Grfg autol soft tiss dir exc at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,736.80
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.
$2,672.00
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.
$366.08 with Optum vs $8,415.31 with AVMED — 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 | $366.08 | ↓ -79% |
| Value Options | Managed Medicaid | $372.52 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $372.52 | ↓ -79% |
| Medicaid | Managed Medicaid | $372.52 | ↓ -79% |
| Wellcare | Managed Medicaid | $372.52 | ↓ -79% |
| Molina | Managed Medicaid | $372.52 | ↓ -79% |
| Blue Cross | Medicare Advantage HMO | $495.44 | ↓ -71% |
| Value Options | Medicare Advantage | $495.44 | ↓ -71% |
| Blue Cross | Medicare Advantage PPO | $495.44 | ↓ -71% |
| Wellcare | Medicare Advantage | $495.44 | ↓ -71% |
| Avmed | Medicare Advantage | $495.44 | ↓ -71% |
| Careplus | Medicare Advantage | $495.44 | ↓ -71% |
| Magellan | Medicare Advantage | $495.44 | ↓ -71% |
| United | Medicare Advantage | $502.39 | ↓ -71% |
| WellMed | Medicare Advantage | $520.21 | ↓ -70% |
| Independent Living Systems | Medicare Advantage | $520.21 | ↓ -70% |
| Freedom Health | Medicare Advantage | $520.21 | ↓ -70% |
| Clear Spring Health | All Products | $535.08 | ↓ -69% |
| Aetna | Medicare Advantage Behavioral Health | $594.53 | ↓ -66% |
| Aetna | Medicare Advantage PCP | $614.35 | ↓ -65% |
| Aetna | Medicare Advantage Specialist | $624.25 | ↓ -64% |
| Avmed | Exchange | $668.02 | ↓ -62% |
| Aetna | PPO First Health | $675.00 | ↓ -61% |
| Aetna | POS First Health | $675.00 | ↓ -61% |
| Avmed | Select | $693.71 | ↓ -60% |
| Avmed | Broad | $745.10 | ↓ -57% |
| United | All Products | $972.27 | ↓ -44% |
| The Legacy Companies | All Products | $975.00 | ↓ -44% |
| Clarity Health | All Products | $975.00 | ↓ -44% |
| Three Rivers | All Products | $975.00 | ↓ -44% |
| Consociate Health | ALL PRODUCTS | $1,125.00 | ↓ -35% |
| OPTUM | Managed Medicaid | $1,181.56 | ↓ -32% |
| Carelon BH Strategies | Managed Medicaid | $1,243.75 | ↓ -28% |
| Molina | Florida Kidcare | $1,243.75 | ↓ -28% |
| SUNSHINE HEALTH | Managed Medicaid | $1,243.75 | ↓ -28% |
| MOLINA | Florida KidCare | $1,243.75 | ↓ -28% |
| AMERIHEALTH | Managed Medicaid | $1,243.75 | ↓ -28% |
| National Provider Network | All Products | $1,275.00 | ↓ -27% |
| MOLINA | Managed Medicaid | $1,305.94 | ↓ -25% |
| Aetna | All Products First Health | $1,350.00 | ↓ -22% |
| AETNA | Managed Medicaid/CHIP | $1,368.13 | ↓ -21% |
| Independent Living Systems | Managed Medicaid | $1,492.50 | ↓ -14% |
| Cigna | Surefit Physician | $1,500.00 | ↓ -14% |
| Cigna | Surefit Mid-Level | $1,500.00 | ↓ -14% |
| Cigna | All Products Mid-Level | $1,500.00 | ↓ -14% |
| Cigna | All Products Physician | $1,500.00 | ↓ -14% |
| Cigna | Individual Family Plan Mid-Level | $1,500.00 | ↓ -14% |
| Cigna | Individual Family Plan Physician | $1,500.00 | ↓ -14% |
| HUMANA | Medicare Advantage HMO | $3,674.81 | ↑ +112% |
| Careplus | MEDICARE ADVANTAGE | $3,674.81 | ↑ +112% |
| Freedom Health | MEDICARE ADVANTAGE | $3,674.81 | ↑ +112% |
| UNITED | MEDICARE ADVANTAGE | $3,674.81 | ↑ +112% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $3,674.81 | ↑ +112% |
| BLUE CROSS | Medicare Advantage PPO | $3,674.81 | ↑ +112% |
| BLUE CROSS | Medicare Advantage HMO | $3,674.81 | ↑ +112% |
| Wellcare | MEDICARE ADVANTAGE | $3,700.64 | ↑ +113% |
| WellMed | MEDICARE ADVANTAGE | $3,700.64 | ↑ +113% |
| AETNA | MEDICARE ADVANTAGE | $3,700.64 | ↑ +113% |
| AVMED | MEDICARE ADVANTAGE | $3,821.80 | ↑ +120% |
| Independent Living Systems | MEDICARE ADVANTAGE | $3,858.55 | ↑ +122% |
| DEVOTED HEALTH | Medicare Advantage HMO | $4,070.70 | ↑ +134% |
| AVMED | EXCHANGE | $5,769.45 | ↑ +232% |
| AVMED | Select | $6,467.66 | ↑ +272% |
| AVMED | BROAD | $8,415.31 | ↑ +385% |
| Value Options | All Products | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
Visitor-reported prices
Comments
Grfg autol soft tiss dir exc at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $1,736.80 | $366.08 – $4,070.70 |
| martin north hospital | Stuart | $1,736.80 | $372.52 – $4,070.70 |
| Baptist Hospital | MIAMI | $10,687.95 | $173.17 – $14,798.70 |
| Bethesda Hospital East | BOYNTON BEACH | $10,687.95 | $1,228.20 – $14,798.70 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $10,687.95 | $1,190.61 – $14,798.70 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,515.61 – $6,176.36 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $3,515.61 – $8,084.04 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $840.14 – $857.83 |