Ghs simple repair over 30 cm - 12018 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$484.25
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.
$745.00
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.
$115.89 with OPTUM vs $5,761.00 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 | $115.89 | ↓ -76% |
| Carelon BH Strategies | Managed Medicaid | $121.99 | ↓ -75% |
| Medicaid | Managed Medicaid | $121.99 | ↓ -75% |
| Molina | Florida Kidcare | $121.99 | ↓ -75% |
| AMERIHEALTH | Managed Medicaid | $121.99 | ↓ -75% |
| Wellcare | Managed Medicaid | $121.99 | ↓ -75% |
| SUNSHINE HEALTH | Managed Medicaid | $121.99 | ↓ -75% |
| MOLINA | Florida KidCare | $121.99 | ↓ -75% |
| MOLINA | Managed Medicaid | $128.09 | ↓ -74% |
| AETNA | Managed Medicaid/CHIP | $134.19 | ↓ -72% |
| Independent Living Systems | Managed Medicaid | $146.39 | ↓ -70% |
| CIGNA | Individual Family Plan | $191.47 | ↓ -60% |
| BLUE CROSS | Medicare Advantage HMO | $199.45 | ↓ -59% |
| UNITED | MEDICARE ADVANTAGE | $199.45 | ↓ -59% |
| Freedom Health | MEDICARE ADVANTAGE | $199.45 | ↓ -59% |
| Careplus | MEDICARE ADVANTAGE | $199.45 | ↓ -59% |
| HUMANA | Medicare Advantage HMO | $199.45 | ↓ -59% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $199.45 | ↓ -59% |
| BLUE CROSS | Medicare Advantage PPO | $199.45 | ↓ -59% |
| AVMED | MEDICARE ADVANTAGE | $207.43 | ↓ -57% |
| Independent Living Systems | MEDICARE ADVANTAGE | $209.42 | ↓ -57% |
| Wellcare | MEDICARE ADVANTAGE | $209.52 | ↓ -57% |
| AETNA | MEDICARE ADVANTAGE | $209.52 | ↓ -57% |
| WellMed | MEDICARE ADVANTAGE | $209.52 | ↓ -57% |
| DEVOTED HEALTH | Medicare Advantage HMO | $230.47 | ↓ -52% |
| CIGNA | SUREFIT | $230.95 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $236.91 | ↓ -51% |
| Clear Spring Health | ALL PRODUCTS | $239.08 | ↓ -51% |
| AVMED | EXCHANGE | $313.14 | ↓ -35% |
| AVMED | Select | $351.03 | ↓ -28% |
| BMI | ALL PRODUCTS | $372.50 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $447.00 | ↓ -8% |
| AVMED | BROAD | $456.74 | ↓ -6% |
| The Legacy Companies | ALL PRODUCTS | $484.25 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $484.25 | ↑ +0% |
| AETNA | QHP | $554.00 | ↑ +14% |
| Consociate Health | ALL PRODUCTS | $558.75 | ↑ +15% |
| AETNA | All Products First Health | $596.00 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $596.00 | ↑ +23% |
| UNITED | NHP | $850.00 | ↑ +76% |
| UNITED | International | $1,151.00 | ↑ +138% |
| UNITED | ALL PRODUCTS | $1,151.00 | ↑ +138% |
| BLUE CROSS | HMO | $2,971.00 | ↑ +514% |
| BLUE CROSS | BSL | $2,971.00 | ↑ +514% |
| BLUE CROSS | NWB | $3,928.00 | ↑ +711% |
| BLUE CROSS | NWBI | $3,928.00 | ↑ +711% |
| AETNA | ALL PRODUCTS | $4,542.00 | ↑ +838% |
| BLUE CROSS | PPO | $5,761.00 | ↑ +1090% |
| BLUE CROSS | PHS | $5,761.00 | ↑ +1090% |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Ghs simple repair over 30 cm - 12018 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $484.25 | $115.89 – $1,715.00 |
| martin north hospital | Stuart | $1,032.20 | $121.99 – $1,588.00 |
| Baptist Hospital | MIAMI | $475.15 | $120.46 – $657.90 |
| Bethesda Hospital East | BOYNTON BEACH | $475.15 | $120.46 – $657.90 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $475.15 | $116.77 – $657.90 |
| AdventHealth Orlando | Orlando | $751.00 | $209.52 – $555.22 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $199.04 – $349.69 |
| Adventhealth Lake Wales | Lake Wales | not published | $209.52 – $465.13 |