healthcosts.net
ER Visit (level 2) at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$887.90
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.
$1,366.00
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.
$20.39 with Optum vs $2,168.00 with BLUE CROSS — 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 | $20.39 | ↓ -98% |
| Value Options | Managed Medicaid | $31.92 | ↓ -96% |
| Medicaid | Managed Medicaid | $31.92 | ↓ -96% |
| Molina | Managed Medicaid | $31.92 | ↓ -96% |
| Wellcare | Managed Medicaid | $31.92 | ↓ -96% |
| AmeriHealth | Managed Medicaid | $31.92 | ↓ -96% |
| Blue Cross | Health Options | $36.91 | ↓ -96% |
| Blue Cross | Network Blue | $37.82 | ↓ -96% |
| Blue Cross | Traditional (PPS) | $38.72 | ↓ -96% |
| Blue Cross | Perferred Patient Care | $38.72 | ↓ -96% |
| Magellan | Pinnacle | $39.08 | ↓ -96% |
| United | Medicare Advantage | $42.91 | ↓ -95% |
| Avmed | Medicare Advantage | $43.67 | ↓ -95% |
| Value Options | Medicare Advantage | $43.67 | ↓ -95% |
| Magellan | Medicare Advantage | $43.67 | ↓ -95% |
| Careplus | Medicare Advantage | $43.67 | ↓ -95% |
| Wellcare | Medicare Advantage | $43.67 | ↓ -95% |
| Blue Cross | Medicare Advantage PPO | $43.67 | ↓ -95% |
| Blue Cross | Medicare Advantage HMO | $43.67 | ↓ -95% |
| Independent Living Systems | Medicare Advantage | $45.06 | ↓ -95% |
| Freedom Health | Medicare Advantage | $45.85 | ↓ -95% |
| WellMed | Medicare Advantage | $45.85 | ↓ -95% |
| Magellan | Summit | $46.00 | ↓ -95% |
| Clear Spring Health | All Products | $47.16 | ↓ -95% |
| Aetna | Medicare Advantage Behavioral Health | $52.40 | ↓ -94% |
| Aetna | Medicare Advantage PCP | $54.15 | ↓ -94% |
| Aetna | Medicare Advantage Specialist | $55.02 | ↓ -94% |
| Avmed | Exchange | $56.98 | ↓ -94% |
| Clear Spring Health | ALL PRODUCTS | $59.04 | ↓ -93% |
| Avmed | Select | $59.17 | ↓ -93% |
| Aetna | PPO First Health | $63.53 | ↓ -93% |
| Avmed | Broad | $63.55 | ↓ -93% |
| United | All Products | $74.10 | ↓ -92% |
| UNITED | MEDICARE ADVANTAGE | $158.96 | ↓ -82% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $158.96 | ↓ -82% |
| Careplus | MEDICARE ADVANTAGE | $158.96 | ↓ -82% |
| Freedom Health | MEDICARE ADVANTAGE | $158.96 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $158.96 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $158.96 | ↓ -82% |
| BLUE CROSS | Medicare Advantage PPO | $158.96 | ↓ -82% |
| Wellcare | MEDICARE ADVANTAGE | $160.34 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $160.34 | ↓ -82% |
| WellMed | MEDICARE ADVANTAGE | $160.34 | ↓ -82% |
| AVMED | MEDICARE ADVANTAGE | $165.32 | ↓ -81% |
| Independent Living Systems | MEDICARE ADVANTAGE | $166.91 | ↓ -81% |
| DEVOTED HEALTH | Medicare Advantage HMO | $176.38 | ↓ -80% |
| Aetna | POS First Health | $184.05 | ↓ -79% |
| AVMED | EXCHANGE | $249.57 | ↓ -72% |
| Clarity Health | All Products | $265.85 | ↓ -70% |
| Three Rivers | All Products | $265.85 | ↓ -70% |
| The Legacy Companies | All Products | $265.85 | ↓ -70% |
| AVMED | Select | $279.77 | ↓ -68% |
| Consociate Health | ALL PRODUCTS | $306.75 | ↓ -65% |
| National Provider Network | All Products | $347.65 | ↓ -61% |
| CIGNA | Individual Family Plan | $351.06 | ↓ -60% |
| AVMED | BROAD | $364.02 | ↓ -59% |
| Aetna | All Products First Health | $368.10 | ↓ -59% |
| Cigna | Individual Family Plan Mid-Level | $409.00 | ↓ -54% |
| Cigna | Surefit Physician | $409.00 | ↓ -54% |
| Cigna | All Products Physician | $409.00 | ↓ -54% |
| Cigna | All Products Mid-Level | $409.00 | ↓ -54% |
| Cigna | Individual Family Plan Physician | $409.00 | ↓ -54% |
| Cigna | Surefit Mid-Level | $409.00 | ↓ -54% |
| CIGNA | SUREFIT | $423.46 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $434.39 | ↓ -51% |
| AETNA | QHP | $554.00 | ↓ -38% |
| BMI | ALL PRODUCTS | $683.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $819.60 | ↓ -8% |
| UNITED | NHP | $850.00 | ↓ -4% |
| AETNA | ALL PRODUCTS | $874.00 | ↓ -2% |
| The Legacy Companies | ALL PRODUCTS | $887.90 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $887.90 | ↑ +0% |
| BLUE CROSS | HMO | $978.00 | ↑ +10% |
| BLUE CROSS | BSL | $978.00 | ↑ +10% |
| MULTIPLAN | ALL PRODUCTS | $1,092.80 | ↑ +23% |
| AETNA | All Products First Health | $1,092.80 | ↑ +23% |
| UNITED | International | $1,151.00 | ↑ +30% |
| UNITED | ALL PRODUCTS | $1,151.00 | ↑ +30% |
| BLUE CROSS | NWBI | $1,276.00 | ↑ +44% |
| BLUE CROSS | NWB | $1,276.00 | ↑ +44% |
| BLUE CROSS | PHS | $2,168.00 | ↑ +144% |
| BLUE CROSS | PPO | $2,168.00 | ↑ +144% |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| AETNA | Managed Medicaid/CHIP | not published by hospital | — |
| Carelon BH Strategies | Managed Medicaid | not published by hospital | — |
| SUNSHINE HEALTH | Managed Medicaid | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| MOLINA | Managed Medicaid | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| AMERIHEALTH | Managed Medicaid | not published by hospital | — |
| OPTUM | Managed Medicaid | not published by hospital | — |
| Independent Living Systems | Managed Medicaid | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| MOLINA | Florida KidCare | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 2) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $887.90 | $20.39 – $1,161.10 |
| martin north hospital | Stuart | $887.90 | $30.86 – $683.00 |
| Baptist Hospital | MIAMI | $698.75 | $160.34 – $967.50 |
| Bethesda Hospital East | BOYNTON BEACH | $698.75 | $160.34 – $967.50 |
| Boca Raton Regional Hospital | BOCA RATON | $598.65 | $157.46 – $921.00 |
| Doctors Hospital | CORAL GABLES | $698.75 | $160.34 – $967.50 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $698.75 | $160.34 – $967.50 |
| Fishermens Community Hospital | MARATHON | $698.75 | $179.53 – $967.50 |