Electronic analysis with brain program first 15 min 95983 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$260.00
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.
$400.00
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.
$37.79 with Medicaid vs $360.00 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 |
|---|---|---|---|
| Medicaid | Managed Medicaid | $37.79 | ↓ -85% |
| Wellcare | Managed Medicaid | $37.79 | ↓ -85% |
| Molina | Managed Medicaid | $37.79 | ↓ -85% |
| Value Options | Managed Medicaid | $37.79 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $37.79 | ↓ -85% |
| Optum | Managed Medicaid | $38.48 | ↓ -85% |
| Careplus | Medicare Advantage | $44.58 | ↓ -83% |
| Value Options | Medicare Advantage | $44.58 | ↓ -83% |
| Magellan | Medicare Advantage | $44.58 | ↓ -83% |
| Blue Cross | Medicare Advantage HMO | $44.58 | ↓ -83% |
| Blue Cross | Medicare Advantage PPO | $44.58 | ↓ -83% |
| Wellcare | Medicare Advantage | $44.58 | ↓ -83% |
| Avmed | Medicare Advantage | $44.58 | ↓ -83% |
| Independent Living Systems | Medicare Advantage | $46.81 | ↓ -82% |
| Freedom Health | Medicare Advantage | $46.81 | ↓ -82% |
| WellMed | Medicare Advantage | $46.81 | ↓ -82% |
| Clear Spring Health | All Products | $48.15 | ↓ -81% |
| United | Medicare Advantage | $48.87 | ↓ -81% |
| Aetna | Medicare Advantage Behavioral Health | $53.50 | ↓ -79% |
| Aetna | Medicare Advantage PCP | $55.28 | ↓ -79% |
| Aetna | Medicare Advantage Specialist | $56.17 | ↓ -78% |
| Cigna | Individual Family Plan Mid-Level | $65.28 | ↓ -75% |
| Avmed | Exchange | $66.14 | ↓ -75% |
| Cigna | Surefit Mid-Level | $66.53 | ↓ -74% |
| Avmed | Select | $68.69 | ↓ -74% |
| Cigna | All Products Mid-Level | $71.84 | ↓ -72% |
| Avmed | Broad | $73.78 | ↓ -72% |
| Cigna | Individual Family Plan Physician | $76.79 | ↓ -70% |
| Cigna | Surefit Physician | $78.27 | ↓ -70% |
| Aetna | POS First Health | $78.36 | ↓ -70% |
| Aetna | PPO First Health | $79.40 | ↓ -69% |
| OPTUM | Managed Medicaid | $82.56 | ↓ -68% |
| Cigna | All Products Physician | $84.52 | ↓ -67% |
| Carelon BH Strategies | Managed Medicaid | $86.90 | ↓ -67% |
| SUNSHINE HEALTH | Managed Medicaid | $86.90 | ↓ -67% |
| MOLINA | Florida KidCare | $86.90 | ↓ -67% |
| Molina | Florida Kidcare | $86.90 | ↓ -67% |
| AMERIHEALTH | Managed Medicaid | $86.90 | ↓ -67% |
| United | All Products | $88.45 | ↓ -66% |
| MOLINA | Managed Medicaid | $91.25 | ↓ -65% |
| Freedom Health | MEDICARE ADVANTAGE | $92.14 | ↓ -65% |
| BLUE CROSS | Medicare Advantage HMO | $92.14 | ↓ -65% |
| HUMANA | Medicare Advantage HMO | $92.14 | ↓ -65% |
| UNITED | MEDICARE ADVANTAGE | $92.14 | ↓ -65% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $92.14 | ↓ -65% |
| BLUE CROSS | Medicare Advantage PPO | $92.14 | ↓ -65% |
| Careplus | MEDICARE ADVANTAGE | $92.14 | ↓ -65% |
| AETNA | Managed Medicaid/CHIP | $95.59 | ↓ -63% |
| AVMED | MEDICARE ADVANTAGE | $95.82 | ↓ -63% |
| Independent Living Systems | MEDICARE ADVANTAGE | $96.74 | ↓ -63% |
| AETNA | MEDICARE ADVANTAGE | $99.28 | ↓ -62% |
| WellMed | MEDICARE ADVANTAGE | $99.28 | ↓ -62% |
| Wellcare | MEDICARE ADVANTAGE | $99.28 | ↓ -62% |
| Independent Living Systems | Managed Medicaid | $104.28 | ↓ -60% |
| DEVOTED HEALTH | Medicare Advantage HMO | $109.21 | ↓ -58% |
| AVMED | EXCHANGE | $144.66 | ↓ -44% |
| AVMED | Select | $162.16 | ↓ -38% |
| AVMED | BROAD | $210.99 | ↓ -19% |
| Clarity Health | All Products | $260.00 | ↑ +0% |
| The Legacy Companies | All Products | $260.00 | ↑ +0% |
| Three Rivers | All Products | $260.00 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $300.00 | ↑ +15% |
| National Provider Network | All Products | $340.00 | ↑ +31% |
| Aetna | All Products First Health | $360.00 | ↑ +38% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | Health Options | 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 | — |
| Aetna | All Products PCP | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
Visitor-reported prices
Comments
Electronic analysis with brain program first 15 min 95983 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $514.15 | $37.79 – $672.35 |
| martin north hospital | Stuart | $514.15 | $37.79 – $395.50 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $94.32 – $165.70 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $55.10 – $56.26 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $55.10 – $56.26 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $57.00 – $58.20 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $88.45 – $188.89 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | not published | $92.14 – $170.46 |