Duplex scan bilateral study 93985 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,337.70
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.
$2,058.00
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.
$39.78 with United vs $1,390.40 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 |
|---|---|---|---|
| United | Medicare Advantage | $39.78 | ↓ -97% |
| Value Options | Medicare Advantage | $40.61 | ↓ -97% |
| Careplus | Medicare Advantage | $40.61 | ↓ -97% |
| Magellan | Medicare Advantage | $40.61 | ↓ -97% |
| Avmed | Medicare Advantage | $40.61 | ↓ -97% |
| Blue Cross | Medicare Advantage HMO | $40.61 | ↓ -97% |
| Blue Cross | Medicare Advantage PPO | $40.61 | ↓ -97% |
| Wellcare | Medicare Advantage | $40.61 | ↓ -97% |
| Independent Living Systems | Medicare Advantage | $41.77 | ↓ -97% |
| WellMed | Medicare Advantage | $42.64 | ↓ -97% |
| Freedom Health | Medicare Advantage | $42.64 | ↓ -97% |
| Clear Spring Health | All Products | $43.86 | ↓ -97% |
| Aetna | Medicare Advantage Behavioral Health | $48.73 | ↓ -96% |
| Blue Cross | Health Options | $49.22 | ↓ -96% |
| Aetna | Medicare Advantage PCP | $50.36 | ↓ -96% |
| Blue Cross | Network Blue | $50.50 | ↓ -96% |
| Aetna | Medicare Advantage Specialist | $51.17 | ↓ -96% |
| Blue Cross | Perferred Patient Care | $51.77 | ↓ -96% |
| Blue Cross | Traditional (PPS) | $51.77 | ↓ -96% |
| Avmed | Exchange | $52.01 | ↓ -96% |
| Avmed | Select | $54.01 | ↓ -96% |
| Avmed | Broad | $58.01 | ↓ -96% |
| OPTUM | Managed Medicaid | $66.35 | ↓ -95% |
| United | All Products | $69.55 | ↓ -95% |
| SUNSHINE HEALTH | Managed Medicaid | $69.84 | ↓ -95% |
| Wellcare | Managed Medicaid | $69.84 | ↓ -95% |
| MOLINA | Florida KidCare | $69.84 | ↓ -95% |
| Carelon BH Strategies | Managed Medicaid | $69.84 | ↓ -95% |
| Medicaid | Managed Medicaid | $69.84 | ↓ -95% |
| AMERIHEALTH | Managed Medicaid | $69.84 | ↓ -95% |
| Molina | Florida Kidcare | $69.84 | ↓ -95% |
| MOLINA | Managed Medicaid | $73.33 | ↓ -95% |
| AETNA | Managed Medicaid/CHIP | $76.82 | ↓ -94% |
| Independent Living Systems | Managed Medicaid | $83.81 | ↓ -94% |
| Aetna | PPO First Health | $144.00 | ↓ -89% |
| Aetna | POS First Health | $144.00 | ↓ -89% |
| Value Options | Managed Medicaid | $188.43 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $188.43 | ↓ -86% |
| Molina | Managed Medicaid | $188.43 | ↓ -86% |
| Optum | Managed Medicaid | $191.09 | ↓ -86% |
| Three Rivers | All Products | $208.00 | ↓ -84% |
| The Legacy Companies | All Products | $208.00 | ↓ -84% |
| Clarity Health | All Products | $208.00 | ↓ -84% |
| Aetna | All Products Behavioral Health | $230.18 | ↓ -83% |
| Aetna | All Products Anesthesia | $237.86 | ↓ -82% |
| Consociate Health | ALL PRODUCTS | $240.00 | ↓ -82% |
| BLUE CROSS | Medicare Advantage PPO | $242.63 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $242.63 | ↓ -82% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $242.63 | ↓ -82% |
