Gu dilat ureter/urethra s&i at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$215.80
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.
$332.00
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.
$23.87 with Blue Cross vs $4,708.82 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 |
|---|---|---|---|
| Blue Cross | Health Options | $23.87 | ↓ -89% |
| Blue Cross | Network Blue | $24.45 | ↓ -89% |
| Blue Cross | Perferred Patient Care | $25.04 | ↓ -88% |
| Blue Cross | Traditional (PPS) | $25.04 | ↓ -88% |
| Aetna | PPO First Health | $30.00 | ↓ -86% |
| United | Medicare Advantage | $38.25 | ↓ -82% |
| Independent Living Systems | Medicare Advantage | $40.16 | ↓ -81% |
| Blue Cross | Medicare Advantage HMO | $40.57 | ↓ -81% |
| Wellcare | Medicare Advantage | $40.57 | ↓ -81% |
| Magellan | Medicare Advantage | $40.57 | ↓ -81% |
| Careplus | Medicare Advantage | $40.57 | ↓ -81% |
| Value Options | Medicare Advantage | $40.57 | ↓ -81% |
| Avmed | Medicare Advantage | $40.57 | ↓ -81% |
| Blue Cross | Medicare Advantage PPO | $40.57 | ↓ -81% |
| Freedom Health | Medicare Advantage | $42.60 | ↓ -80% |
| WellMed | Medicare Advantage | $42.60 | ↓ -80% |
| Clear Spring Health | All Products | $43.82 | ↓ -80% |
| Aetna | Medicare Advantage Behavioral Health | $48.68 | ↓ -77% |
| United | All Products | $50.11 | ↓ -77% |
| Aetna | Medicare Advantage PCP | $50.31 | ↓ -77% |
| Avmed | Exchange | $50.74 | ↓ -76% |
| Aetna | Medicare Advantage Specialist | $51.12 | ↓ -76% |
| Avmed | Select | $52.69 | ↓ -76% |
| Avmed | Broad | $56.59 | ↓ -74% |
| OPTUM | Managed Medicaid | $136.83 | ↓ -37% |
| Wellcare | Managed Medicaid | $144.03 | ↓ -33% |
| SUNSHINE HEALTH | Managed Medicaid | $144.03 | ↓ -33% |
| Medicaid | Managed Medicaid | $144.03 | ↓ -33% |
| Carelon BH Strategies | Managed Medicaid | $144.03 | ↓ -33% |
| AMERIHEALTH | Managed Medicaid | $144.03 | ↓ -33% |
| MOLINA | Florida KidCare | $144.03 | ↓ -33% |
| Molina | Florida Kidcare | $144.03 | ↓ -33% |
| Aetna | POS First Health | $149.40 | ↓ -31% |
| MOLINA | Managed Medicaid | $151.23 | ↓ -30% |
| AETNA | Managed Medicaid/CHIP | $158.43 | ↓ -27% |
| Independent Living Systems | Managed Medicaid | $172.84 | ↓ -20% |
| Clarity Health | All Products | $215.80 | ↑ +0% |
| The Legacy Companies | All Products | $215.80 | ↑ +0% |
| Three Rivers | All Products | $215.80 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $249.00 | ↑ +15% |
| National Provider Network | All Products | $282.20 | ↑ +31% |
| Aetna | All Products First Health | $298.80 | ↑ +38% |
| Cigna | Individual Family Plan Mid-Level | $332.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $332.00 | ↑ +54% |
| Cigna | All Products Physician | $332.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $332.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $332.00 | ↑ +54% |
| Cigna | Surefit Physician | $332.00 | ↑ +54% |
| BLUE CROSS | Medicare Advantage PPO | $2,056.25 | ↑ +853% |
| Freedom Health | MEDICARE ADVANTAGE | $2,056.25 | ↑ +853% |
| HUMANA | Medicare Advantage HMO | $2,056.25 | ↑ +853% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $2,056.25 | ↑ +853% |
| BLUE CROSS | Medicare Advantage HMO | $2,056.25 | ↑ +853% |
| Careplus | MEDICARE ADVANTAGE | $2,056.25 | ↑ +853% |
| UNITED | MEDICARE ADVANTAGE | $2,056.25 | ↑ +853% |
| AVMED | MEDICARE ADVANTAGE | $2,138.50 | ↑ +891% |
| Independent Living Systems | MEDICARE ADVANTAGE | $2,159.07 | ↑ +900% |
| WellMed | MEDICARE ADVANTAGE | $2,182.94 | ↑ +912% |
| AETNA | MEDICARE ADVANTAGE | $2,182.94 | ↑ +912% |
| Wellcare | MEDICARE ADVANTAGE | $2,182.94 | ↑ +912% |
| DEVOTED HEALTH | Medicare Advantage HMO | $2,401.24 | ↑ +1013% |
| AVMED | EXCHANGE | $3,228.32 | ↑ +1396% |
| AVMED | Select | $3,619.01 | ↑ +1577% |
| AVMED | BROAD | $4,708.82 | ↑ +2082% |
| Aetna | Medical Rental | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Value Options | Managed Medicaid | 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 | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Optum | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Gu dilat ureter/urethra s&i at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $11,714.00 | $1,309.66 – $4,034.23 |
| Adventhealth Port Charlotte | Port Charlotte | $5,359.10 | $1,681.51 – $3,986.05 |
| cleveland clinic florida weston hospital | Weston | $11,700.65 | $22.30 – $15,018.65 |
| martin north hospital | Stuart | $11,484.85 | $19.95 – $8,834.50 |
| Baptist Hospital | MIAMI | $3,803.80 | $129.63 – $5,266.80 |
| Bethesda Hospital East | BOYNTON BEACH | $3,803.80 | $129.63 – $5,266.80 |
| Boca Raton Regional Hospital | BOCA RATON | $3,100.50 | $468.00 – $3,114.81 |
| Doctors Hospital | CORAL GABLES | $3,803.80 | $125.66 – $5,266.80 |