Exploration maxillary sinus at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,562.60
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.
$2,404.00
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.
$251.34 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 | $251.34 | ↓ -84% |
| Blue Cross | Health Options | $485.15 | ↓ -69% |
| Wellcare | Managed Medicaid | $495.33 | ↓ -68% |
| AmeriHealth | Managed Medicaid | $495.33 | ↓ -68% |
| Medicaid | Managed Medicaid | $495.33 | ↓ -68% |
| Value Options | Managed Medicaid | $495.33 | ↓ -68% |
| Molina | Managed Medicaid | $495.33 | ↓ -68% |
| Blue Cross | Network Blue | $497.08 | ↓ -68% |
| Avmed | Medicare Advantage | $501.11 | ↓ -68% |
| Value Options | Medicare Advantage | $501.11 | ↓ -68% |
| Magellan | Medicare Advantage | $501.11 | ↓ -68% |
| Wellcare | Medicare Advantage | $501.11 | ↓ -68% |
| Blue Cross | Medicare Advantage HMO | $501.11 | ↓ -68% |
| Blue Cross | Medicare Advantage PPO | $501.11 | ↓ -68% |
| Careplus | Medicare Advantage | $501.11 | ↓ -68% |
| Blue Cross | Traditional (PPS) | $509.01 | ↓ -67% |
| Blue Cross | Perferred Patient Care | $509.01 | ↓ -67% |
| United | Medicare Advantage | $520.42 | ↓ -67% |
| Freedom Health | Medicare Advantage | $526.17 | ↓ -66% |
| Independent Living Systems | Medicare Advantage | $526.17 | ↓ -66% |
| WellMed | Medicare Advantage | $526.17 | ↓ -66% |
| Clear Spring Health | All Products | $541.20 | ↓ -65% |
| Aetna | Medicare Advantage Behavioral Health | $601.33 | ↓ -62% |
| Aetna | Medicare Advantage PCP | $621.38 | ↓ -60% |
| Aetna | Medicare Advantage Specialist | $631.40 | ↓ -60% |
| Avmed | Exchange | $693.64 | ↓ -56% |
| Avmed | Select | $720.32 | ↓ -54% |
| Avmed | Broad | $773.68 | ↓ -50% |
| Aetna | POS First Health | $814.35 | ↓ -48% |
| Cigna | Individual Family Plan Mid-Level | $846.56 | ↓ -46% |
| Cigna | Surefit Mid-Level | $862.73 | ↓ -45% |
| Cigna | All Products Mid-Level | $931.88 | ↓ -40% |
| Cigna | Individual Family Plan Physician | $996.03 | ↓ -36% |
| United | All Products | $1,009.57 | ↓ -35% |
| Cigna | Surefit Physician | $1,015.04 | ↓ -35% |
| Aetna | PPO First Health | $1,029.65 | ↓ -34% |
| Cigna | All Products Physician | $1,096.33 | ↓ -30% |
| The Legacy Companies | All Products | $1,562.60 | ↑ +0% |
| Clarity Health | All Products | $1,562.60 | ↑ +0% |
| Three Rivers | All Products | $1,562.60 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $1,803.00 | ↑ +15% |
| National Provider Network | All Products | $2,043.40 | ↑ +31% |
| OPTUM | Managed Medicaid | $2,132.36 | ↑ +36% |
| Aetna | All Products First Health | $2,163.60 | ↑ +38% |
| Molina | Florida Kidcare | $2,244.59 | ↑ +44% |
| MOLINA | Florida KidCare | $2,244.59 | ↑ +44% |
| AMERIHEALTH | Managed Medicaid | $2,244.59 | ↑ +44% |
| SUNSHINE HEALTH | Managed Medicaid | $2,244.59 | ↑ +44% |
| Carelon BH Strategies | Managed Medicaid | $2,244.59 | ↑ +44% |
| MOLINA | Managed Medicaid | $2,356.82 | ↑ +51% |
| AETNA | Managed Medicaid/CHIP | $2,469.05 | ↑ +58% |
| Independent Living Systems | Managed Medicaid | $2,693.51 | ↑ +72% |
| UNITED | MEDICARE ADVANTAGE | $5,938.02 | ↑ +280% |
| Freedom Health | MEDICARE ADVANTAGE | $5,938.02 | ↑ +280% |
| Careplus | MEDICARE ADVANTAGE | $5,938.02 | ↑ +280% |
| HUMANA | Medicare Advantage HMO | $5,938.02 | ↑ +280% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $5,938.02 | ↑ +280% |
| BLUE CROSS | Medicare Advantage PPO | $5,938.02 | ↑ +280% |
| BLUE CROSS | Medicare Advantage HMO | $5,938.02 | ↑ +280% |
| AVMED | MEDICARE ADVANTAGE | $6,175.54 | ↑ +295% |
| Wellcare | MEDICARE ADVANTAGE | $6,181.95 | ↑ +296% |
| WellMed | MEDICARE ADVANTAGE | $6,181.95 | ↑ +296% |
| AETNA | MEDICARE ADVANTAGE | $6,181.95 | ↑ +296% |
| Independent Living Systems | MEDICARE ADVANTAGE | $6,234.92 | ↑ +299% |
| DEVOTED HEALTH | Medicare Advantage HMO | $6,800.15 | ↑ +335% |
| AVMED | EXCHANGE | $9,322.69 | ↑ +497% |
| AVMED | Select | $10,450.92 | ↑ +569% |
| AVMED | BROAD | $13,598.07 | ↑ +770% |
| 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 PCP | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
Visitor-reported prices
Comments
Exploration maxillary sinus at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $1,562.60 | $251.34 – $6,800.15 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $5,872.86 – $10,317.68 |
| Adventhealth Tampa | Tampa | not published | $614.00 – $13,723.94 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $446.48 – $455.88 |
| martin north hospital | Stuart | not published | $2,244.59 – $6,800.15 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $453.24 – $462.78 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $468.79 – $478.66 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $486.81 – $497.06 |