ER Visit (level 4) at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$2,387.45
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.
$3,673.00
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.
$59.76 with Optum vs $2,938.40 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 |
|---|---|---|---|
| Optum | Managed Medicaid | $59.76 | ↓ -97% |
| Wellcare | Managed Medicaid | $91.92 | ↓ -96% |
| Medicaid | Managed Medicaid | $91.92 | ↓ -96% |
| Value Options | Managed Medicaid | $91.92 | ↓ -96% |
| AmeriHealth | Managed Medicaid | $91.92 | ↓ -96% |
| Molina | Managed Medicaid | $91.92 | ↓ -96% |
| Magellan | Summit | $92.00 | ↓ -96% |
| Blue Cross | Health Options | $105.69 | ↓ -96% |
| Blue Cross | Network Blue | $108.28 | ↓ -95% |
| Blue Cross | Perferred Patient Care | $110.88 | ↓ -95% |
| Magellan | Pinnacle | $110.88 | ↓ -95% |
| Blue Cross | Traditional (PPS) | $110.88 | ↓ -95% |
| United | Medicare Advantage | $123.63 | ↓ -95% |
| Value Options | Medicare Advantage | $128.52 | ↓ -95% |
| Blue Cross | Medicare Advantage PPO | $128.52 | ↓ -95% |
| Blue Cross | Medicare Advantage HMO | $128.52 | ↓ -95% |
| Wellcare | Medicare Advantage | $128.52 | ↓ -95% |
| Careplus | Medicare Advantage | $128.52 | ↓ -95% |
| Magellan | Medicare Advantage | $128.52 | ↓ -95% |
| Avmed | Medicare Advantage | $128.52 | ↓ -95% |
| Independent Living Systems | Medicare Advantage | $129.81 | ↓ -95% |
| WellMed | Medicare Advantage | $134.95 | ↓ -94% |
| Freedom Health | Medicare Advantage | $134.95 | ↓ -94% |
| Clear Spring Health | All Products | $138.80 | ↓ -94% |
| Aetna | Medicare Advantage Behavioral Health | $154.22 | ↓ -94% |
| Aetna | Medicare Advantage PCP | $159.36 | ↓ -93% |
| Aetna | Medicare Advantage Specialist | $161.94 | ↓ -93% |
| Avmed | Exchange | $164.97 | ↓ -93% |
| Avmed | Select | $171.32 | ↓ -93% |
| Clear Spring Health | ALL PRODUCTS | $172.51 | ↓ -93% |
| Aetna | PPO First Health | $180.38 | ↓ -92% |
| Avmed | Broad | $184.01 | ↓ -92% |
| United | All Products | $214.54 | ↓ -91% |
| UNITED | MEDICARE ADVANTAGE | $427.43 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $427.43 | ↓ -82% |
| Freedom Health | MEDICARE ADVANTAGE | $427.43 | ↓ -82% |
| BLUE CROSS | Medicare Advantage PPO | $427.43 | ↓ -82% |
| Careplus | MEDICARE ADVANTAGE | $427.43 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $427.43 | ↓ -82% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $427.43 | ↓ -82% |
| Wellcare | MEDICARE ADVANTAGE | $435.74 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $435.74 | ↓ -82% |
| WellMed | MEDICARE ADVANTAGE | $435.74 | ↓ -82% |
| AVMED | MEDICARE ADVANTAGE | $444.53 | ↓ -81% |
| Independent Living Systems | MEDICARE ADVANTAGE | $448.80 | ↓ -81% |
| DEVOTED HEALTH | Medicare Advantage HMO | $479.31 | ↓ -80% |
| Aetna | POS First Health | $542.70 | ↓ -77% |
| AETNA | QHP | $554.00 | ↓ -77% |
| AVMED | EXCHANGE | $671.06 | ↓ -72% |
| AVMED | Select | $752.28 | ↓ -68% |
| Clarity Health | All Products | $783.90 | ↓ -67% |
| The Legacy Companies | All Products | $783.90 | ↓ -67% |
| Three Rivers | All Products | $783.90 | ↓ -67% |
| UNITED | NHP | $850.00 | ↓ -64% |
| AETNA | ALL PRODUCTS | $874.00 | ↓ -63% |
| Consociate Health | ALL PRODUCTS | $904.50 | ↓ -62% |
| CIGNA | Individual Family Plan | $943.96 | ↓ -60% |
| AVMED | BROAD | $978.81 | ↓ -59% |
| National Provider Network | All Products | $1,025.10 | ↓ -57% |
| Aetna | All Products First Health | $1,085.40 | ↓ -55% |
| CIGNA | SUREFIT | $1,138.63 | ↓ -52% |
| UNITED | International | $1,151.00 | ↓ -52% |
| UNITED | ALL PRODUCTS | $1,151.00 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $1,168.01 | ↓ -51% |
| Cigna | Surefit Mid-Level | $1,206.00 | ↓ -49% |
| Cigna | All Products Mid-Level | $1,206.00 | ↓ -49% |
| Cigna | All Products Physician | $1,206.00 | ↓ -49% |
| Cigna | Individual Family Plan Mid-Level | $1,206.00 | ↓ -49% |
| Cigna | Individual Family Plan Physician | $1,206.00 | ↓ -49% |
| Cigna | Surefit Physician | $1,206.00 | ↓ -49% |
| BLUE CROSS | BSL | $1,308.00 | ↓ -45% |
| BLUE CROSS | HMO | $1,308.00 | ↓ -45% |
| BLUE CROSS | NWB | $1,710.00 | ↓ -28% |
| BLUE CROSS | NWBI | $1,710.00 | ↓ -28% |
| BMI | ALL PRODUCTS | $1,836.50 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $2,203.80 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $2,387.45 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $2,387.45 | ↑ +0% |
| BLUE CROSS | PPO | $2,806.00 | ↑ +18% |
| BLUE CROSS | PHS | $2,806.00 | ↑ +18% |
| MULTIPLAN | ALL PRODUCTS | $2,938.40 | ↑ +23% |
| AETNA | All Products First Health | $2,938.40 | ↑ +23% |
| AETNA | NAP | 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 | — |
| Independent Living Systems | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | 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 | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Carelon BH Strategies | 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 | — |
| Value Options | All Products | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 4) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $2,233.14 | $413.95 – $727.25 |
| Adventhealth Lake Wales | Lake Wales | $1,991.01 | $435.74 – $967.34 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,946.01 | $413.95 – $930.69 |
| Adventhealth Tampa | Tampa | $2,959.97 | $435.74 – $967.34 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $2,469.48 | $413.95 – $951.87 |
| Adventhealth Port Charlotte | Port Charlotte | $5,468.64 | $435.74 – $795.66 |
| cleveland clinic florida weston hospital | Weston | $2,387.45 | $59.76 – $3,122.05 |
| martin north hospital | Stuart | $2,387.45 | $88.36 – $1,836.50 |