Explore/repair chest 32110 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$8,537.75
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.
$13,135.00
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.
$554.00 with AETNA vs $10,508.00 with AETNA — 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 |
|---|---|---|---|
| AETNA | QHP | $554.00 | ↓ -94% |
| UNITED | NHP | $850.00 | ↓ -90% |
| UNITED | International | $1,151.00 | ↓ -87% |
| UNITED | ALL PRODUCTS | $1,151.00 | ↓ -87% |
| Clear Spring Health | ALL PRODUCTS | $1,879.18 | ↓ -78% |
| AETNA | MEDICARE ADVANTAGE | $3,086.73 | ↓ -64% |
| AVMED | Select | $3,152.40 | ↓ -63% |
| AVMED | EXCHANGE | $3,152.40 | ↓ -63% |
| OPTUM | Managed Medicaid | $3,296.96 | ↓ -61% |
| CIGNA | Individual Family Plan | $3,375.70 | ↓ -60% |
| Wellcare | Managed Medicaid | $3,470.48 | ↓ -59% |
| SUNSHINE HEALTH | Managed Medicaid | $3,470.48 | ↓ -59% |
| AMERIHEALTH | Managed Medicaid | $3,470.48 | ↓ -59% |
| MOLINA | Florida KidCare | $3,470.48 | ↓ -59% |
| Molina | Florida Kidcare | $3,470.48 | ↓ -59% |
| Medicaid | Managed Medicaid | $3,470.48 | ↓ -59% |
| Carelon BH Strategies | Managed Medicaid | $3,470.48 | ↓ -59% |
| MOLINA | Managed Medicaid | $3,644.00 | ↓ -57% |
| AETNA | Managed Medicaid/CHIP | $3,817.53 | ↓ -55% |
| CIGNA | SUREFIT | $4,071.85 | ↓ -52% |
| AVMED | BROAD | $4,071.85 | ↓ -52% |
| Independent Living Systems | Managed Medicaid | $4,164.58 | ↓ -51% |
| CIGNA | ALL PRODUCTS | $4,176.93 | ↓ -51% |
| BMI | ALL PRODUCTS | $6,567.50 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $7,881.00 | ↓ -8% |
| AETNA | ALL PRODUCTS | $7,917.00 | ↓ -7% |
| Clarity Health | ALL PRODUCTS | $8,537.75 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $8,537.75 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $9,851.25 | ↑ +15% |
| MULTIPLAN | ALL PRODUCTS | $10,508.00 | ↑ +23% |
| AETNA | All Products First Health | $10,508.00 | ↑ +23% |
| BLUE CROSS | PPO | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| WellMed | MEDICARE ADVANTAGE | not published by hospital | — |
| Carelon BH Strategies | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
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Explore/repair chest 32110 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $8,537.75 | $806.66 – $18,285.00 |
| martin north hospital | Stuart | $8,537.75 | $1,127.26 – $15,852.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $1,601.56 – $1,635.27 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $1,625.80 – $1,660.03 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $1,681.58 – $1,716.98 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $1,746.23 – $1,783.00 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | not published | $1,490.00 – $1,568.42 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness | not published | $1,512.82 – $1,544.67 |