Exc hidradenitis peri/umb int 11470 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$972.40
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.
$1,496.00
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.
$139.23 with Optum vs $6,578.87 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 |
|---|---|---|---|
| Optum | Managed Medicaid | $139.23 | ↓ -86% |
| Blue Cross | Health Options | $259.70 | ↓ -73% |
| Blue Cross | Network Blue | $266.08 | ↓ -73% |
| Blue Cross | Traditional (PPS) | $272.47 | ↓ -72% |
| Blue Cross | Perferred Patient Care | $272.47 | ↓ -72% |
| United | Medicare Advantage | $302.26 | ↓ -69% |
| Blue Cross | Medicare Advantage HMO | $305.46 | ↓ -69% |
| Value Options | Medicare Advantage | $305.46 | ↓ -69% |
| Careplus | Medicare Advantage | $305.46 | ↓ -69% |
| Magellan | Medicare Advantage | $305.46 | ↓ -69% |
| Wellcare | Medicare Advantage | $305.46 | ↓ -69% |
| Avmed | Medicare Advantage | $305.46 | ↓ -69% |
| Blue Cross | Medicare Advantage PPO | $305.46 | ↓ -69% |
| Independent Living Systems | Medicare Advantage | $317.37 | ↓ -67% |
| WellMed | Medicare Advantage | $320.73 | ↓ -67% |
| Freedom Health | Medicare Advantage | $320.73 | ↓ -67% |
| Clear Spring Health | All Products | $329.90 | ↓ -66% |
| AmeriHealth | Managed Medicaid | $347.75 | ↓ -64% |
| Medicaid | Managed Medicaid | $347.75 | ↓ -64% |
| Molina | Managed Medicaid | $347.75 | ↓ -64% |
| Value Options | Managed Medicaid | $347.75 | ↓ -64% |
| Wellcare | Managed Medicaid | $347.75 | ↓ -64% |
| Aetna | Medicare Advantage Behavioral Health | $366.55 | ↓ -62% |
| Aetna | Medicare Advantage PCP | $378.77 | ↓ -61% |
| Aetna | Medicare Advantage Specialist | $384.88 | ↓ -60% |
| Avmed | Exchange | $401.25 | ↓ -59% |
| Avmed | Select | $416.68 | ↓ -57% |
| Avmed | Broad | $447.54 | ↓ -54% |
| Aetna | POS First Health | $447.78 | ↓ -54% |
| Cigna | Individual Family Plan Mid-Level | $540.04 | ↓ -44% |
| Cigna | Surefit Mid-Level | $550.38 | ↓ -43% |
| United | All Products | $584.00 | ↓ -40% |
| Cigna | All Products Mid-Level | $594.35 | ↓ -39% |
| Cigna | Individual Family Plan Physician | $635.34 | ↓ -35% |
| Cigna | Surefit Physician | $647.49 | ↓ -33% |
| Aetna | PPO First Health | $653.21 | ↓ -33% |
| Cigna | All Products Physician | $699.22 | ↓ -28% |
| The Legacy Companies | All Products | $972.40 | ↑ +0% |
| Three Rivers | All Products | $972.40 | ↑ +0% |
| Clarity Health | All Products | $972.40 | ↑ +0% |
| OPTUM | Managed Medicaid | $1,113.47 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $1,122.00 | ↑ +15% |
| MOLINA | Florida KidCare | $1,172.07 | ↑ +21% |
| AMERIHEALTH | Managed Medicaid | $1,172.07 | ↑ +21% |
| Carelon BH Strategies | Managed Medicaid | $1,172.07 | ↑ +21% |
| Molina | Florida Kidcare | $1,172.07 | ↑ +21% |
| SUNSHINE HEALTH | Managed Medicaid | $1,172.07 | ↑ +21% |
| MOLINA | Managed Medicaid | $1,230.67 | ↑ +27% |
| National Provider Network | All Products | $1,271.60 | ↑ +31% |
| AETNA | Managed Medicaid/CHIP | $1,289.28 | ↑ +33% |
| Aetna | All Products First Health | $1,346.40 | ↑ +38% |
| Independent Living Systems | Managed Medicaid | $1,406.48 | ↑ +45% |
| HUMANA | Medicare Advantage HMO | $2,872.87 | ↑ +195% |
| Careplus | MEDICARE ADVANTAGE | $2,872.87 | ↑ +195% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $2,872.87 | ↑ +195% |
| BLUE CROSS | Medicare Advantage PPO | $2,872.87 | ↑ +195% |
| BLUE CROSS | Medicare Advantage HMO | $2,872.87 | ↑ +195% |
| UNITED | MEDICARE ADVANTAGE | $2,872.87 | ↑ +195% |
| Freedom Health | MEDICARE ADVANTAGE | $2,872.87 | ↑ +195% |
| AVMED | MEDICARE ADVANTAGE | $2,987.78 | ↑ +207% |
| Independent Living Systems | MEDICARE ADVANTAGE | $3,016.51 | ↑ +210% |
| Wellcare | MEDICARE ADVANTAGE | $3,033.33 | ↑ +212% |
| WellMed | MEDICARE ADVANTAGE | $3,033.33 | ↑ +212% |
| AETNA | MEDICARE ADVANTAGE | $3,033.33 | ↑ +212% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,336.67 | ↑ +243% |
| AVMED | EXCHANGE | $4,510.40 | ↑ +364% |
| AVMED | Select | $5,056.25 | ↑ +420% |
| AVMED | BROAD | $6,578.87 | ↑ +577% |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Value Options | All Products | 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 | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
Visitor-reported prices
Comments
Exc hidradenitis peri/umb int 11470 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Port Charlotte | Port Charlotte | $6,154.89 | $3,033.33 – $5,538.87 |
| cleveland clinic florida weston hospital | Weston | $972.40 | $139.23 – $3,336.67 |
| martin north hospital | Stuart | $972.40 | $217.12 – $3,336.67 |
| Baptist Hospital | MIAMI | $2,087.15 | $173.17 – $3,397.33 |
| Bethesda Hospital East | BOYNTON BEACH | $2,087.15 | $645.41 – $3,154.67 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $2,087.15 | $558.71 – $3,336.67 |
| AdventHealth Orlando | Orlando | $7,905.00 | $3,033.33 – $8,038.33 |
| Adventhealth Carrollwood | Tampa | $8,626.82 | $537.00 – $6,734.00 |