Endo abl/incom vein/ext/rad fre/#1 36475 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,378.00
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.
$2,120.00
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.
$257.61 with Optum vs $7,235.02 with AVMED — 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 | $257.61 | ↓ -81% |
| Careplus | Medicare Advantage | $279.38 | ↓ -80% |
| Wellcare | Medicare Advantage | $279.38 | ↓ -80% |
| Magellan | Medicare Advantage | $279.38 | ↓ -80% |
| Value Options | Medicare Advantage | $279.38 | ↓ -80% |
| Blue Cross | Medicare Advantage PPO | $279.38 | ↓ -80% |
| Blue Cross | Medicare Advantage HMO | $279.38 | ↓ -80% |
| Avmed | Medicare Advantage | $279.38 | ↓ -80% |
| United | Medicare Advantage | $292.48 | ↓ -79% |
| Freedom Health | Medicare Advantage | $293.35 | ↓ -79% |
| WellMed | Medicare Advantage | $293.35 | ↓ -79% |
| Independent Living Systems | Medicare Advantage | $293.35 | ↓ -79% |
| Clear Spring Health | All Products | $301.73 | ↓ -78% |
| Aetna | Medicare Advantage Behavioral Health | $335.26 | ↓ -76% |
| Aetna | Medicare Advantage PCP | $346.43 | ↓ -75% |
| Blue Cross | Health Options | $346.71 | ↓ -75% |
| Aetna | Medicare Advantage Specialist | $352.02 | ↓ -74% |
| Blue Cross | Network Blue | $355.23 | ↓ -74% |
| Blue Cross | Perferred Patient Care | $363.76 | ↓ -74% |
| Blue Cross | Traditional (PPS) | $363.76 | ↓ -74% |
| Avmed | Exchange | $390.86 | ↓ -72% |
| Avmed | Select | $405.89 | ↓ -71% |
| Avmed | Broad | $435.96 | ↓ -68% |
| Aetna | POS First Health | $462.09 | ↓ -66% |
| United | All Products | $568.88 | ↓ -59% |
| Value Options | Managed Medicaid | $781.29 | ↓ -43% |
| Molina | Managed Medicaid | $781.29 | ↓ -43% |
| Medicaid | Managed Medicaid | $781.29 | ↓ -43% |
| Wellcare | Managed Medicaid | $781.29 | ↓ -43% |
| AmeriHealth | Managed Medicaid | $781.29 | ↓ -43% |
| Three Rivers | All Products | $1,378.00 | ↑ +0% |
| Clarity Health | All Products | $1,378.00 | ↑ +0% |
| The Legacy Companies | All Products | $1,378.00 | ↑ +0% |
| OPTUM | Managed Medicaid | $1,583.18 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $1,590.00 | ↑ +15% |
| MOLINA | Florida KidCare | $1,666.50 | ↑ +21% |
| AMERIHEALTH | Managed Medicaid | $1,666.50 | ↑ +21% |
| Carelon BH Strategies | Managed Medicaid | $1,666.50 | ↑ +21% |
| Molina | Florida Kidcare | $1,666.50 | ↑ +21% |
| SUNSHINE HEALTH | Managed Medicaid | $1,666.50 | ↑ +21% |
| MOLINA | Managed Medicaid | $1,749.83 | ↑ +27% |
| National Provider Network | All Products | $1,802.00 | ↑ +31% |
| AETNA | Managed Medicaid/CHIP | $1,833.15 | ↑ +33% |
| Aetna | All Products First Health | $1,908.00 | ↑ +38% |
| Cigna | Individual Family Plan Mid-Level | $1,983.45 | ↑ +44% |
| Independent Living Systems | Managed Medicaid | $1,999.80 | ↑ +45% |
| Cigna | Surefit Mid-Level | $2,021.41 | ↑ +47% |
| Aetna | PPO First Health | $2,151.85 | ↑ +56% |
| Cigna | All Products Mid-Level | $2,182.88 | ↑ +58% |
| Cigna | Individual Family Plan Physician | $2,333.44 | ↑ +69% |
| Cigna | Surefit Physician | $2,378.08 | ↑ +73% |
| Cigna | All Products Physician | $2,568.07 | ↑ +86% |
| HUMANA | Medicare Advantage HMO | $3,159.40 | ↑ +129% |
| Freedom Health | MEDICARE ADVANTAGE | $3,159.40 | ↑ +129% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $3,159.40 | ↑ +129% |
| BLUE CROSS | Medicare Advantage PPO | $3,159.40 | ↑ +129% |
| BLUE CROSS | Medicare Advantage HMO | $3,159.40 | ↑ +129% |
| Careplus | MEDICARE ADVANTAGE | $3,159.40 | ↑ +129% |
| UNITED | MEDICARE ADVANTAGE | $3,159.40 | ↑ +129% |
| AVMED | MEDICARE ADVANTAGE | $3,285.77 | ↑ +138% |
| AETNA | MEDICARE ADVANTAGE | $3,297.29 | ↑ +139% |
| Wellcare | MEDICARE ADVANTAGE | $3,297.29 | ↑ +139% |
| WellMed | MEDICARE ADVANTAGE | $3,297.29 | ↑ +139% |
| Independent Living Systems | MEDICARE ADVANTAGE | $3,317.37 | ↑ +141% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,627.02 | ↑ +163% |
| AVMED | EXCHANGE | $4,960.25 | ↑ +260% |
| AVMED | Select | $5,560.54 | ↑ +304% |
| AVMED | BROAD | $7,235.02 | ↑ +425% |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
Visitor-reported prices
Comments
Endo abl/incom vein/ext/rad fre/#1 36475 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Port Charlotte | Port Charlotte | $13,158.44 | $3,297.29 – $6,020.85 |
| cleveland clinic florida weston hospital | Weston | $14,704.95 | $257.61 – $19,229.55 |
| martin north hospital | Stuart | $1,378.00 | $279.38 – $3,627.02 |
| Baptist Hospital | MIAMI | $29,898.70 | $173.17 – $20,699.10 |
| Bethesda Hospital East | BOYNTON BEACH | $29,898.70 | $1,676.25 – $20,699.10 |
| Doctors Hospital | CORAL GABLES | $29,898.70 | $1,624.94 – $20,699.10 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $29,898.70 | $1,624.94 – $20,699.10 |
| Homestead Hospital | HOMESTEAD | $29,898.70 | $167.89 – $20,699.10 |