| Careplus | MEDICARE ADVANTAGE | $242.63 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $242.63 | ↓ -82% |
| Freedom Health | MEDICARE ADVANTAGE | $242.63 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $242.63 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $249.17 | ↓ -81% |
| WellMed | MEDICARE ADVANTAGE | $249.17 | ↓ -81% |
| Wellcare | MEDICARE ADVANTAGE | $249.17 | ↓ -81% |
| AVMED | MEDICARE ADVANTAGE | $252.34 | ↓ -81% |
| Independent Living Systems | MEDICARE ADVANTAGE | $254.77 | ↓ -81% |
| National Provider Network | All Products | $272.00 | ↓ -80% |
| DEVOTED HEALTH | Medicare Advantage HMO | $274.08 | ↓ -80% |
| BLUE CROSS | HMO | $284.00 | ↓ -79% |
| BLUE CROSS | BSL | $284.00 | ↓ -79% |
| Aetna | All Products First Health | $288.00 | ↓ -78% |
| Aetna | Medical Rental | $293.25 | ↓ -78% |
| Aetna | All Products PCP | $307.22 | ↓ -77% |
| BLUE CROSS | NWBI | $317.00 | ↓ -76% |
| BLUE CROSS | NWB | $317.00 | ↓ -76% |
| Cigna | Surefit Mid-Level | $320.00 | ↓ -76% |
| Cigna | Individual Family Plan Mid-Level | $320.00 | ↓ -76% |
| Cigna | Individual Family Plan Physician | $320.00 | ↓ -76% |
| Cigna | Surefit Physician | $320.00 | ↓ -76% |
| Cigna | All Products Mid-Level | $320.00 | ↓ -76% |
| Cigna | All Products Physician | $320.00 | ↓ -76% |
| BLUE CROSS | PHS | $353.00 | ↓ -74% |
| BLUE CROSS | PPO | $353.00 | ↓ -74% |
| Clear Spring Health | ALL PRODUCTS | $373.15 | ↓ -72% |
| Aetna | All Products Specialist | $377.89 | ↓ -72% |
| AVMED | EXCHANGE | $380.93 | ↓ -72% |
| AETNA | QHP | $406.69 | ↓ -70% |
| AVMED | Select | $427.04 | ↓ -68% |
| CIGNA | Individual Family Plan | $446.67 | ↓ -67% |
| UNITED | NHP | $472.00 | ↓ -65% |
| CIGNA | SUREFIT | $538.78 | ↓ -60% |
| CIGNA | ALL PRODUCTS | $552.68 | ↓ -59% |
| AVMED | BROAD | $555.63 | ↓ -58% |
| UNITED | ALL PRODUCTS | $610.00 | ↓ -54% |
| UNITED | International | $610.00 | ↓ -54% |
| AETNA | ALL PRODUCTS | $618.73 | ↓ -54% |
| BMI | ALL PRODUCTS | $869.00 | ↓ -35% |
| MAGELLAN | ALL PRODUCTS | $1,042.80 | ↓ -22% |
| The Legacy Companies | ALL PRODUCTS | $1,129.70 | ↓ -16% |
| Clarity Health | ALL PRODUCTS | $1,129.70 | ↓ -16% |
| AETNA | All Products First Health | $1,390.40 | ↑ +4% |
| MULTIPLAN | ALL PRODUCTS | $1,390.40 | ↑ +4% |
| Magellan | Pinnacle | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Duplex scan bilateral study 93985 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,889.87 | $236.71 – $415.86 |
| Adventhealth Lake Wales | Lake Wales | $3,842.04 | $249.17 – $553.15 |
| Adventhealth Tampa | Tampa | $2,833.35 | $249.17 – $553.15 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $1,339.00 | $229.90 – $234.74 |
| Adventhealth Port Charlotte | Port Charlotte | $2,388.50 | $249.17 – $454.98 |
| cleveland clinic florida weston hospital | Weston | $1,337.70 | $39.78 – $1,477.30 |
| martin north hospital | Stuart | $1,337.70 | $40.61 – $869.00 |
| Baptist Hospital | MIAMI | $836.55 | $69.11 – $1,158.30 |