Exc mal+marg tal 3.1-4 cm 11604 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,715.35
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.
$2,639.00
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.
$105.21 with Optum vs $7,322.00 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 | $105.21 | ↓ -94% |
| Wellcare | Medicare Advantage | $193.63 | ↓ -89% |
| Blue Cross | Medicare Advantage PPO | $193.63 | ↓ -89% |
| Value Options | Medicare Advantage | $193.63 | ↓ -89% |
| Blue Cross | Medicare Advantage HMO | $193.63 | ↓ -89% |
| Magellan | Medicare Advantage | $193.63 | ↓ -89% |
| Careplus | Medicare Advantage | $193.63 | ↓ -89% |
| Avmed | Medicare Advantage | $193.63 | ↓ -89% |
| Blue Cross | Health Options | $200.26 | ↓ -88% |
| WellMed | Medicare Advantage | $203.31 | ↓ -88% |
| Freedom Health | Medicare Advantage | $203.31 | ↓ -88% |
| Independent Living Systems | Medicare Advantage | $203.31 | ↓ -88% |
| Blue Cross | Network Blue | $205.18 | ↓ -88% |
| Clear Spring Health | All Products | $209.12 | ↓ -88% |
| Blue Cross | Traditional (PPS) | $210.11 | ↓ -88% |
| Blue Cross | Perferred Patient Care | $210.11 | ↓ -88% |
| United | Medicare Advantage | $217.87 | ↓ -87% |
| Aetna | Medicare Advantage Behavioral Health | $232.36 | ↓ -86% |
| Medicaid | Managed Medicaid | $238.73 | ↓ -86% |
| Molina | Managed Medicaid | $238.73 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $238.73 | ↓ -86% |
| Value Options | Managed Medicaid | $238.73 | ↓ -86% |
| Wellcare | Managed Medicaid | $238.73 | ↓ -86% |
| Aetna | Medicare Advantage PCP | $240.10 | ↓ -86% |
| Aetna | Medicare Advantage Specialist | $243.97 | ↓ -86% |
| Clear Spring Health | ALL PRODUCTS | $249.30 | ↓ -85% |
| Avmed | Exchange | $288.55 | ↓ -83% |
| Avmed | Select | $299.65 | ↓ -83% |
| Avmed | Broad | $321.84 | ↓ -81% |
| Aetna | POS First Health | $340.15 | ↓ -80% |
| Cigna | Individual Family Plan Mid-Level | $349.87 | ↓ -80% |
| Cigna | Surefit Mid-Level | $356.56 | ↓ -79% |
| Cigna | All Products Mid-Level | $385.12 | ↓ -78% |
| Cigna | Individual Family Plan Physician | $411.63 | ↓ -76% |
| Cigna | Surefit Physician | $419.52 | ↓ -76% |
| United | All Products | $419.97 | ↓ -76% |
| Cigna | All Products Physician | $453.06 | ↓ -74% |
| Aetna | PPO First Health | $483.69 | ↓ -72% |
| CIGNA | Individual Family Plan | $678.22 | ↓ -60% |
| HUMANA | Medicare Advantage HMO | $706.25 | ↓ -59% |
| Freedom Health | MEDICARE ADVANTAGE | $706.25 | ↓ -59% |
| BLUE CROSS | Medicare Advantage HMO | $706.25 | ↓ -59% |
| BLUE CROSS | Medicare Advantage PPO | $706.25 | ↓ -59% |
| UNITED | MEDICARE ADVANTAGE | $706.25 | ↓ -59% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $706.25 | ↓ -59% |
| Careplus | MEDICARE ADVANTAGE | $706.25 | ↓ -59% |
| AVMED | MEDICARE ADVANTAGE | $734.50 | ↓ -57% |
| Wellcare | MEDICARE ADVANTAGE | $739.49 | ↓ -57% |
| AETNA | MEDICARE ADVANTAGE | $739.49 | ↓ -57% |
| WellMed | MEDICARE ADVANTAGE | $739.49 | ↓ -57% |
| OPTUM | Managed Medicaid | $740.34 | ↓ -57% |
| Independent Living Systems | MEDICARE ADVANTAGE | $741.56 | ↓ -57% |
| Molina | Florida Kidcare | $779.30 | ↓ -55% |
| Carelon BH Strategies | Managed Medicaid | $779.30 | ↓ -55% |
| MOLINA | Florida KidCare | $779.30 | ↓ -55% |
| SUNSHINE HEALTH | Managed Medicaid | $779.30 | ↓ -55% |
| AMERIHEALTH | Managed Medicaid | $779.30 | ↓ -55% |
| DEVOTED HEALTH | Medicare Advantage HMO | $813.44 | ↓ -53% |
| CIGNA | SUREFIT | $818.09 | ↓ -52% |
| MOLINA | Managed Medicaid | $818.27 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $839.20 | ↓ -51% |
| AETNA | Managed Medicaid/CHIP | $857.23 | ↓ -50% |
| The Legacy Companies | All Products | $906.75 | ↓ -47% |
| Clarity Health | All Products | $906.75 | ↓ -47% |
| Three Rivers | All Products | $906.75 | ↓ -47% |
| Independent Living Systems | Managed Medicaid | $935.16 | ↓ -45% |
| Consociate Health | ALL PRODUCTS | $1,046.25 | ↓ -39% |
| AVMED | EXCHANGE | $1,108.81 | ↓ -35% |
| National Provider Network | All Products | $1,185.75 | ↓ -31% |
| AVMED | Select | $1,243.00 | ↓ -28% |
| Aetna | All Products First Health | $1,255.50 | ↓ -27% |
| BMI | ALL PRODUCTS | $1,319.50 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $1,583.40 | ↓ -8% |
| AVMED | BROAD | $1,617.31 | ↓ -6% |
| Clarity Health | ALL PRODUCTS | $1,715.35 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $1,715.35 | ↑ +0% |
| AETNA | All Products First Health | $2,111.20 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $2,111.20 | ↑ +23% |
| AETNA | QHP | $2,789.00 | ↑ +63% |
| BLUE CROSS | BSL | $3,899.00 | ↑ +127% |
| BLUE CROSS | HMO | $3,899.00 | ↑ +127% |
| AETNA | ALL PRODUCTS | $4,542.00 | ↑ +165% |
| BLUE CROSS | NWB | $5,154.00 | ↑ +200% |
| BLUE CROSS | NWBI | $5,154.00 | ↑ +200% |
| BLUE CROSS | PPO | $7,322.00 | ↑ +327% |
| BLUE CROSS | PHS | $7,322.00 | ↑ +327% |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| UNITED | NHP | 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 | — |
| Consociate Health | Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Exc mal+marg tal 3.1-4 cm 11604 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Port Charlotte | Port Charlotte | $2,092.66 | $739.49 – $1,350.30 |
| cleveland clinic florida weston hospital | Weston | $1,715.35 | $105.21 – $2,243.15 |
| martin north hospital | Stuart | $1,715.35 | $167.43 – $1,319.50 |
| Baptist Hospital | MIAMI | $1,249.95 | $173.17 – $1,730.70 |
| Bethesda Hospital East | BOYNTON BEACH | $1,249.95 | $386.52 – $1,730.70 |
| Boca Raton Regional Hospital | BOCA RATON | $2,039.05 | $726.20 – $3,137.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $1,249.95 | $334.60 – $1,730.70 |
| AdventHealth Orlando | Orlando | $4,802.00 | $739.49 – $1,959.64 |