ER Visit (level 3) at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,552.85
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.
$2,389.00
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.
$35.80 with Optum vs $2,168.00 with BLUE CROSS — 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 | $35.80 | ↓ -98% |
| Magellan | Summit | $46.00 | ↓ -97% |
| Wellcare | Managed Medicaid | $53.87 | ↓ -97% |
| Value Options | Managed Medicaid | $53.87 | ↓ -97% |
| AmeriHealth | Managed Medicaid | $53.87 | ↓ -97% |
| Medicaid | Managed Medicaid | $53.87 | ↓ -97% |
| Molina | Managed Medicaid | $53.87 | ↓ -97% |
| Blue Cross | Health Options | $55.28 | ↓ -96% |
| Blue Cross | Network Blue | $56.64 | ↓ -96% |
| Blue Cross | Traditional (PPS) | $58.00 | ↓ -96% |
| Blue Cross | Perferred Patient Care | $58.00 | ↓ -96% |
| Magellan | Pinnacle | $58.45 | ↓ -96% |
| United | Medicare Advantage | $72.21 | ↓ -95% |
| Blue Cross | Medicare Advantage PPO | $75.37 | ↓ -95% |
| Magellan | Medicare Advantage | $75.37 | ↓ -95% |
| Wellcare | Medicare Advantage | $75.37 | ↓ -95% |
| Value Options | Medicare Advantage | $75.37 | ↓ -95% |
| Careplus | Medicare Advantage | $75.37 | ↓ -95% |
| Avmed | Medicare Advantage | $75.37 | ↓ -95% |
| Blue Cross | Medicare Advantage HMO | $75.37 | ↓ -95% |
| Independent Living Systems | Medicare Advantage | $75.82 | ↓ -95% |
| Freedom Health | Medicare Advantage | $79.14 | ↓ -95% |
| WellMed | Medicare Advantage | $79.14 | ↓ -95% |
| Clear Spring Health | All Products | $81.40 | ↓ -95% |
| Aetna | Medicare Advantage Behavioral Health | $90.44 | ↓ -94% |
| Aetna | Medicare Advantage PCP | $93.46 | ↓ -94% |
| Aetna | Medicare Advantage Specialist | $94.97 | ↓ -94% |
| Aetna | PPO First Health | $95.02 | ↓ -94% |
| Avmed | Exchange | $96.94 | ↓ -94% |
| Avmed | Select | $100.67 | ↓ -94% |
| Clear Spring Health | ALL PRODUCTS | $101.30 | ↓ -93% |
| Avmed | Broad | $108.13 | ↓ -93% |
| United | All Products | $126.07 | ↓ -92% |
| Freedom Health | MEDICARE ADVANTAGE | $277.94 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $277.94 | ↓ -82% |
| BLUE CROSS | Medicare Advantage PPO | $277.94 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $277.94 | ↓ -82% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $277.94 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $277.94 | ↓ -82% |
| Careplus | MEDICARE ADVANTAGE | $277.94 | ↓ -82% |
| WellMed | MEDICARE ADVANTAGE | $285.06 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $285.06 | ↓ -82% |
| Wellcare | MEDICARE ADVANTAGE | $285.06 | ↓ -82% |
| AVMED | MEDICARE ADVANTAGE | $289.05 | ↓ -81% |
| Independent Living Systems | MEDICARE ADVANTAGE | $291.83 | ↓ -81% |
| DEVOTED HEALTH | Medicare Advantage HMO | $313.57 | ↓ -80% |
| Aetna | POS First Health | $316.80 | ↓ -80% |
| AVMED | EXCHANGE | $436.36 | ↓ -72% |
| Clarity Health | All Products | $457.60 | ↓ -71% |
| Three Rivers | All Products | $457.60 | ↓ -71% |
| The Legacy Companies | All Products | $457.60 | ↓ -71% |
| AVMED | Select | $489.17 | ↓ -68% |
| Consociate Health | ALL PRODUCTS | $528.00 | ↓ -66% |
| AETNA | QHP | $554.00 | ↓ -64% |
| National Provider Network | All Products | $598.40 | ↓ -61% |
| CIGNA | Individual Family Plan | $613.97 | ↓ -60% |
| Aetna | All Products First Health | $633.60 | ↓ -59% |
| AVMED | BROAD | $636.47 | ↓ -59% |
| Cigna | Surefit Mid-Level | $704.00 | ↓ -55% |
| Cigna | All Products Mid-Level | $704.00 | ↓ -55% |
| Cigna | All Products Physician | $704.00 | ↓ -55% |
| Cigna | Individual Family Plan Mid-Level | $704.00 | ↓ -55% |
| Cigna | Individual Family Plan Physician | $704.00 | ↓ -55% |
| Cigna | Surefit Physician | $704.00 | ↓ -55% |
| CIGNA | SUREFIT | $740.59 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $759.70 | ↓ -51% |
| UNITED | NHP | $850.00 | ↓ -45% |
| AETNA | ALL PRODUCTS | $874.00 | ↓ -44% |
| BLUE CROSS | BSL | $978.00 | ↓ -37% |
| BLUE CROSS | HMO | $978.00 | ↓ -37% |
| UNITED | ALL PRODUCTS | $1,151.00 | ↓ -26% |
| UNITED | International | $1,151.00 | ↓ -26% |
| BMI | ALL PRODUCTS | $1,194.50 | ↓ -23% |
| BLUE CROSS | NWB | $1,276.00 | ↓ -18% |
| BLUE CROSS | NWBI | $1,276.00 | ↓ -18% |
| MAGELLAN | ALL PRODUCTS | $1,433.40 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $1,552.85 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $1,552.85 | ↑ +0% |
| AETNA | All Products First Health | $1,911.20 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $1,911.20 | ↑ +23% |
| BLUE CROSS | PHS | $2,168.00 | ↑ +40% |
| BLUE CROSS | PPO | $2,168.00 | ↑ +40% |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Independent Living Systems | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Carelon BH Strategies | Managed Medicaid | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
| MOLINA | Florida KidCare | not published by hospital | — |
| MOLINA | Managed Medicaid | not published by hospital | — |
| OPTUM | Managed Medicaid | not published by hospital | — |
| SUNSHINE HEALTH | Managed Medicaid | not published by hospital | — |
| AMERIHEALTH | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| AETNA | Managed Medicaid/CHIP | 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 | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 3) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,471.11 | $270.81 – $475.77 |
| Adventhealth Lake Wales | Lake Wales | $1,340.10 | $285.06 – $632.84 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,177.63 | $270.81 – $608.87 |
| Adventhealth Tampa | Tampa | $1,908.05 | $285.06 – $632.84 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,428.20 | $270.81 – $622.72 |
| Adventhealth Port Charlotte | Port Charlotte | $3,858.25 | $285.06 – $520.53 |
| cleveland clinic florida weston hospital | Weston | $1,552.85 | $35.80 – $2,030.65 |
| martin north hospital | Stuart | $1,552.85 | $46.22 – $1,194.50 |