healthcosts.net
Flexible Sigmoidoscopy at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$240.50
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.
$370.00
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.
$49.80 with Optum vs $4,198.00 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 |
|---|---|---|---|
| Optum | Managed Medicaid | $49.80 | ↓ -79% |
| Avmed | Medicare Advantage | $57.59 | ↓ -76% |
| Value Options | Medicare Advantage | $57.59 | ↓ -76% |
| Magellan | Medicare Advantage | $57.59 | ↓ -76% |
| Careplus | Medicare Advantage | $57.59 | ↓ -76% |
| Wellcare | Medicare Advantage | $57.59 | ↓ -76% |
| Blue Cross | Medicare Advantage PPO | $57.59 | ↓ -76% |
| Blue Cross | Medicare Advantage HMO | $57.59 | ↓ -76% |
| United | Medicare Advantage | $58.50 | ↓ -76% |
| Blue Cross | Health Options | $59.74 | ↓ -75% |
| Independent Living Systems | Medicare Advantage | $60.47 | ↓ -75% |
| Freedom Health | Medicare Advantage | $60.47 | ↓ -75% |
| WellMed | Medicare Advantage | $60.47 | ↓ -75% |
| Blue Cross | Network Blue | $61.21 | ↓ -75% |
| Clear Spring Health | All Products | $62.20 | ↓ -74% |
| Blue Cross | Traditional (PPS) | $62.68 | ↓ -74% |
| Blue Cross | Perferred Patient Care | $62.68 | ↓ -74% |
| Aetna | Medicare Advantage Behavioral Health | $69.11 | ↓ -71% |
| Aetna | Medicare Advantage PCP | $71.41 | ↓ -70% |
| Aetna | Medicare Advantage Specialist | $72.56 | ↓ -70% |
| Avmed | Exchange | $77.06 | ↓ -68% |
| Avmed | Select | $80.03 | ↓ -67% |
| Avmed | Broad | $85.96 | ↓ -64% |
| Aetna | POS First Health | $89.10 | ↓ -63% |
| United | All Products | $112.16 | ↓ -53% |
| Value Options | Managed Medicaid | $142.22 | ↓ -41% |
| Medicaid | Managed Medicaid | $142.22 | ↓ -41% |
| Molina | Managed Medicaid | $142.22 | ↓ -41% |
| Wellcare | Managed Medicaid | $142.22 | ↓ -41% |
| AmeriHealth | Managed Medicaid | $142.22 | ↓ -41% |
| Cigna | Individual Family Plan Mid-Level | $178.50 | ↓ -26% |
| Cigna | Surefit Mid-Level | $181.92 | ↓ -24% |
| Cigna | All Products Mid-Level | $196.45 | ↓ -18% |
| Cigna | Individual Family Plan Physician | $210.00 | ↓ -13% |
| Cigna | Surefit Physician | $214.02 | ↓ -11% |
| Cigna | All Products Physician | $231.12 | ↓ -4% |
| Clarity Health | All Products | $240.50 | ↑ +0% |
| Three Rivers | All Products | $240.50 | ↑ +0% |
| The Legacy Companies | All Products | $240.50 | ↑ +0% |
| Aetna | PPO First Health | $258.12 | ↑ +7% |
| Consociate Health | ALL PRODUCTS | $277.50 | ↑ +15% |
| National Provider Network | All Products | $314.50 | ↑ +31% |
| Aetna | All Products First Health | $333.00 | ↑ +38% |
| OPTUM | Managed Medicaid | $605.04 | ↑ +152% |
| MOLINA | Florida KidCare | $636.88 | ↑ +165% |
| AMERIHEALTH | Managed Medicaid | $636.88 | ↑ +165% |
| Molina | Florida Kidcare | $636.88 | ↑ +165% |
| SUNSHINE HEALTH | Managed Medicaid | $636.88 | ↑ +165% |
| Carelon BH Strategies | Managed Medicaid | $636.88 | ↑ +165% |
| MOLINA | Managed Medicaid | $668.72 | ↑ +178% |
| AETNA | Managed Medicaid/CHIP | $700.57 | ↑ +191% |
| Independent Living Systems | Managed Medicaid | $764.26 | ↑ +218% |
| UNITED | MEDICARE ADVANTAGE | $915.16 | ↑ +281% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $915.16 | ↑ +281% |
| Careplus | MEDICARE ADVANTAGE | $915.16 | ↑ +281% |
| Freedom Health | MEDICARE ADVANTAGE | $915.16 | ↑ +281% |
| BLUE CROSS | Medicare Advantage HMO | $915.16 | ↑ +281% |
| HUMANA | Medicare Advantage HMO | $915.16 | ↑ +281% |
| BLUE CROSS | Medicare Advantage PPO | $915.16 | ↑ +281% |
| AVMED | MEDICARE ADVANTAGE | $951.76 | ↑ +296% |
| Independent Living Systems | MEDICARE ADVANTAGE | $960.91 | ↑ +300% |
| Wellcare | MEDICARE ADVANTAGE | $971.14 | ↑ +304% |
| AETNA | MEDICARE ADVANTAGE | $971.14 | ↑ +304% |
| WellMed | MEDICARE ADVANTAGE | $971.14 | ↑ +304% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,068.25 | ↑ +344% |
| AVMED | EXCHANGE | $1,436.80 | ↑ +497% |
| AVMED | Select | $1,610.68 | ↑ +570% |
| AVMED | BROAD | $2,095.71 | ↑ +771% |
| BLUE CROSS | BSL | $2,971.00 | ↑ +1135% |
| BLUE CROSS | NWB | $3,928.00 | ↑ +1533% |
| AETNA | ALL PRODUCTS | $4,198.00 | ↑ +1646% |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | Medical Rental | 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 | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
Visitor-reported prices
Comments
Flexible Sigmoidoscopy at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $3,407.95 | $49.80 – $4,456.55 |
| martin north hospital | Stuart | $3,407.95 | $49.95 – $2,621.50 |
| Baptist Hospital | MIAMI | $2,157.35 | $173.17 – $2,987.10 |
| Bethesda Hospital East | BOYNTON BEACH | not published | not published |
| Boca Raton Regional Hospital | BOCA RATON | not published | not published |
| Doctors Hospital | CORAL GABLES | not published | not published |
| Baptist Health Hospital Doral | SOUTH MIAMI | not published | not published |
| Fishermens Community Hospital | MARATHON | not published | not published |