Eeg without vid ea 12-26hr intmt at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$2,974.40
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.
$4,576.00
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.
$306.01 with OPTUM vs $3,660.80 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 |
|---|---|---|---|
| OPTUM | Managed Medicaid | $306.01 | ↓ -90% |
| Medicaid | Managed Medicaid | $322.12 | ↓ -89% |
| SUNSHINE HEALTH | Managed Medicaid | $322.12 | ↓ -89% |
| Wellcare | Managed Medicaid | $322.12 | ↓ -89% |
| Carelon BH Strategies | Managed Medicaid | $322.12 | ↓ -89% |
| Molina | Florida Kidcare | $322.12 | ↓ -89% |
| AMERIHEALTH | Managed Medicaid | $322.12 | ↓ -89% |
| MOLINA | Florida KidCare | $322.12 | ↓ -89% |
| UNITED | NHP | $328.00 | ↓ -89% |
| MOLINA | Managed Medicaid | $338.23 | ↓ -89% |
| AETNA | Managed Medicaid/CHIP | $354.33 | ↓ -88% |
| Independent Living Systems | Managed Medicaid | $386.54 | ↓ -87% |
| Wellcare | MEDICARE ADVANTAGE | $389.68 | ↓ -87% |
| WellMed | MEDICARE ADVANTAGE | $389.68 | ↓ -87% |
| AETNA | MEDICARE ADVANTAGE | $389.68 | ↓ -87% |
| UNITED | International | $421.00 | ↓ -86% |
| UNITED | ALL PRODUCTS | $421.00 | ↓ -86% |
| DEVOTED HEALTH | Medicare Advantage HMO | $428.65 | ↓ -86% |
| HUMANA | Medicare Advantage HMO | $532.61 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $532.61 | ↓ -82% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $532.61 | ↓ -82% |
| Careplus | MEDICARE ADVANTAGE | $532.61 | ↓ -82% |
| BLUE CROSS | Medicare Advantage PPO | $532.61 | ↓ -82% |
| Freedom Health | MEDICARE ADVANTAGE | $532.61 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $532.61 | ↓ -82% |
| AVMED | MEDICARE ADVANTAGE | $553.91 | ↓ -81% |
| Independent Living Systems | MEDICARE ADVANTAGE | $559.24 | ↓ -81% |
| AVMED | EXCHANGE | $836.19 | ↓ -72% |
| AVMED | Select | $937.39 | ↓ -68% |
| AETNA | QHP | $1,070.78 | ↓ -64% |
| CIGNA | Individual Family Plan | $1,176.03 | ↓ -60% |
| AVMED | BROAD | $1,219.67 | ↓ -59% |
| CIGNA | SUREFIT | $1,418.56 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $1,455.17 | ↓ -51% |
| BLUE CROSS | HMO | $1,474.00 | ↓ -50% |
| BLUE CROSS | BSL | $1,474.00 | ↓ -50% |
| AETNA | ALL PRODUCTS | $1,629.06 | ↓ -45% |
| BLUE CROSS | NWB | $1,780.00 | ↓ -40% |
| BLUE CROSS | NWBI | $1,780.00 | ↓ -40% |
| BLUE CROSS | PHS | $1,880.00 | ↓ -37% |
| BLUE CROSS | PPO | $1,880.00 | ↓ -37% |
| BMI | ALL PRODUCTS | $2,288.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $2,745.60 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $2,974.40 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $2,974.40 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $3,432.00 | ↑ +15% |
| MULTIPLAN | ALL PRODUCTS | $3,660.80 | ↑ +23% |
| AETNA | All Products First Health | $3,660.80 | ↑ +23% |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Eeg without vid ea 12-26hr intmt at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast Parkway | Palm Coast | $1,870.74 | not published |
| cleveland clinic florida weston hospital | Weston | $2,974.40 | $306.01 – $3,889.60 |
| Baptist Hospital | MIAMI | $1,584.70 | $173.17 – $2,194.20 |
| Bethesda Hospital East | BOYNTON BEACH | $1,584.70 | $304.25 – $2,194.20 |
| Boca Raton Regional Hospital | BOCA RATON | $1,379.30 | $355.00 – $1,385.67 |
| Doctors Hospital | CORAL GABLES | $1,584.70 | $294.94 – $2,194.20 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $1,584.70 | $294.94 – $2,194.20 |
| Fishermens Community Hospital | MARATHON | $1,584.70 | $294.94 – $2,194.20 |