Episiotomy/vag rpr oth/thn attending phys 59300 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$626.60
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.
?
What you pay up front if you don't use insurance.
$964.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$71.17 with Optum vs $7,308.65 with AVMED — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $71.17 | ↓ -89% |
| Blue Cross | Health Options | $145.84 | ↓ -77% |
| Blue Cross | Network Blue | $149.42 | ↓ -76% |
| Blue Cross | Traditional (PPS) | $153.01 | ↓ -76% |
| Blue Cross | Perferred Patient Care | $153.01 | ↓ -76% |
| Magellan | Medicare Advantage | $155.27 | ↓ -75% |
| Wellcare | Medicare Advantage | $155.27 | ↓ -75% |
| Value Options | Medicare Advantage | $155.27 | ↓ -75% |
| Avmed | Medicare Advantage | $155.27 | ↓ -75% |
| Blue Cross | Medicare Advantage HMO | $155.27 | ↓ -75% |
| Blue Cross | Medicare Advantage PPO | $155.27 | ↓ -75% |
| Careplus | Medicare Advantage | $155.27 | ↓ -75% |
| United | Medicare Advantage | $161.47 | ↓ -74% |
| WellMed | Medicare Advantage | $163.03 | ↓ -74% |
| Independent Living Systems | Medicare Advantage | $163.03 | ↓ -74% |
| Freedom Health | Medicare Advantage | $163.03 | ↓ -74% |
| Clear Spring Health | All Products | $167.69 | ↓ -73% |
| AmeriHealth | Managed Medicaid | $174.39 | ↓ -72% |
| Medicaid | Managed Medicaid | $174.39 | ↓ -72% |
| Molina | Managed Medicaid | $174.39 | ↓ -72% |
| Wellcare | Managed Medicaid | $174.39 | ↓ -72% |
| Value Options | Managed Medicaid | $174.39 | ↓ -72% |
| Aetna | Medicare Advantage Behavioral Health | $186.32 | ↓ -70% |
| Aetna | Medicare Advantage PCP | $192.53 | ↓ -69% |
| Aetna | Medicare Advantage Specialist | $195.64 | ↓ -69% |
| Avmed | Exchange | $217.11 | ↓ -65% |
| Cigna | Individual Family Plan Mid-Level | $222.50 | ↓ -64% |
| Avmed | Select | $225.46 | ↓ -64% |
| Cigna | Surefit Mid-Level | $226.78 | ↓ -64% |
| Avmed | Broad | $242.16 | ↓ -61% |
| Cigna | All Products Mid-Level | $244.90 | ↓ -61% |
| Aetna | POS First Health | $245.09 | ↓ -61% |
| Cigna | Individual Family Plan Physician | $261.80 | ↓ -58% |
| Cigna | Surefit Physician | $266.78 | ↓ -57% |
| Cigna | All Products Physician | $288.12 | ↓ -54% |
| United | All Products | $316.00 | ↓ -50% |
| Aetna | PPO First Health | $323.62 | ↓ -48% |
| The Legacy Companies | All Products | $626.60 | ↑ +0% |
| Clarity Health | All Products | $626.60 | ↑ +0% |
| Three Rivers | All Products | $626.60 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $723.00 | ↑ +15% |
| National Provider Network | All Products | $819.40 | ↑ +31% |
| Aetna | All Products First Health | $867.60 | ↑ +38% |
| OPTUM | Managed Medicaid | $1,188.74 | ↑ +90% |
| MOLINA | Florida KidCare | $1,251.31 | ↑ +100% |
| AMERIHEALTH | Managed Medicaid | $1,251.31 | ↑ +100% |
| Carelon BH Strategies | Managed Medicaid | $1,251.31 | ↑ +100% |
| Molina | Florida Kidcare | $1,251.31 | ↑ +100% |
| SUNSHINE HEALTH | Managed Medicaid | $1,251.31 | ↑ +100% |
| MOLINA | Managed Medicaid | $1,313.88 | ↑ +110% |
| AETNA | Managed Medicaid/CHIP | $1,376.44 | ↑ +120% |
| Independent Living Systems | Managed Medicaid | $1,501.57 | ↑ +140% |
| Freedom Health | MEDICARE ADVANTAGE | $3,191.55 | ↑ +409% |
| Careplus | MEDICARE ADVANTAGE | $3,191.55 | ↑ +409% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $3,191.55 | ↑ +409% |
| BLUE CROSS | Medicare Advantage PPO | $3,191.55 | ↑ +409% |
| BLUE CROSS | Medicare Advantage HMO | $3,191.55 | ↑ +409% |
| UNITED | MEDICARE ADVANTAGE | $3,191.55 | ↑ +409% |
| HUMANA | Medicare Advantage HMO | $3,191.55 | ↑ +409% |
| AVMED | MEDICARE ADVANTAGE | $3,319.21 | ↑ +430% |
| Independent Living Systems | MEDICARE ADVANTAGE | $3,351.13 | ↑ +435% |
| AETNA | MEDICARE ADVANTAGE | $3,380.46 | ↑ +439% |
| WellMed | MEDICARE ADVANTAGE | $3,380.46 | ↑ +439% |
| Wellcare | MEDICARE ADVANTAGE | $3,380.46 | ↑ +439% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,718.51 | ↑ +493% |
| AVMED | EXCHANGE | $5,010.73 | ↑ +700% |
| AVMED | Select | $5,617.13 | ↑ +796% |
| AVMED | BROAD | $7,308.65 | ↑ +1066% |
| Magellan | Pinnacle | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Episiotomy/vag rpr oth/thn attending phys 59300 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $564.20 | $71.17 – $3,718.51 |
| martin north hospital | Stuart | $11,883.95 | $121.93 – $9,141.50 |
| Boca Raton Regional Hospital | BOCA RATON | $4,456.40 | $476.00 – $4,476.97 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,211.44 – $5,641.99 |
| Adventhealth Tampa | Tampa | not published | $3,380.46 – $7,504.63 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $3,211.44 – $7,384.62 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $3,380.46 – $6,172.72 |
| Homestead Hospital | HOMESTEAD | not published | not published |