Fallopian tube recnl at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,222.00
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.
$1,880.00
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.
$266.14 with Blue Cross vs $7,308.65 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 |
|---|---|---|---|
| Blue Cross | Health Options | $266.14 | ↓ -78% |
| Blue Cross | Network Blue | $272.68 | ↓ -78% |
| Blue Cross | Traditional (PPS) | $279.23 | ↓ -77% |
| Blue Cross | Perferred Patient Care | $279.23 | ↓ -77% |
| Careplus | Medicare Advantage | $279.41 | ↓ -77% |
| Magellan | Medicare Advantage | $279.41 | ↓ -77% |
| Blue Cross | Medicare Advantage HMO | $279.41 | ↓ -77% |
| Blue Cross | Medicare Advantage PPO | $279.41 | ↓ -77% |
| Wellcare | Medicare Advantage | $279.41 | ↓ -77% |
| Value Options | Medicare Advantage | $279.41 | ↓ -77% |
| Avmed | Medicare Advantage | $279.41 | ↓ -77% |
| Independent Living Systems | Medicare Advantage | $293.38 | ↓ -76% |
| WellMed | Medicare Advantage | $293.38 | ↓ -76% |
| Freedom Health | Medicare Advantage | $293.38 | ↓ -76% |
| Clear Spring Health | All Products | $301.76 | ↓ -75% |
| United | Medicare Advantage | $301.78 | ↓ -75% |
| Aetna | Medicare Advantage Behavioral Health | $335.29 | ↓ -73% |
| Aetna | Medicare Advantage PCP | $346.47 | ↓ -72% |
| Aetna | Medicare Advantage Specialist | $352.06 | ↓ -71% |
| Avmed | Exchange | $403.82 | ↓ -67% |
| Avmed | Select | $419.35 | ↓ -66% |
| Aetna | PPO First Health | $431.84 | ↓ -65% |
| Avmed | Broad | $450.41 | ↓ -63% |
| United | All Products | $587.74 | ↓ -52% |
| Aetna | POS First Health | $846.00 | ↓ -31% |
| Clarity Health | All Products | $1,222.00 | ↑ +0% |
| The Legacy Companies | All Products | $1,222.00 | ↑ +0% |
| Three Rivers | All Products | $1,222.00 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $1,410.00 | ↑ +15% |
| OPTUM | Managed Medicaid | $1,486.15 | ↑ +22% |
| Medicaid | Managed Medicaid | $1,564.37 | ↑ +28% |
| Wellcare | Managed Medicaid | $1,564.37 | ↑ +28% |
| SUNSHINE HEALTH | Managed Medicaid | $1,564.37 | ↑ +28% |
| AMERIHEALTH | Managed Medicaid | $1,564.37 | ↑ +28% |
| MOLINA | Florida KidCare | $1,564.37 | ↑ +28% |
| Carelon BH Strategies | Managed Medicaid | $1,564.37 | ↑ +28% |
| Molina | Florida Kidcare | $1,564.37 | ↑ +28% |
| National Provider Network | All Products | $1,598.00 | ↑ +31% |
| MOLINA | Managed Medicaid | $1,642.59 | ↑ +34% |
| Aetna | All Products First Health | $1,692.00 | ↑ +38% |
| AETNA | Managed Medicaid/CHIP | $1,720.81 | ↑ +41% |
| Independent Living Systems | Managed Medicaid | $1,877.24 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $1,880.00 | ↑ +54% |
| Cigna | Surefit Physician | $1,880.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $1,880.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $1,880.00 | ↑ +54% |
| Cigna | All Products Physician | $1,880.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $1,880.00 | ↑ +54% |
| HUMANA | Medicare Advantage HMO | $3,191.55 | ↑ +161% |
| UNITED | MEDICARE ADVANTAGE | $3,191.55 | ↑ +161% |
| BLUE CROSS | Medicare Advantage PPO | $3,191.55 | ↑ +161% |
| Careplus | MEDICARE ADVANTAGE | $3,191.55 | ↑ +161% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $3,191.55 | ↑ +161% |
| BLUE CROSS | Medicare Advantage HMO | $3,191.55 | ↑ +161% |
| Freedom Health | MEDICARE ADVANTAGE | $3,191.55 | ↑ +161% |
| AVMED | MEDICARE ADVANTAGE | $3,319.21 | ↑ +172% |
| Independent Living Systems | MEDICARE ADVANTAGE | $3,351.13 | ↑ +174% |
| Wellcare | MEDICARE ADVANTAGE | $3,380.46 | ↑ +177% |
| AETNA | MEDICARE ADVANTAGE | $3,380.46 | ↑ +177% |
| WellMed | MEDICARE ADVANTAGE | $3,380.46 | ↑ +177% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,718.51 | ↑ +204% |
| AVMED | EXCHANGE | $5,010.73 | ↑ +310% |
| AVMED | Select | $5,617.13 | ↑ +360% |
| AVMED | BROAD | $7,308.65 | ↑ +498% |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Optum | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
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Fallopian tube recnl at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Port Charlotte | Port Charlotte | $11,017.65 | $3,380.46 – $6,172.72 |
| cleveland clinic florida weston hospital | Weston | $11,883.95 | $248.69 – $15,540.55 |
| Baptist Hospital | MIAMI | $4,084.60 | $173.17 – $3,786.12 |
| Bethesda Hospital East | BOYNTON BEACH | $4,084.60 | $886.04 – $3,515.68 |
| Boca Raton Regional Hospital | BOCA RATON | $3,740.75 | $2,071.80 – $5,053.00 |
| Doctors Hospital | CORAL GABLES | $4,084.60 | $549.85 – $3,786.12 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $4,084.60 | $546.71 – $3,718.51 |
| Homestead Hospital | HOMESTEAD | $4,084.60 | $167.89 – $3,718.51 |