Ghs incision thrombosed ext hemorrhoid at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$909.35
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.
$1,399.00
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.
$60.85 with Optum vs $4,545.00 with BLUE CROSS — 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 | $60.85 | ↓ -93% |
| Blue Cross | Health Options | $99.12 | ↓ -89% |
| Blue Cross | Network Blue | $101.56 | ↓ -89% |
| Blue Cross | Traditional (PPS) | $104.00 | ↓ -89% |
| Blue Cross | Perferred Patient Care | $104.00 | ↓ -89% |
| United | Medicare Advantage | $115.55 | ↓ -87% |
| Value Options | Medicare Advantage | $116.35 | ↓ -87% |
| Blue Cross | Medicare Advantage PPO | $116.35 | ↓ -87% |
| Blue Cross | Medicare Advantage HMO | $116.35 | ↓ -87% |
| Wellcare | Medicare Advantage | $116.35 | ↓ -87% |
| Careplus | Medicare Advantage | $116.35 | ↓ -87% |
| Avmed | Medicare Advantage | $116.35 | ↓ -87% |
| Magellan | Medicare Advantage | $116.35 | ↓ -87% |
| Independent Living Systems | Medicare Advantage | $121.33 | ↓ -87% |
| Freedom Health | Medicare Advantage | $122.17 | ↓ -87% |
| WellMed | Medicare Advantage | $122.17 | ↓ -87% |
| Clear Spring Health | All Products | $125.66 | ↓ -86% |
| Aetna | Medicare Advantage Behavioral Health | $139.62 | ↓ -85% |
| Clear Spring Health | ALL PRODUCTS | $141.46 | ↓ -84% |
| Aetna | Medicare Advantage PCP | $144.27 | ↓ -84% |
| Aetna | Medicare Advantage Specialist | $146.60 | ↓ -84% |
| Avmed | Exchange | $152.96 | ↓ -83% |
| Medicaid | Managed Medicaid | $158.30 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $158.30 | ↓ -83% |
| Value Options | Managed Medicaid | $158.30 | ↓ -83% |
| Wellcare | Managed Medicaid | $158.30 | ↓ -83% |
| Molina | Managed Medicaid | $158.30 | ↓ -83% |
| Avmed | Select | $158.84 | ↓ -83% |
| Aetna | POS First Health | $168.98 | ↓ -81% |
| Avmed | Broad | $170.61 | ↓ -81% |
| United | All Products | $222.62 | ↓ -76% |
| Cigna | Individual Family Plan Mid-Level | $230.31 | ↓ -75% |
| Cigna | Surefit Mid-Level | $234.72 | ↓ -74% |
| Careplus | MEDICARE ADVANTAGE | $244.13 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $244.13 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $244.13 | ↓ -73% |
| Freedom Health | MEDICARE ADVANTAGE | $244.13 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $244.13 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $244.13 | ↓ -73% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $244.13 | ↓ -73% |
| Cigna | All Products Mid-Level | $253.47 | ↓ -72% |
| AVMED | MEDICARE ADVANTAGE | $253.89 | ↓ -72% |
| Independent Living Systems | MEDICARE ADVANTAGE | $256.34 | ↓ -72% |
| WellMed | MEDICARE ADVANTAGE | $260.91 | ↓ -71% |
| AETNA | MEDICARE ADVANTAGE | $260.91 | ↓ -71% |
| Wellcare | MEDICARE ADVANTAGE | $260.91 | ↓ -71% |
| Cigna | Individual Family Plan Physician | $270.95 | ↓ -70% |
| Cigna | Surefit Physician | $276.13 | ↓ -70% |
| Aetna | PPO First Health | $281.30 | ↓ -69% |
| DEVOTED HEALTH | Medicare Advantage HMO | $287.00 | ↓ -68% |
| Cigna | All Products Physician | $298.19 | ↓ -67% |
| AETNA | QHP | $327.37 | ↓ -64% |
| CIGNA | Individual Family Plan | $359.54 | ↓ -60% |
| Three Rivers | All Products | $377.00 | ↓ -59% |
| Clarity Health | All Products | $377.00 | ↓ -59% |
| The Legacy Companies | All Products | $377.00 | ↓ -59% |
| AVMED | EXCHANGE | $383.28 | ↓ -58% |
| AVMED | Select | $429.67 | ↓ -53% |
| CIGNA | SUREFIT | $433.69 | ↓ -52% |
| Consociate Health | ALL PRODUCTS | $435.00 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $444.88 | ↓ -51% |
| National Provider Network | All Products | $493.00 | ↓ -46% |
| AETNA | ALL PRODUCTS | $498.04 | ↓ -45% |
| Aetna | All Products First Health | $522.00 | ↓ -43% |
| AVMED | BROAD | $559.06 | ↓ -39% |
| BMI | ALL PRODUCTS | $699.50 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $839.40 | ↓ -8% |
| UNITED | NHP | $850.00 | ↓ -7% |
| OPTUM | Managed Medicaid | $901.17 | ↓ -1% |
| Clarity Health | ALL PRODUCTS | $909.35 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $909.35 | ↑ +0% |
| SUNSHINE HEALTH | Managed Medicaid | $948.60 | ↑ +4% |
| AMERIHEALTH | Managed Medicaid | $948.60 | ↑ +4% |
| Carelon BH Strategies | Managed Medicaid | $948.60 | ↑ +4% |
| Molina | Florida Kidcare | $948.60 | ↑ +4% |
| MOLINA | Florida KidCare | $948.60 | ↑ +4% |
| MOLINA | Managed Medicaid | $996.03 | ↑ +10% |
| AETNA | Managed Medicaid/CHIP | $1,043.46 | ↑ +15% |
| MULTIPLAN | ALL PRODUCTS | $1,119.20 | ↑ +23% |
| AETNA | All Products First Health | $1,119.20 | ↑ +23% |
| Independent Living Systems | Managed Medicaid | $1,138.32 | ↑ +25% |
| UNITED | ALL PRODUCTS | $1,151.00 | ↑ +27% |
| UNITED | International | $1,151.00 | ↑ +27% |
| BLUE CROSS | HMO | $2,784.00 | ↑ +206% |
| BLUE CROSS | BSL | $2,784.00 | ↑ +206% |
| BLUE CROSS | NWBI | $3,679.00 | ↑ +305% |
| BLUE CROSS | NWB | $3,679.00 | ↑ +305% |
| BLUE CROSS | PHS | $4,545.00 | ↑ +400% |
| BLUE CROSS | PPO | $4,545.00 | ↑ +400% |
| 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 | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
Visitor-reported prices
Comments
Ghs incision thrombosed ext hemorrhoid at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $945.56 | not published |
| Adventhealth Lake Wales | Lake Wales | $882.72 | $260.91 – $579.22 |
| Adventhealth Palm Coast Parkway | Palm Coast | $847.52 | $247.87 – $557.28 |
| Adventhealth Tampa | Tampa | $840.75 | $260.91 – $579.22 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $770.25 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $1,242.59 | not published |
| cleveland clinic florida weston hospital | Weston | $909.35 | $60.85 – $1,189.15 |
| martin north hospital | Stuart | $909.35 | $82.87 – $996.03 |