Excise lwr jaw cyst w/repair at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$5,218.20
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.
$8,028.00
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.
$758.52 with Optum vs $13,598.07 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 | $758.52 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $934.74 | ↓ -82% |
| Wellcare | Managed Medicaid | $934.74 | ↓ -82% |
| Value Options | Managed Medicaid | $934.74 | ↓ -82% |
| Medicaid | Managed Medicaid | $934.74 | ↓ -82% |
| Molina | Managed Medicaid | $934.74 | ↓ -82% |
| Avmed | Medicare Advantage | $1,157.06 | ↓ -78% |
| Blue Cross | Medicare Advantage HMO | $1,157.06 | ↓ -78% |
| Magellan | Medicare Advantage | $1,157.06 | ↓ -78% |
| Wellcare | Medicare Advantage | $1,157.06 | ↓ -78% |
| Blue Cross | Medicare Advantage PPO | $1,157.06 | ↓ -78% |
| Value Options | Medicare Advantage | $1,157.06 | ↓ -78% |
| Careplus | Medicare Advantage | $1,157.06 | ↓ -78% |
| Blue Cross | Health Options | $1,209.10 | ↓ -77% |
| Independent Living Systems | Medicare Advantage | $1,214.91 | ↓ -77% |
| Freedom Health | Medicare Advantage | $1,214.91 | ↓ -77% |
| WellMed | Medicare Advantage | $1,214.91 | ↓ -77% |
| Blue Cross | Network Blue | $1,238.83 | ↓ -76% |
| United | Medicare Advantage | $1,239.07 | ↓ -76% |
| Clear Spring Health | All Products | $1,249.62 | ↓ -76% |
| Blue Cross | Perferred Patient Care | $1,268.57 | ↓ -76% |
| Blue Cross | Traditional (PPS) | $1,268.57 | ↓ -76% |
| Aetna | Medicare Advantage Behavioral Health | $1,388.47 | ↓ -73% |
| Aetna | Medicare Advantage PCP | $1,434.75 | ↓ -73% |
| Aetna | Medicare Advantage Specialist | $1,457.90 | ↓ -72% |
| Avmed | Exchange | $1,643.15 | ↓ -69% |
| Avmed | Select | $1,706.35 | ↓ -67% |
| Avmed | Broad | $1,832.74 | ↓ -65% |
| Aetna | PPO First Health | $2,078.12 | ↓ -60% |
| United | All Products | $2,391.54 | ↓ -54% |
| OPTUM | Managed Medicaid | $3,243.49 | ↓ -38% |
| Carelon BH Strategies | Managed Medicaid | $3,414.20 | ↓ -35% |
| Molina | Florida Kidcare | $3,414.20 | ↓ -35% |
| SUNSHINE HEALTH | Managed Medicaid | $3,414.20 | ↓ -35% |
| MOLINA | Florida KidCare | $3,414.20 | ↓ -35% |
| AMERIHEALTH | Managed Medicaid | $3,414.20 | ↓ -35% |
| MOLINA | Managed Medicaid | $3,584.91 | ↓ -31% |
| Aetna | POS First Health | $3,612.60 | ↓ -31% |
| AETNA | Managed Medicaid/CHIP | $3,755.62 | ↓ -28% |
| Independent Living Systems | Managed Medicaid | $4,097.04 | ↓ -21% |
| Clarity Health | All Products | $5,218.20 | ↑ +0% |
| The Legacy Companies | All Products | $5,218.20 | ↑ +0% |
| Three Rivers | All Products | $5,218.20 | ↑ +0% |
| HUMANA | Medicare Advantage HMO | $5,938.02 | ↑ +14% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $5,938.02 | ↑ +14% |
| UNITED | MEDICARE ADVANTAGE | $5,938.02 | ↑ +14% |
| BLUE CROSS | Medicare Advantage HMO | $5,938.02 | ↑ +14% |
| BLUE CROSS | Medicare Advantage PPO | $5,938.02 | ↑ +14% |
| Freedom Health | MEDICARE ADVANTAGE | $5,938.02 | ↑ +14% |
| Careplus | MEDICARE ADVANTAGE | $5,938.02 | ↑ +14% |
| Consociate Health | ALL PRODUCTS | $6,021.00 | ↑ +15% |
| AVMED | MEDICARE ADVANTAGE | $6,175.54 | ↑ +18% |
| AETNA | MEDICARE ADVANTAGE | $6,181.95 | ↑ +18% |
| Wellcare | MEDICARE ADVANTAGE | $6,181.95 | ↑ +18% |
| WellMed | MEDICARE ADVANTAGE | $6,181.95 | ↑ +18% |
| Independent Living Systems | MEDICARE ADVANTAGE | $6,234.92 | ↑ +19% |
| DEVOTED HEALTH | Medicare Advantage HMO | $6,800.15 | ↑ +30% |
| National Provider Network | All Products | $6,823.80 | ↑ +31% |
| Aetna | All Products First Health | $7,225.20 | ↑ +38% |
| Cigna | Individual Family Plan Physician | $8,028.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $8,028.00 | ↑ +54% |
| Cigna | Surefit Physician | $8,028.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $8,028.00 | ↑ +54% |
| Cigna | All Products Physician | $8,028.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $8,028.00 | ↑ +54% |
| AVMED | EXCHANGE | $9,322.69 | ↑ +79% |
| AVMED | Select | $10,450.92 | ↑ +100% |
| AVMED | BROAD | $13,598.07 | ↑ +161% |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
Visitor-reported prices
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Excise lwr jaw cyst w/repair at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $5,218.20 | $758.52 – $8,028.00 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $5,872.86 – $10,317.68 |
| Adventhealth Tampa | Tampa | not published | $537.00 – $13,723.94 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $5,221.38 – $5,331.30 |
| martin north hospital | Stuart | not published | $3,414.20 – $6,800.15 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $5,300.42 – $5,412.01 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $5,482.27 – $5,597.69 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $5,693.05 – $5,812.90 |