Esoph balloon distension tst at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$252.20
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.
$388.00
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.
$174.60 with Aetna vs $1,219.67 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 |
|---|---|---|---|
| Aetna | POS First Health | $174.60 | ↓ -31% |
| OPTUM | Managed Medicaid | $181.25 | ↓ -28% |
| Molina | Florida Kidcare | $190.79 | ↓ -24% |
| AMERIHEALTH | Managed Medicaid | $190.79 | ↓ -24% |
| Medicaid | Managed Medicaid | $190.79 | ↓ -24% |
| Wellcare | Managed Medicaid | $190.79 | ↓ -24% |
| SUNSHINE HEALTH | Managed Medicaid | $190.79 | ↓ -24% |
| Carelon BH Strategies | Managed Medicaid | $190.79 | ↓ -24% |
| MOLINA | Florida KidCare | $190.79 | ↓ -24% |
| MOLINA | Managed Medicaid | $200.33 | ↓ -21% |
| AETNA | Managed Medicaid/CHIP | $209.87 | ↓ -17% |
| Independent Living Systems | Managed Medicaid | $228.95 | ↓ -9% |
| Clarity Health | All Products | $252.20 | ↑ +0% |
| Three Rivers | All Products | $252.20 | ↑ +0% |
| The Legacy Companies | All Products | $252.20 | ↑ +0% |
| AmeriHealth | Managed Medicaid | $259.81 | ↑ +3% |
| Value Options | Managed Medicaid | $259.81 | ↑ +3% |
| Molina | Managed Medicaid | $259.81 | ↑ +3% |
| Optum | Managed Medicaid | $269.75 | ↑ +7% |
| Blue Cross | Health Options | $289.07 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $291.00 | ↑ +15% |
| Blue Cross | Network Blue | $296.17 | ↑ +17% |
| Blue Cross | Traditional (PPS) | $303.28 | ↑ +20% |
| Blue Cross | Perferred Patient Care | $303.28 | ↑ +20% |
| National Provider Network | All Products | $329.80 | ↑ +31% |
| Aetna | All Products First Health | $349.20 | ↑ +38% |
| Cigna | Individual Family Plan Mid-Level | $388.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $388.00 | ↑ +54% |
| Cigna | Surefit Physician | $388.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $388.00 | ↑ +54% |
| Cigna | All Products Physician | $388.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $388.00 | ↑ +54% |
| Wellcare | MEDICARE ADVANTAGE | $389.68 | ↑ +55% |
| WellMed | MEDICARE ADVANTAGE | $389.68 | ↑ +55% |
| AETNA | MEDICARE ADVANTAGE | $389.68 | ↑ +55% |
| DEVOTED HEALTH | Medicare Advantage HMO | $428.65 | ↑ +70% |
| United | Medicare Advantage | $479.58 | ↑ +90% |
| Independent Living Systems | Medicare Advantage | $503.56 | ↑ +100% |
| HUMANA | Medicare Advantage HMO | $532.61 | ↑ +111% |
| BLUE CROSS | Medicare Advantage HMO | $532.61 | ↑ +111% |
| BLUE CROSS | Medicare Advantage PPO | $532.61 | ↑ +111% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $532.61 | ↑ +111% |
| Careplus | MEDICARE ADVANTAGE | $532.61 | ↑ +111% |
| Freedom Health | MEDICARE ADVANTAGE | $532.61 | ↑ +111% |
| UNITED | MEDICARE ADVANTAGE | $532.61 | ↑ +111% |
| AVMED | MEDICARE ADVANTAGE | $553.91 | ↑ +120% |
| Independent Living Systems | MEDICARE ADVANTAGE | $559.24 | ↑ +122% |
| Blue Cross | Medicare Advantage PPO | $588.97 | ↑ +134% |
| Blue Cross | Medicare Advantage HMO | $588.97 | ↑ +134% |
| Magellan | Medicare Advantage | $588.97 | ↑ +134% |
| Wellcare | Medicare Advantage | $588.97 | ↑ +134% |
| Avmed | Medicare Advantage | $588.97 | ↑ +134% |
| Value Options | Medicare Advantage | $588.97 | ↑ +134% |
| Careplus | Medicare Advantage | $588.97 | ↑ +134% |
| Freedom Health | Medicare Advantage | $618.42 | ↑ +145% |
| WellMed | Medicare Advantage | $618.42 | ↑ +145% |
| Clear Spring Health | All Products | $636.09 | ↑ +152% |
| Avmed | Exchange | $671.72 | ↑ +166% |
| Avmed | Select | $697.56 | ↑ +177% |
| Aetna | Medicare Advantage Behavioral Health | $706.76 | ↑ +180% |
| Aetna | PPO First Health | $708.15 | ↑ +181% |
| Aetna | Medicare Advantage PCP | $730.32 | ↑ +190% |
| Aetna | Medicare Advantage Specialist | $742.10 | ↑ +194% |
| Avmed | Broad | $749.23 | ↑ +197% |
| AVMED | EXCHANGE | $836.19 | ↑ +232% |
| United | All Products | $898.23 | ↑ +256% |
| AVMED | Select | $937.39 | ↑ +272% |
| AVMED | BROAD | $1,219.67 | ↑ +384% |
| Aetna | Medical Rental | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | 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
Esoph balloon distension tst at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $252.20 | $181.25 – $636.09 |
| martin north hospital | Stuart | $252.20 | $190.79 – $883.46 |
| Baptist Hospital | MIAMI | $1,407.90 | $173.17 – $1,949.40 |
| Bethesda Hospital East | BOYNTON BEACH | $1,407.90 | $227.47 – $1,949.40 |
| Doctors Hospital | CORAL GABLES | $1,407.90 | $220.51 – $1,949.40 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $1,407.90 | $220.51 – $1,949.40 |
| Fishermens Community Hospital | MARATHON | $1,407.90 | $220.51 – $1,949.40 |
| Homestead Hospital | HOMESTEAD | $1,407.90 | $167.89 – $1,949.40 |