Egd lesion ablation at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,042.60
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.
$1,604.00
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.
$179.77 with Optum vs $7,917.00 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 | $179.77 | ↓ -83% |
| Careplus | Medicare Advantage | $211.34 | ↓ -80% |
| Wellcare | Medicare Advantage | $211.34 | ↓ -80% |
| Value Options | Medicare Advantage | $211.34 | ↓ -80% |
| Blue Cross | Medicare Advantage PPO | $211.34 | ↓ -80% |
| Avmed | Medicare Advantage | $211.34 | ↓ -80% |
| Magellan | Medicare Advantage | $211.34 | ↓ -80% |
| Blue Cross | Medicare Advantage HMO | $211.34 | ↓ -80% |
| WellMed | Medicare Advantage | $221.91 | ↓ -79% |
| Independent Living Systems | Medicare Advantage | $221.91 | ↓ -79% |
| Freedom Health | Medicare Advantage | $221.91 | ↓ -79% |
| United | Medicare Advantage | $227.42 | ↓ -78% |
| Clear Spring Health | All Products | $228.25 | ↓ -78% |
| Aetna | Medicare Advantage Behavioral Health | $253.61 | ↓ -76% |
| Aetna | Medicare Advantage PCP | $262.06 | ↓ -75% |
| Aetna | Medicare Advantage Specialist | $266.29 | ↓ -74% |
| Avmed | Exchange | $301.52 | ↓ -71% |
| Avmed | Select | $313.12 | ↓ -70% |
| Avmed | Broad | $336.31 | ↓ -68% |
| Aetna | POS First Health | $359.79 | ↓ -65% |
| United | All Products | $438.85 | ↓ -58% |
| AmeriHealth | Managed Medicaid | $539.76 | ↓ -48% |
| Molina | Managed Medicaid | $539.76 | ↓ -48% |
| Wellcare | Managed Medicaid | $539.76 | ↓ -48% |
| Value Options | Managed Medicaid | $539.76 | ↓ -48% |
| Medicaid | Managed Medicaid | $539.76 | ↓ -48% |
| Cigna | Individual Family Plan Mid-Level | $987.97 | ↓ -5% |
| Cigna | Surefit Mid-Level | $1,006.88 | ↓ -3% |
| Aetna | PPO First Health | $1,040.07 | ↓ -0% |
| Clarity Health | All Products | $1,042.60 | ↑ +0% |
| Three Rivers | All Products | $1,042.60 | ↑ +0% |
| The Legacy Companies | All Products | $1,042.60 | ↑ +0% |
| Cigna | All Products Mid-Level | $1,087.31 | ↑ +4% |
| Cigna | Individual Family Plan Physician | $1,162.31 | ↑ +11% |
| Cigna | Surefit Physician | $1,184.55 | ↑ +14% |
| Consociate Health | ALL PRODUCTS | $1,203.00 | ↑ +15% |
| Cigna | All Products Physician | $1,279.18 | ↑ +23% |
| OPTUM | Managed Medicaid | $1,333.44 | ↑ +28% |
| National Provider Network | All Products | $1,363.40 | ↑ +31% |
| MOLINA | Florida KidCare | $1,403.62 | ↑ +35% |
| AMERIHEALTH | Managed Medicaid | $1,403.62 | ↑ +35% |
| Carelon BH Strategies | Managed Medicaid | $1,403.62 | ↑ +35% |
| Molina | Florida Kidcare | $1,403.62 | ↑ +35% |
| SUNSHINE HEALTH | Managed Medicaid | $1,403.62 | ↑ +35% |
| Aetna | All Products First Health | $1,443.60 | ↑ +38% |
| MOLINA | Managed Medicaid | $1,473.80 | ↑ +41% |
| AETNA | Managed Medicaid/CHIP | $1,543.98 | ↑ +48% |
| Independent Living Systems | Managed Medicaid | $1,684.34 | ↑ +62% |
| BLUE CROSS | Medicare Advantage PPO | $1,904.16 | ↑ +83% |
| BLUE CROSS | Medicare Advantage HMO | $1,904.16 | ↑ +83% |
| Freedom Health | MEDICARE ADVANTAGE | $1,904.16 | ↑ +83% |
| HUMANA | Medicare Advantage HMO | $1,904.16 | ↑ +83% |
| UNITED | MEDICARE ADVANTAGE | $1,904.16 | ↑ +83% |
| Careplus | MEDICARE ADVANTAGE | $1,904.16 | ↑ +83% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $1,904.16 | ↑ +83% |
| AVMED | MEDICARE ADVANTAGE | $1,980.33 | ↑ +90% |
| Independent Living Systems | MEDICARE ADVANTAGE | $1,999.37 | ↑ +92% |
| WellMed | MEDICARE ADVANTAGE | $2,003.87 | ↑ +92% |
| AETNA | MEDICARE ADVANTAGE | $2,003.87 | ↑ +92% |
| Wellcare | MEDICARE ADVANTAGE | $2,003.87 | ↑ +92% |
| DEVOTED HEALTH | Medicare Advantage HMO | $2,204.26 | ↑ +111% |
| AVMED | EXCHANGE | $2,989.53 | ↑ +187% |
| AVMED | Select | $3,351.32 | ↑ +221% |
| BLUE CROSS | BSL | $4,115.00 | ↑ +295% |
| AVMED | BROAD | $4,360.53 | ↑ +318% |
| AETNA | ALL PRODUCTS | $7,917.00 | ↑ +659% |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | 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 | All Products Anesthesia | not published by hospital | — |
| Blue Cross | Traditional (PPS) | 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 | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
Visitor-reported prices
Comments
Egd lesion ablation at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $7,090.20 | $179.77 – $9,271.80 |
| martin north hospital | Stuart | $1,042.60 | $211.34 – $2,204.26 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $1,903.68 – $3,344.47 |
| Adventhealth Lake Wales | Lake Wales | not published | $2,003.87 – $4,448.60 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $1,903.68 – $4,280.08 |
| Adventhealth Tampa | Tampa | not published | $2,003.87 – $4,448.60 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $1,903.68 – $4,377.46 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $1,747.98 – $1,784.78 |