Dstrj nulyt agt gnclr nrv at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$10,947.95
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.
$16,843.00
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.
$112.30 with Optum vs $13,474.40 with MULTIPLAN — 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 | $112.30 | ↓ -99% |
| Wellcare | Medicare Advantage | $140.48 | ↓ -99% |
| Blue Cross | Medicare Advantage HMO | $140.48 | ↓ -99% |
| Value Options | Medicare Advantage | $140.48 | ↓ -99% |
| Magellan | Medicare Advantage | $140.48 | ↓ -99% |
| Avmed | Medicare Advantage | $140.48 | ↓ -99% |
| Careplus | Medicare Advantage | $140.48 | ↓ -99% |
| Blue Cross | Medicare Advantage PPO | $140.48 | ↓ -99% |
| Freedom Health | Medicare Advantage | $147.50 | ↓ -99% |
| Independent Living Systems | Medicare Advantage | $147.50 | ↓ -99% |
| WellMed | Medicare Advantage | $147.50 | ↓ -99% |
| United | Medicare Advantage | $148.27 | ↓ -99% |
| Clear Spring Health | All Products | $151.72 | ↓ -99% |
| Aetna | Medicare Advantage Behavioral Health | $168.58 | ↓ -98% |
| Aetna | Medicare Advantage PCP | $174.20 | ↓ -98% |
| Aetna | Medicare Advantage Specialist | $177.00 | ↓ -98% |
| Clear Spring Health | ALL PRODUCTS | $187.50 | ↓ -98% |
| Avmed | Exchange | $196.20 | ↓ -98% |
| Avmed | Select | $203.74 | ↓ -98% |
| Avmed | Broad | $218.83 | ↓ -98% |
| United | All Products | $285.56 | ↓ -97% |
| Medicaid | Managed Medicaid | $292.60 | ↓ -97% |
| Molina | Managed Medicaid | $292.60 | ↓ -97% |
| AmeriHealth | Managed Medicaid | $292.60 | ↓ -97% |
| Wellcare | Managed Medicaid | $292.60 | ↓ -97% |
| Value Options | Managed Medicaid | $292.60 | ↓ -97% |
| Aetna | PPO First Health | $450.00 | ↓ -96% |
| Aetna | POS First Health | $450.00 | ↓ -96% |
| Cigna | Individual Family Plan Mid-Level | $522.83 | ↓ -95% |
| Cigna | Surefit Mid-Level | $532.83 | ↓ -95% |
| Cigna | All Products Mid-Level | $575.46 | ↓ -95% |
| Cigna | Individual Family Plan Physician | $615.13 | ↓ -94% |
| Cigna | Surefit Physician | $626.89 | ↓ -94% |
| Three Rivers | All Products | $650.00 | ↓ -94% |
| The Legacy Companies | All Products | $650.00 | ↓ -94% |
| Clarity Health | All Products | $650.00 | ↓ -94% |
| Cigna | All Products Physician | $677.03 | ↓ -94% |
| Consociate Health | ALL PRODUCTS | $750.00 | ↓ -93% |
| National Provider Network | All Products | $850.00 | ↓ -92% |
| Aetna | All Products First Health | $900.00 | ↓ -92% |
| OPTUM | Managed Medicaid | $911.56 | ↓ -92% |
| AMERIHEALTH | Managed Medicaid | $959.54 | ↓ -91% |
| SUNSHINE HEALTH | Managed Medicaid | $959.54 | ↓ -91% |
| MOLINA | Florida KidCare | $959.54 | ↓ -91% |
| Carelon BH Strategies | Managed Medicaid | $959.54 | ↓ -91% |
| Molina | Florida Kidcare | $959.54 | ↓ -91% |
| MOLINA | Managed Medicaid | $1,007.52 | ↓ -91% |
| AETNA | Managed Medicaid/CHIP | $1,055.49 | ↓ -90% |
| Independent Living Systems | Managed Medicaid | $1,151.45 | ↓ -89% |
| BLUE CROSS | Medicare Advantage PPO | $1,960.15 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $1,960.15 | ↓ -82% |
| Freedom Health | MEDICARE ADVANTAGE | $1,960.15 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $1,960.15 | ↓ -82% |
| Careplus | MEDICARE ADVANTAGE | $1,960.15 | ↓ -82% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $1,960.15 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $1,960.15 | ↓ -82% |
| AVMED | MEDICARE ADVANTAGE | $2,038.56 | ↓ -81% |
| WellMed | MEDICARE ADVANTAGE | $2,039.19 | ↓ -81% |
| AETNA | MEDICARE ADVANTAGE | $2,039.19 | ↓ -81% |
| Wellcare | MEDICARE ADVANTAGE | $2,039.19 | ↓ -81% |
| Independent Living Systems | MEDICARE ADVANTAGE | $2,058.16 | ↓ -81% |
| DEVOTED HEALTH | Medicare Advantage HMO | $2,243.11 | ↓ -80% |
| AETNA | QHP | $2,579.00 | ↓ -76% |
| AVMED | EXCHANGE | $3,077.44 | ↓ -72% |
| AVMED | Select | $3,449.87 | ↓ -68% |
| BLUE CROSS | BSL | $3,899.00 | ↓ -64% |
| BLUE CROSS | HMO | $3,899.00 | ↓ -64% |
| AETNA | ALL PRODUCTS | $4,198.00 | ↓ -62% |
| CIGNA | Individual Family Plan | $4,328.65 | ↓ -60% |
| AVMED | BROAD | $4,488.75 | ↓ -59% |
| BLUE CROSS | NWBI | $5,154.00 | ↓ -53% |
| BLUE CROSS | NWB | $5,154.00 | ↓ -53% |
| CIGNA | SUREFIT | $5,221.33 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $5,356.07 | ↓ -51% |
| UNITED | NHP | $5,505.00 | ↓ -50% |
| UNITED | ALL PRODUCTS | $6,534.00 | ↓ -40% |
| UNITED | International | $7,174.00 | ↓ -34% |
| BLUE CROSS | PPO | $7,322.00 | ↓ -33% |
| BLUE CROSS | PHS | $7,322.00 | ↓ -33% |
| BMI | ALL PRODUCTS | $8,421.50 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $10,105.80 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $10,947.95 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $10,947.95 | ↑ +0% |
| AETNA | All Products First Health | $13,474.40 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $13,474.40 | ↑ +23% |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Dstrj nulyt agt gnclr nrv at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $6,574.59 | $2,039.19 – $4,527.00 |
| cleveland clinic florida weston hospital | Weston | $10,947.95 | $112.30 – $14,316.55 |
| martin north hospital | Stuart | $10,947.95 | $140.48 – $8,421.50 |
| Baptist Hospital | MIAMI | $11,335.35 | $173.17 – $7,848.00 |
| Boca Raton Regional Hospital | BOCA RATON | $5,335.20 | $2,002.56 – $5,359.82 |
| Doctors Hospital | CORAL GABLES | $11,335.35 | $901.87 – $7,848.00 |
| AdventHealth Orlando | Orlando | $6,863.00 | $2,039.19 – $5,403.85 |
| Adventhealth Riverview | Riverview | $6,574.59 | not published |