Excise oral mucosa for graft 40818 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$735.80
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.
$1,132.00
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.
$142.98 with Optum vs $1,528.33 with Independent Living Systems — 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 | $142.98 | ↓ -81% |
| Blue Cross | Health Options | $252.88 | ↓ -66% |
| Value Options | Medicare Advantage | $259.08 | ↓ -65% |
| Blue Cross | Medicare Advantage PPO | $259.08 | ↓ -65% |
| Careplus | Medicare Advantage | $259.08 | ↓ -65% |
| Wellcare | Medicare Advantage | $259.08 | ↓ -65% |
| Avmed | Medicare Advantage | $259.08 | ↓ -65% |
| Magellan | Medicare Advantage | $259.08 | ↓ -65% |
| Blue Cross | Medicare Advantage HMO | $259.08 | ↓ -65% |
| Blue Cross | Network Blue | $259.10 | ↓ -65% |
| Blue Cross | Traditional (PPS) | $265.32 | ↓ -64% |
| Blue Cross | Perferred Patient Care | $265.32 | ↓ -64% |
| United | Medicare Advantage | $266.93 | ↓ -64% |
| Independent Living Systems | Medicare Advantage | $272.03 | ↓ -63% |
| WellMed | Medicare Advantage | $272.03 | ↓ -63% |
| Freedom Health | Medicare Advantage | $272.03 | ↓ -63% |
| Value Options | Managed Medicaid | $276.77 | ↓ -62% |
| AmeriHealth | Managed Medicaid | $276.77 | ↓ -62% |
| Molina | Managed Medicaid | $276.77 | ↓ -62% |
| Wellcare | Managed Medicaid | $276.77 | ↓ -62% |
| Medicaid | Managed Medicaid | $276.77 | ↓ -62% |
| Clear Spring Health | All Products | $279.81 | ↓ -62% |
| Aetna | Medicare Advantage Behavioral Health | $310.90 | ↓ -58% |
| Aetna | Medicare Advantage PCP | $321.26 | ↓ -56% |
| Aetna | Medicare Advantage Specialist | $326.44 | ↓ -56% |
| Avmed | Exchange | $357.01 | ↓ -51% |
| Avmed | Select | $370.74 | ↓ -50% |
| Avmed | Broad | $398.20 | ↓ -46% |
| Aetna | POS First Health | $423.76 | ↓ -42% |
| Cigna | Individual Family Plan Mid-Level | $445.05 | ↓ -40% |
| Cigna | Surefit Mid-Level | $453.55 | ↓ -38% |
| Cigna | All Products Mid-Level | $489.90 | ↓ -33% |
| BLUE CROSS | Medicare Advantage HMO | $511.18 | ↓ -31% |
| BLUE CROSS | Medicare Advantage PPO | $511.18 | ↓ -31% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $511.18 | ↓ -31% |
| Careplus | MEDICARE ADVANTAGE | $511.18 | ↓ -31% |
| Freedom Health | MEDICARE ADVANTAGE | $511.18 | ↓ -31% |
| HUMANA | Medicare Advantage HMO | $511.18 | ↓ -31% |
| UNITED | MEDICARE ADVANTAGE | $511.18 | ↓ -31% |
| United | All Products | $519.61 | ↓ -29% |
| Cigna | Individual Family Plan Physician | $523.63 | ↓ -29% |
| AVMED | MEDICARE ADVANTAGE | $531.62 | ↓ -28% |
| Cigna | Surefit Physician | $533.62 | ↓ -27% |
| Independent Living Systems | MEDICARE ADVANTAGE | $536.73 | ↓ -27% |
| Aetna | PPO First Health | $558.46 | ↓ -24% |
| Wellcare | MEDICARE ADVANTAGE | $563.21 | ↓ -23% |
| AETNA | MEDICARE ADVANTAGE | $563.21 | ↓ -23% |
| WellMed | MEDICARE ADVANTAGE | $563.21 | ↓ -23% |
| Cigna | All Products Physician | $576.36 | ↓ -22% |
| DEVOTED HEALTH | Medicare Advantage HMO | $619.53 | ↓ -16% |
| Three Rivers | All Products | $735.80 | ↑ +0% |
| Clarity Health | All Products | $735.80 | ↑ +0% |
| The Legacy Companies | All Products | $735.80 | ↑ +0% |
| AVMED | EXCHANGE | $802.54 | ↑ +9% |
| Consociate Health | ALL PRODUCTS | $849.00 | ↑ +15% |
| AVMED | Select | $899.67 | ↑ +22% |
| National Provider Network | All Products | $962.20 | ↑ +31% |
| Aetna | All Products First Health | $1,018.80 | ↑ +38% |
| AVMED | BROAD | $1,170.59 | ↑ +59% |
| OPTUM | Managed Medicaid | $1,209.93 | ↑ +64% |
| MOLINA | Florida KidCare | $1,273.61 | ↑ +73% |
| AMERIHEALTH | Managed Medicaid | $1,273.61 | ↑ +73% |
| Molina | Florida Kidcare | $1,273.61 | ↑ +73% |
| SUNSHINE HEALTH | Managed Medicaid | $1,273.61 | ↑ +73% |
| Carelon BH Strategies | Managed Medicaid | $1,273.61 | ↑ +73% |
| MOLINA | Managed Medicaid | $1,337.29 | ↑ +82% |
| AETNA | Managed Medicaid/CHIP | $1,400.97 | ↑ +90% |
| Independent Living Systems | Managed Medicaid | $1,528.33 | ↑ +108% |
| 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 | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Excise oral mucosa for graft 40818 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $735.80 | $142.98 – $1,273.61 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $535.05 – $940.00 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $535.05 – $1,202.96 |
| Adventhealth Tampa | Tampa | not published | $401.00 – $1,250.32 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $625.07 – $638.23 |
| martin north hospital | Stuart | not published | $511.18 – $1,528.33 |
| Baptist Hospital | MIAMI | not published | not published |
| Bethesda Hospital East | BOYNTON BEACH | not published | not published |