Exc thrombosed hemorrhoid 46320 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$426.40
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.
$656.00
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.
$70.67 with Optum vs $2,710.30 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 | $70.67 | ↓ -83% |
| Blue Cross | Health Options | $103.31 | ↓ -76% |
| Blue Cross | Network Blue | $105.85 | ↓ -75% |
| Blue Cross | Traditional (PPS) | $108.40 | ↓ -75% |
| Blue Cross | Perferred Patient Care | $108.40 | ↓ -75% |
| Magellan | Medicare Advantage | $116.95 | ↓ -73% |
| Wellcare | Medicare Advantage | $116.95 | ↓ -73% |
| Value Options | Medicare Advantage | $116.95 | ↓ -73% |
| Avmed | Medicare Advantage | $116.95 | ↓ -73% |
| Blue Cross | Medicare Advantage HMO | $116.95 | ↓ -73% |
| Blue Cross | Medicare Advantage PPO | $116.95 | ↓ -73% |
| Careplus | Medicare Advantage | $116.95 | ↓ -73% |
| United | Medicare Advantage | $118.15 | ↓ -72% |
| WellMed | Medicare Advantage | $122.80 | ↓ -71% |
| Independent Living Systems | Medicare Advantage | $122.80 | ↓ -71% |
| Freedom Health | Medicare Advantage | $122.80 | ↓ -71% |
| Clear Spring Health | All Products | $126.31 | ↓ -70% |
| Aetna | Medicare Advantage Behavioral Health | $140.34 | ↓ -67% |
| Aetna | Medicare Advantage PCP | $145.02 | ↓ -66% |
| Aetna | Medicare Advantage Specialist | $147.36 | ↓ -65% |
| Avmed | Exchange | $157.96 | ↓ -63% |
| Molina | Managed Medicaid | $162.39 | ↓ -62% |
| Medicaid | Managed Medicaid | $162.39 | ↓ -62% |
| Wellcare | Managed Medicaid | $162.39 | ↓ -62% |
| Value Options | Managed Medicaid | $162.39 | ↓ -62% |
| AmeriHealth | Managed Medicaid | $162.39 | ↓ -62% |
| Avmed | Select | $164.04 | ↓ -62% |
| Avmed | Broad | $176.19 | ↓ -59% |
| Aetna | POS First Health | $178.56 | ↓ -58% |
| United | All Products | $229.91 | ↓ -46% |
| Cigna | Individual Family Plan Mid-Level | $242.16 | ↓ -43% |
| Cigna | Surefit Mid-Level | $246.80 | ↓ -42% |
| Cigna | All Products Mid-Level | $266.51 | ↓ -37% |
| Cigna | Individual Family Plan Physician | $284.89 | ↓ -33% |
| Cigna | Surefit Physician | $290.34 | ↓ -32% |
| Aetna | PPO First Health | $293.50 | ↓ -31% |
| Cigna | All Products Physician | $313.54 | ↓ -26% |
| The Legacy Companies | All Products | $426.40 | ↑ +0% |
| Three Rivers | All Products | $426.40 | ↑ +0% |
| Clarity Health | All Products | $426.40 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $492.00 | ↑ +15% |
| National Provider Network | All Products | $557.60 | ↑ +31% |
| Aetna | All Products First Health | $590.40 | ↑ +38% |
| OPTUM | Managed Medicaid | $901.17 | ↑ +111% |
| MOLINA | Florida KidCare | $948.60 | ↑ +122% |
| AMERIHEALTH | Managed Medicaid | $948.60 | ↑ +122% |
| Carelon BH Strategies | Managed Medicaid | $948.60 | ↑ +122% |
| Molina | Florida Kidcare | $948.60 | ↑ +122% |
| SUNSHINE HEALTH | Managed Medicaid | $948.60 | ↑ +122% |
| MOLINA | Managed Medicaid | $996.03 | ↑ +134% |
| AETNA | Managed Medicaid/CHIP | $1,043.46 | ↑ +145% |
| Independent Living Systems | Managed Medicaid | $1,138.32 | ↑ +167% |
| Freedom Health | MEDICARE ADVANTAGE | $1,183.54 | ↑ +178% |
| Careplus | MEDICARE ADVANTAGE | $1,183.54 | ↑ +178% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $1,183.54 | ↑ +178% |
| BLUE CROSS | Medicare Advantage PPO | $1,183.54 | ↑ +178% |
| BLUE CROSS | Medicare Advantage HMO | $1,183.54 | ↑ +178% |
| UNITED | MEDICARE ADVANTAGE | $1,183.54 | ↑ +178% |
| HUMANA | Medicare Advantage HMO | $1,183.54 | ↑ +178% |
| AVMED | MEDICARE ADVANTAGE | $1,230.88 | ↑ +189% |
| Independent Living Systems | MEDICARE ADVANTAGE | $1,242.71 | ↑ +191% |
| AETNA | MEDICARE ADVANTAGE | $1,249.63 | ↑ +193% |
| WellMed | MEDICARE ADVANTAGE | $1,249.63 | ↑ +193% |
| Wellcare | MEDICARE ADVANTAGE | $1,249.63 | ↑ +193% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,374.59 | ↑ +222% |
| AVMED | EXCHANGE | $1,858.15 | ↑ +336% |
| AVMED | Select | $2,083.02 | ↑ +389% |
| AVMED | BROAD | $2,710.30 | ↑ +536% |
| Magellan | Pinnacle | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Exc thrombosed hemorrhoid 46320 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,321.64 | $1,187.15 – $2,085.63 |
| cleveland clinic florida weston hospital | Weston | $4,407.00 | $70.67 – $5,763.00 |
| martin north hospital | Stuart | $4,407.00 | $86.38 – $3,390.00 |
| Baptist Hospital | MIAMI | $3,007.55 | $173.17 – $4,164.30 |
| Boca Raton Regional Hospital | BOCA RATON | $3,595.15 | $476.00 – $3,611.74 |
| AdventHealth Orlando | Orlando | $3,914.00 | $1,249.63 – $3,311.51 |
| Adventhealth Carrollwood | Tampa | $12,166.92 | $1,249.63 – $2,774.17 |
| Adventhealth Lake Wales | Lake Wales | not published | $1,249.63 – $2,774.17 |