | Stuart | $223.60 | $33.96 – $848.98 |
| Bethesda Hospital East | BOYNTON BEACH | $1,734.20 | $120.46 – $2,401.20 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $1,734.20 | $116.77 – $2,401.20 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $733.21 – $1,288.13 |
| Adventhealth Lake Wales | Lake Wales | not published | $771.80 – $1,713.39 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $733.21 – $1,648.48 |
| Adventhealth Tampa | Tampa | not published | $771.80 – $1,713.39 |