Ghs conjunctiva foreign body-superf bil at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$481.65
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.
$741.00
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.
$21.70 with Molina vs $7,917.00 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 |
|---|---|---|---|
| Molina | Managed Medicaid | $21.70 | ↓ -95% |
| AmeriHealth | Managed Medicaid | $21.70 | ↓ -95% |
| Wellcare | Managed Medicaid | $21.70 | ↓ -95% |
| Medicaid | Managed Medicaid | $21.70 | ↓ -95% |
| Value Options | Managed Medicaid | $21.70 | ↓ -95% |
| Optum | Managed Medicaid | $24.84 | ↓ -95% |
| Blue Cross | Medicare Advantage HMO | $25.15 | ↓ -95% |
| Wellcare | Medicare Advantage | $25.15 | ↓ -95% |
| Value Options | Medicare Advantage | $25.15 | ↓ -95% |
| Careplus | Medicare Advantage | $25.15 | ↓ -95% |
| Avmed | Medicare Advantage | $25.15 | ↓ -95% |
| Blue Cross | Medicare Advantage PPO | $25.15 | ↓ -95% |
| Magellan | Medicare Advantage | $25.15 | ↓ -95% |
| WellMed | Medicare Advantage | $26.41 | ↓ -95% |
| Independent Living Systems | Medicare Advantage | $26.41 | ↓ -95% |
| Freedom Health | Medicare Advantage | $26.41 | ↓ -95% |
| Clear Spring Health | All Products | $27.16 | ↓ -94% |
| United | Medicare Advantage | $28.54 | ↓ -94% |
| Aetna | Medicare Advantage Behavioral Health | $30.18 | ↓ -94% |
| Aetna | Medicare Advantage PCP | $31.19 | ↓ -94% |
| Aetna | Medicare Advantage Specialist | $31.69 | ↓ -93% |
| Clear Spring Health | ALL PRODUCTS | $35.21 | ↓ -93% |
| Avmed | Exchange | $38.18 | ↓ -92% |
| Avmed | Select | $39.65 | ↓ -92% |
| Blue Cross | Health Options | $40.20 | ↓ -92% |
| Blue Cross | Network Blue | $41.19 | ↓ -91% |
| Blue Cross | Perferred Patient Care | $42.18 | ↓ -91% |
| Blue Cross | Traditional (PPS) | $42.18 | ↓ -91% |
| Avmed | Broad | $42.59 | ↓ -91% |
| OPTUM | Managed Medicaid | $45.31 | ↓ -91% |
| Carelon BH Strategies | Managed Medicaid | $47.69 | ↓ -90% |
| AMERIHEALTH | Managed Medicaid | $47.69 | ↓ -90% |
| SUNSHINE HEALTH | Managed Medicaid | $47.69 | ↓ -90% |
| Molina | Florida Kidcare | $47.69 | ↓ -90% |
| MOLINA | Florida KidCare | $47.69 | ↓ -90% |
| MOLINA | Managed Medicaid | $50.07 | ↓ -90% |
| AETNA | Managed Medicaid/CHIP | $52.46 | ↓ -89% |
| Cigna | Individual Family Plan Mid-Level | $53.09 | ↓ -89% |
| Aetna | POS First Health | $53.96 | ↓ -89% |
| Cigna | Surefit Mid-Level | $54.10 | ↓ -89% |
| United | All Products | $55.57 | ↓ -88% |
| Independent Living Systems | Managed Medicaid | $57.23 | ↓ -88% |
| Cigna | All Products Mid-Level | $58.42 | ↓ -88% |
| Cigna | Individual Family Plan Physician | $62.45 | ↓ -87% |
| Cigna | Surefit Physician | $63.65 | ↓ -87% |
| Cigna | All Products Physician | $68.74 | ↓ -86% |
| Aetna | PPO First Health | $69.03 | ↓ -86% |
| BLUE CROSS | Medicare Advantage HMO | $129.39 | ↓ -73% |
| Freedom Health | MEDICARE ADVANTAGE | $129.39 | ↓ -73% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $129.39 | ↓ -73% |
| Careplus | MEDICARE ADVANTAGE | $129.39 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $129.39 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $129.39 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $129.39 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $134.56 | ↓ -72% |
| Independent Living Systems | MEDICARE ADVANTAGE | $135.86 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $138.94 | ↓ -71% |
| WellMed | MEDICARE ADVANTAGE | $138.94 | ↓ -71% |
| Wellcare | MEDICARE ADVANTAGE | $138.94 | ↓ -71% |
| Three Rivers | All Products | $140.40 | ↓ -71% |
| Clarity Health | All Products | $140.40 | ↓ -71% |
| The Legacy Companies | All Products | $140.40 | ↓ -71% |
| DEVOTED HEALTH | Medicare Advantage HMO | $152.83 | ↓ -68% |
| Consociate Health | ALL PRODUCTS | $162.00 | ↓ -66% |
| National Provider Network | All Products | $183.60 | ↓ -62% |
| CIGNA | Individual Family Plan | $190.44 | ↓ -60% |
| Aetna | All Products First Health | $194.40 | ↓ -60% |
| AVMED | EXCHANGE | $203.14 | ↓ -58% |
| AVMED | Select | $227.72 | ↓ -53% |
| CIGNA | SUREFIT | $229.71 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $235.64 | ↓ -51% |
| AVMED | BROAD | $296.30 | ↓ -38% |
| BMI | ALL PRODUCTS | $370.50 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $444.60 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $481.65 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $481.65 | ↑ +0% |
| AETNA | QHP | $554.00 | ↑ +15% |
| MULTIPLAN | ALL PRODUCTS | $592.80 | ↑ +23% |
| AETNA | All Products First Health | $592.80 | ↑ +23% |
| UNITED | NHP | $850.00 | ↑ +76% |
| UNITED | ALL PRODUCTS | $1,151.00 | ↑ +139% |
| UNITED | International | $1,151.00 | ↑ +139% |
| BLUE CROSS | HMO | $2,467.00 | ↑ +412% |
| BLUE CROSS | BSL | $2,467.00 | ↑ +412% |
| BLUE CROSS | NWBI | $3,264.00 | ↑ +578% |
| BLUE CROSS | NWB | $3,264.00 | ↑ +578% |
| BLUE CROSS | PPO | $4,027.00 | ↑ +736% |
| BLUE CROSS | PHS | $4,027.00 | ↑ +736% |
| AETNA | ALL PRODUCTS | $7,917.00 | ↑ +1544% |
| Consociate Health | Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Ghs conjunctiva foreign body-superf bil at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $399.93 | $131.99 – $231.89 |
| Adventhealth Lake Wales | Lake Wales | $399.93 | $138.94 – $308.45 |
| Adventhealth Palm Coast Parkway | Palm Coast | $399.93 | $131.99 – $296.76 |
| Adventhealth Tampa | Tampa | $1,252.04 | $138.94 – $308.45 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $454.50 | $131.99 – $303.51 |
| cleveland clinic florida weston hospital | Weston | $481.65 | $21.70 – $629.85 |
| martin north hospital | Stuart | $481.65 | $21.70 – $370.50 |
| Boca Raton Regional Hospital | BOCA RATON | $342.55 | $136.44 – $527.00 |