Ghs i and d perirectal abscess 46040 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$4,407.00
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.
?
What you pay up front if you don't use insurance.
$6,780.00
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.
$209.26 with Optum vs $8,031.00 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 |
|---|---|---|---|
| Optum | Managed Medicaid | $209.26 | ↓ -95% |
| Blue Cross | Health Options | $382.36 | ↓ -91% |
| Blue Cross | Network Blue | $391.77 | ↓ -91% |
| Blue Cross | Traditional (PPS) | $401.17 | ↓ -91% |
| Blue Cross | Perferred Patient Care | $401.17 | ↓ -91% |
| Wellcare | Managed Medicaid | $430.73 | ↓ -90% |
| Value Options | Managed Medicaid | $430.73 | ↓ -90% |
| AmeriHealth | Managed Medicaid | $430.73 | ↓ -90% |
| Medicaid | Managed Medicaid | $430.73 | ↓ -90% |
| Molina | Managed Medicaid | $430.73 | ↓ -90% |
| United | Medicare Advantage | $450.67 | ↓ -90% |
| Value Options | Medicare Advantage | $472.47 | ↓ -89% |
| Magellan | Medicare Advantage | $472.47 | ↓ -89% |
| Avmed | Medicare Advantage | $472.47 | ↓ -89% |
| Careplus | Medicare Advantage | $472.47 | ↓ -89% |
| Wellcare | Medicare Advantage | $472.47 | ↓ -89% |
| Blue Cross | Medicare Advantage HMO | $472.47 | ↓ -89% |
| Blue Cross | Medicare Advantage PPO | $472.47 | ↓ -89% |
| Independent Living Systems | Medicare Advantage | $473.20 | ↓ -89% |
| Freedom Health | Medicare Advantage | $496.09 | ↓ -89% |
| WellMed | Medicare Advantage | $496.09 | ↓ -89% |
| Clear Spring Health | All Products | $510.27 | ↓ -88% |
| AETNA | QHP | $554.00 | ↓ -87% |
| Aetna | Medicare Advantage Behavioral Health | $566.96 | ↓ -87% |
| Clear Spring Health | ALL PRODUCTS | $575.29 | ↓ -87% |
| Aetna | Medicare Advantage PCP | $585.86 | ↓ -87% |
| Aetna | Medicare Advantage Specialist | $595.31 | ↓ -86% |
| Avmed | Exchange | $596.66 | ↓ -86% |
| Avmed | Select | $619.61 | ↓ -86% |
| Avmed | Broad | $665.51 | ↓ -85% |
| Aetna | POS First Health | $668.06 | ↓ -85% |
| Cigna | Individual Family Plan Mid-Level | $714.22 | ↓ -84% |
| Cigna | Surefit Mid-Level | $727.89 | ↓ -83% |
| Cigna | All Products Mid-Level | $786.04 | ↓ -82% |
| Cigna | Individual Family Plan Physician | $840.25 | ↓ -81% |
| Aetna | PPO First Health | $848.00 | ↓ -81% |
| UNITED | NHP | $850.00 | ↓ -81% |
| Cigna | Surefit Physician | $856.33 | ↓ -81% |
| United | All Products | $868.42 | ↓ -80% |
| AETNA | ALL PRODUCTS | $874.00 | ↓ -80% |
| OPTUM | Managed Medicaid | $901.17 | ↓ -80% |
| Cigna | All Products Physician | $924.74 | ↓ -79% |
| AMERIHEALTH | Managed Medicaid | $948.60 | ↓ -78% |
| Carelon BH Strategies | Managed Medicaid | $948.60 | ↓ -78% |
| SUNSHINE HEALTH | Managed Medicaid | $948.60 | ↓ -78% |
| MOLINA | Florida KidCare | $948.60 | ↓ -78% |
| Molina | Florida Kidcare | $948.60 | ↓ -78% |
| MOLINA | Managed Medicaid | $996.03 | ↓ -77% |
| AETNA | Managed Medicaid/CHIP | $1,043.46 | ↓ -76% |
| Independent Living Systems | Managed Medicaid | $1,138.32 | ↓ -74% |
| UNITED | International | $1,151.00 | ↓ -74% |
| UNITED | ALL PRODUCTS | $1,151.00 | ↓ -74% |
| Freedom Health | MEDICARE ADVANTAGE | $1,183.54 | ↓ -73% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $1,183.54 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $1,183.54 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $1,183.54 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $1,183.54 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $1,183.54 | ↓ -73% |
| Careplus | MEDICARE ADVANTAGE | $1,183.54 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $1,230.88 | ↓ -72% |
| Independent Living Systems | MEDICARE ADVANTAGE | $1,242.71 | ↓ -72% |
| WellMed | MEDICARE ADVANTAGE | $1,249.63 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $1,249.63 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $1,249.63 | ↓ -72% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,374.59 | ↓ -69% |
| Three Rivers | All Products | $1,396.20 | ↓ -68% |
| Clarity Health | All Products | $1,396.20 | ↓ -68% |
| The Legacy Companies | All Products | $1,396.20 | ↓ -68% |
| Consociate Health | ALL PRODUCTS | $1,611.00 | ↓ -63% |
| CIGNA | Individual Family Plan | $1,742.46 | ↓ -60% |
| National Provider Network | All Products | $1,825.80 | ↓ -59% |
| AVMED | EXCHANGE | $1,858.15 | ↓ -58% |
| Aetna | All Products First Health | $1,933.20 | ↓ -56% |
| AVMED | Select | $2,083.02 | ↓ -53% |
| CIGNA | SUREFIT | $2,101.80 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $2,156.04 | ↓ -51% |
| AVMED | BROAD | $2,710.30 | ↓ -39% |
| BMI | ALL PRODUCTS | $3,390.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $4,068.00 | ↓ -8% |
| BLUE CROSS | BSL | $4,383.00 | ↓ -1% |
| BLUE CROSS | HMO | $4,383.00 | ↓ -1% |
| The Legacy Companies | ALL PRODUCTS | $4,407.00 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $4,407.00 | ↑ +0% |
| MULTIPLAN | ALL PRODUCTS | $5,424.00 | ↑ +23% |
| AETNA | All Products First Health | $5,424.00 | ↑ +23% |
| BLUE CROSS | NWBI | $5,843.00 | ↑ +33% |
| BLUE CROSS | NWB | $5,843.00 | ↑ +33% |
| BLUE CROSS | PPO | $8,031.00 | ↑ +82% |
| BLUE CROSS | PHS | $8,031.00 | ↑ +82% |
| Consociate Health | Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products Anesthesia | 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 | — |
Visitor-reported prices
Comments
Ghs i and d perirectal abscess 46040 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $2,811.62 | $1,187.15 – $2,085.63 |
| Adventhealth Lake Wales | Lake Wales | $3,677.98 | $1,249.63 – $2,774.17 |
| Adventhealth Palm Coast Parkway | Palm Coast | $2,591.56 | $1,187.15 – $2,669.08 |
| Adventhealth Tampa | Tampa | $12,166.92 | $614.00 – $2,774.17 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $4,028.27 | $1,187.15 – $2,729.81 |
| cleveland clinic florida weston hospital | Weston | $4,407.00 | $209.26 – $5,763.00 |
| martin north hospital | Stuart | $4,407.00 | $319.68 – $3,390.00 |
| Baptist Hospital | MIAMI | $3,007.55 | $173.17 – $4,164.30 |