Hdr rdncl ntrstl/icav brchtx at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$3,889.60
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.
$5,984.00
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.
$76.43 with Aetna vs $4,787.20 with AETNA — 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 |
|---|---|---|---|
| Aetna | PPO First Health | $76.43 | ↓ -98% |
| United | Medicare Advantage | $101.95 | ↓ -97% |
| Value Options | Medicare Advantage | $104.75 | ↓ -97% |
| Magellan | Medicare Advantage | $104.75 | ↓ -97% |
| Wellcare | Medicare Advantage | $104.75 | ↓ -97% |
| Blue Cross | Medicare Advantage HMO | $104.75 | ↓ -97% |
| Careplus | Medicare Advantage | $104.75 | ↓ -97% |
| Avmed | Medicare Advantage | $104.75 | ↓ -97% |
| Blue Cross | Medicare Advantage PPO | $104.75 | ↓ -97% |
| Independent Living Systems | Medicare Advantage | $107.05 | ↓ -97% |
| WellMed | Medicare Advantage | $109.99 | ↓ -97% |
| Freedom Health | Medicare Advantage | $109.99 | ↓ -97% |
| Clear Spring Health | All Products | $113.13 | ↓ -97% |
| Blue Cross | Health Options | $121.77 | ↓ -97% |
| Blue Cross | Network Blue | $124.92 | ↓ -97% |
| Aetna | Medicare Advantage Behavioral Health | $125.70 | ↓ -97% |
| Blue Cross | Perferred Patient Care | $128.06 | ↓ -97% |
| Blue Cross | Traditional (PPS) | $128.06 | ↓ -97% |
| Aetna | Medicare Advantage PCP | $129.89 | ↓ -97% |
| Aetna | Medicare Advantage Specialist | $131.99 | ↓ -97% |
| United | All Products | $132.91 | ↓ -97% |
| Avmed | Exchange | $134.56 | ↓ -97% |
| Avmed | Select | $139.74 | ↓ -96% |
| Avmed | Broad | $150.09 | ↓ -96% |
| OPTUM | Managed Medicaid | $280.79 | ↓ -93% |
| Molina | Florida Kidcare | $295.57 | ↓ -92% |
| Wellcare | Managed Medicaid | $295.57 | ↓ -92% |
| AMERIHEALTH | Managed Medicaid | $295.57 | ↓ -92% |
| SUNSHINE HEALTH | Managed Medicaid | $295.57 | ↓ -92% |
| MOLINA | Florida KidCare | $295.57 | ↓ -92% |
| Carelon BH Strategies | Managed Medicaid | $295.57 | ↓ -92% |
| Medicaid | Managed Medicaid | $295.57 | ↓ -92% |
| MOLINA | Managed Medicaid | $310.35 | ↓ -92% |
| AETNA | Managed Medicaid/CHIP | $325.13 | ↓ -92% |
| Aetna | POS First Health | $351.00 | ↓ -91% |
| Independent Living Systems | Managed Medicaid | $354.68 | ↓ -91% |
| UNITED | NHP | $403.00 | ↓ -90% |
| The Legacy Companies | All Products | $507.00 | ↓ -87% |
| Clarity Health | All Products | $507.00 | ↓ -87% |
| Three Rivers | All Products | $507.00 | ↓ -87% |
| Clear Spring Health | ALL PRODUCTS | $517.09 | ↓ -87% |
| UNITED | ALL PRODUCTS | $520.00 | ↓ -87% |
| UNITED | International | $520.00 | ↓ -87% |
| Consociate Health | ALL PRODUCTS | $585.00 | ↓ -85% |
| National Provider Network | All Products | $663.00 | ↓ -83% |
| UNITED | MEDICARE ADVANTAGE | $696.43 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $696.43 | ↓ -82% |
| BLUE CROSS | Medicare Advantage PPO | $696.43 | ↓ -82% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $696.43 | ↓ -82% |
| Careplus | MEDICARE ADVANTAGE | $696.43 | ↓ -82% |
| Freedom Health | MEDICARE ADVANTAGE | $696.43 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $696.43 | ↓ -82% |
| Aetna | All Products First Health | $702.00 | ↓ -82% |
| AVMED | MEDICARE ADVANTAGE | $724.29 | ↓ -81% |
| WellMed | MEDICARE ADVANTAGE | $727.31 | ↓ -81% |
| Wellcare | MEDICARE ADVANTAGE | $727.31 | ↓ -81% |
| AETNA | MEDICARE ADVANTAGE | $727.31 | ↓ -81% |
| Independent Living Systems | MEDICARE ADVANTAGE | $731.25 | ↓ -81% |
| Cigna | Surefit Mid-Level | $780.00 | ↓ -80% |
| Cigna | All Products Mid-Level | $780.00 | ↓ -80% |
| Cigna | All Products Physician | $780.00 | ↓ -80% |
| Cigna | Individual Family Plan Mid-Level | $780.00 | ↓ -80% |
| Cigna | Individual Family Plan Physician | $780.00 | ↓ -80% |
| Cigna | Surefit Physician | $780.00 | ↓ -80% |
| DEVOTED HEALTH | Medicare Advantage HMO | $800.05 | ↓ -79% |
| AVMED | EXCHANGE | $1,093.40 | ↓ -72% |
| AVMED | Select | $1,225.72 | ↓ -68% |
| AETNA | QHP | $1,400.26 | ↓ -64% |
| BLUE CROSS | BSL | $1,430.00 | ↓ -63% |
| BLUE CROSS | HMO | $1,430.00 | ↓ -63% |
| CIGNA | Individual Family Plan | $1,537.89 | ↓ -60% |
| AVMED | BROAD | $1,594.83 | ↓ -59% |
| BLUE CROSS | NWB | $1,656.00 | ↓ -57% |
| BLUE CROSS | NWBI | $1,656.00 | ↓ -57% |
| CIGNA | SUREFIT | $1,855.04 | ↓ -52% |
| BLUE CROSS | PHS | $1,882.00 | ↓ -52% |
| BLUE CROSS | PPO | $1,882.00 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $1,902.91 | ↓ -51% |
| AETNA | ALL PRODUCTS | $2,130.30 | ↓ -45% |
| BMI | ALL PRODUCTS | $2,992.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $3,590.40 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $3,889.60 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $3,889.60 | ↑ +0% |
| MULTIPLAN | ALL PRODUCTS | $4,787.20 | ↑ +23% |
| AETNA | All Products First Health | $4,787.20 | ↑ +23% |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Optum | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | 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
Hdr rdncl ntrstl/icav brchtx at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $3,519.18 | not published |
| cleveland clinic florida weston hospital | Weston | $4,396.60 | $101.95 – $5,086.40 |
| martin north hospital | Stuart | $4,396.60 | $104.75 – $2,992.00 |
| Baptist Hospital | MIAMI | $10,513.75 | $173.17 – $14,557.50 |
| Boca Raton Regional Hospital | BOCA RATON | $5,731.05 | $285.70 – $5,757.50 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $2,445.60 | $696.43 – $1,288.40 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville | $6,587.85 | $675.54 – $1,427.68 |
| Adventhealth Waterman | Tavares | $8,461.99 | not published |