Ecog impltd brn npgt <30 d at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$514.80
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.
$792.00
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.
$23.85 with OPTUM vs $1,880.00 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 |
|---|---|---|---|
| OPTUM | Managed Medicaid | $23.85 | ↓ -95% |
| Carelon BH Strategies | Managed Medicaid | $25.11 | ↓ -95% |
| MOLINA | Florida KidCare | $25.11 | ↓ -95% |
| AMERIHEALTH | Managed Medicaid | $25.11 | ↓ -95% |
| Molina | Florida Kidcare | $25.11 | ↓ -95% |
| Wellcare | Managed Medicaid | $25.11 | ↓ -95% |
| Medicaid | Managed Medicaid | $25.11 | ↓ -95% |
| SUNSHINE HEALTH | Managed Medicaid | $25.11 | ↓ -95% |
| MOLINA | Managed Medicaid | $26.37 | ↓ -95% |
| AETNA | Managed Medicaid/CHIP | $27.62 | ↓ -95% |
| Independent Living Systems | Managed Medicaid | $30.13 | ↓ -94% |
| Careplus | MEDICARE ADVANTAGE | $37.43 | ↓ -93% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $37.43 | ↓ -93% |
| Freedom Health | MEDICARE ADVANTAGE | $37.43 | ↓ -93% |
| HUMANA | Medicare Advantage HMO | $37.43 | ↓ -93% |
| UNITED | MEDICARE ADVANTAGE | $37.43 | ↓ -93% |
| BLUE CROSS | Medicare Advantage PPO | $37.43 | ↓ -93% |
| BLUE CROSS | Medicare Advantage HMO | $37.43 | ↓ -93% |
| AVMED | MEDICARE ADVANTAGE | $38.93 | ↓ -92% |
| AETNA | MEDICARE ADVANTAGE | $38.97 | ↓ -92% |
| Wellcare | MEDICARE ADVANTAGE | $38.97 | ↓ -92% |
| WellMed | MEDICARE ADVANTAGE | $38.97 | ↓ -92% |
| Independent Living Systems | MEDICARE ADVANTAGE | $39.30 | ↓ -92% |
| DEVOTED HEALTH | Medicare Advantage HMO | $42.87 | ↓ -92% |
| AVMED | EXCHANGE | $58.77 | ↓ -89% |
| AVMED | Select | $65.88 | ↓ -87% |
| AETNA | QHP | $75.11 | ↓ -85% |
| Molina | Managed Medicaid | $80.43 | ↓ -84% |
| Value Options | Managed Medicaid | $80.43 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $80.43 | ↓ -84% |
| CIGNA | Individual Family Plan | $82.50 | ↓ -84% |
| Optum | Managed Medicaid | $84.14 | ↓ -84% |
| AVMED | BROAD | $85.72 | ↓ -83% |
| Avmed | Medicare Advantage | $93.54 | ↓ -82% |
| Magellan | Medicare Advantage | $93.54 | ↓ -82% |
| Value Options | Medicare Advantage | $93.54 | ↓ -82% |
| Careplus | Medicare Advantage | $93.54 | ↓ -82% |
| Wellcare | Medicare Advantage | $93.54 | ↓ -82% |
| Blue Cross | Medicare Advantage PPO | $93.54 | ↓ -82% |
| Blue Cross | Medicare Advantage HMO | $93.54 | ↓ -82% |
| Freedom Health | Medicare Advantage | $98.22 | ↓ -81% |
| WellMed | Medicare Advantage | $98.22 | ↓ -81% |
| Independent Living Systems | Medicare Advantage | $98.22 | ↓ -81% |
| CIGNA | SUREFIT | $99.51 | ↓ -81% |
| Clear Spring Health | All Products | $101.02 | ↓ -80% |
| CIGNA | ALL PRODUCTS | $102.08 | ↓ -80% |
| United | Medicare Advantage | $105.81 | ↓ -79% |
| Aetna | Medicare Advantage Behavioral Health | $112.25 | ↓ -78% |
| AETNA | ALL PRODUCTS | $114.28 | ↓ -78% |
| Aetna | Medicare Advantage PCP | $115.99 | ↓ -77% |
| Aetna | Medicare Advantage Specialist | $117.86 | ↓ -77% |
| Clear Spring Health | ALL PRODUCTS | $129.12 | ↓ -75% |
| Avmed | Exchange | $140.69 | ↓ -73% |
| Avmed | Select | $146.10 | ↓ -72% |
| Avmed | Broad | $156.92 | ↓ -70% |
| BMI | ALL PRODUCTS | $160.50 | ↓ -69% |
| Aetna | PPO First Health | $175.00 | ↓ -66% |
| United | All Products | $188.13 | ↓ -63% |
| MAGELLAN | ALL PRODUCTS | $192.60 | ↓ -63% |
| Clarity Health | ALL PRODUCTS | $208.65 | ↓ -59% |
| The Legacy Companies | ALL PRODUCTS | $208.65 | ↓ -59% |
| Consociate Health | ALL PRODUCTS | $240.75 | ↓ -53% |
| AETNA | All Products First Health | $256.80 | ↓ -50% |
| MULTIPLAN | ALL PRODUCTS | $256.80 | ↓ -50% |
| UNITED | NHP | $328.00 | ↓ -36% |
| Aetna | POS First Health | $356.40 | ↓ -31% |
| UNITED | International | $421.00 | ↓ -18% |
| UNITED | ALL PRODUCTS | $421.00 | ↓ -18% |
| Clarity Health | All Products | $514.80 | ↑ +0% |
| The Legacy Companies | All Products | $514.80 | ↑ +0% |
| Three Rivers | All Products | $514.80 | ↑ +0% |
| National Provider Network | All Products | $673.20 | ↑ +31% |
| Aetna | All Products First Health | $712.80 | ↑ +38% |
| Cigna | Individual Family Plan Mid-Level | $792.00 | ↑ +54% |
| Cigna | Surefit Physician | $792.00 | ↑ +54% |
| Cigna | All Products Physician | $792.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $792.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $792.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $792.00 | ↑ +54% |
| BLUE CROSS | HMO | $1,474.00 | ↑ +186% |
| BLUE CROSS | BSL | $1,474.00 | ↑ +186% |
| BLUE CROSS | NWBI | $1,780.00 | ↑ +246% |
| BLUE CROSS | NWB | $1,780.00 | ↑ +246% |
| BLUE CROSS | PPO | $1,880.00 | ↑ +265% |
| BLUE CROSS | PHS | $1,880.00 | ↑ +265% |
| Consociate Health | Transplant | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Aetna | All Products Anesthesia | 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 | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Ecog impltd brn npgt <30 d at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $514.80 | $23.85 – $792.00 |
| martin north hospital | Stuart | $514.80 | $25.11 – $792.00 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $37.03 – $83.24 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $123.50 – $126.10 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $123.50 – $126.10 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $131.10 – $133.86 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $35.93 – $255.88 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | not published | $37.43 – $69.25 |