F-18 fdg pet diag at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$178.75
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.
?
What you pay up front if you don't use insurance.
$275.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$58.75 with AETNA vs $2,038.00 with BLUE CROSS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | MEDICARE ADVANTAGE | $58.75 | ↓ -67% |
| AVMED | EXCHANGE | $60.00 | ↓ -66% |
| AVMED | Select | $60.00 | ↓ -66% |
| CIGNA | Individual Family Plan | $64.25 | ↓ -64% |
| AVMED | BROAD | $77.50 | ↓ -57% |
| CIGNA | SUREFIT | $77.50 | ↓ -57% |
| CIGNA | ALL PRODUCTS | $79.50 | ↓ -56% |
| BMI | ALL PRODUCTS | $125.00 | ↓ -30% |
| MAGELLAN | ALL PRODUCTS | $150.00 | ↓ -16% |
| The Legacy Companies | ALL PRODUCTS | $162.50 | ↓ -9% |
| Clarity Health | ALL PRODUCTS | $162.50 | ↓ -9% |
| Consociate Health | ALL PRODUCTS | $187.50 | ↑ +5% |
| MULTIPLAN | ALL PRODUCTS | $200.00 | ↑ +12% |
| AETNA | All Products First Health | $200.00 | ↑ +12% |
| BLUE CROSS | BSL | $1,575.00 | ↑ +781% |
| BLUE CROSS | HMO | $1,575.00 | ↑ +781% |
| BLUE CROSS | NWBI | $1,760.00 | ↑ +885% |
| BLUE CROSS | NWB | $1,760.00 | ↑ +885% |
| BLUE CROSS | PPO | $2,038.00 | ↑ +1040% |
| BLUE CROSS | PHS | $2,038.00 | ↑ +1040% |
| MOLINA | Florida KidCare | not published by hospital | — |
| MOLINA | Managed Medicaid | not published by hospital | — |
| OPTUM | Managed Medicaid | not published by hospital | — |
| SUNSHINE HEALTH | Managed Medicaid | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| Wellcare | Managed Medicaid | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | ALL PRODUCTS | not published by hospital | — |
| WellMed | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | Managed Medicaid/CHIP | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| AETNA | QHP | not published by hospital | — |
| AMERIHEALTH | Managed Medicaid | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| Carelon BH Strategies | Managed Medicaid | not published by hospital | — |
| Carelon BH Strategies | MEDICARE ADVANTAGE | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Independent Living Systems | Managed Medicaid | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Medicaid | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
F-18 fdg pet diag at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $178.75 | $42.00 – $1,390.00 |
| martin north hospital | Stuart | $178.75 | $52.00 – $649.00 |
| Baptist Hospital | MIAMI | $566.80 | $150.86 – $784.80 |
| Bethesda Hospital East | BOYNTON BEACH | $566.80 | $175.27 – $872.00 |
| Boca Raton Regional Hospital | BOCA RATON | $922.35 | $476.00 – $926.61 |
| Doctors Hospital | CORAL GABLES | $566.80 | $152.60 – $784.80 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $566.80 | $151.73 – $784.80 |
| Fishermens Community Hospital | MARATHON | $566.80 | $145.62 – $784.80 |