Hdr rdncl ntrstl/icav brchtx at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,404.00
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.
?
What you pay up front if you don't use insurance.
$2,160.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$212.05 with Aetna vs $2,160.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $212.05 | ↓ -85% |
| United | Medicare Advantage | $281.21 | ↓ -80% |
| Blue Cross | Medicare Advantage HMO | $289.54 | ↓ -79% |
| Value Options | Medicare Advantage | $289.54 | ↓ -79% |
| Magellan | Medicare Advantage | $289.54 | ↓ -79% |
| Avmed | Medicare Advantage | $289.54 | ↓ -79% |
| Careplus | Medicare Advantage | $289.54 | ↓ -79% |
| Wellcare | Medicare Advantage | $289.54 | ↓ -79% |
| Blue Cross | Medicare Advantage PPO | $289.54 | ↓ -79% |
| Independent Living Systems | Medicare Advantage | $295.27 | ↓ -79% |
| WellMed | Medicare Advantage | $304.02 | ↓ -78% |
| Freedom Health | Medicare Advantage | $304.02 | ↓ -78% |
| Clear Spring Health | All Products | $312.70 | ↓ -78% |
| Blue Cross | Health Options | $336.91 | ↓ -76% |
| Blue Cross | Network Blue | $345.63 | ↓ -75% |
| Aetna | Medicare Advantage Behavioral Health | $347.45 | ↓ -75% |
| Blue Cross | Traditional (PPS) | $354.34 | ↓ -75% |
| Blue Cross | Perferred Patient Care | $354.34 | ↓ -75% |
| Aetna | Medicare Advantage PCP | $359.03 | ↓ -74% |
| Aetna | Medicare Advantage Specialist | $364.82 | ↓ -74% |
| United | All Products | $365.93 | ↓ -74% |
| Avmed | Exchange | $370.49 | ↓ -74% |
| Avmed | Select | $384.74 | ↓ -73% |
| Avmed | Broad | $413.24 | ↓ -71% |
| BLUE CROSS | Medicare Advantage PPO | $696.43 | ↓ -50% |
| UNITED | MEDICARE ADVANTAGE | $696.43 | ↓ -50% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $696.43 | ↓ -50% |
| Freedom Health | MEDICARE ADVANTAGE | $696.43 | ↓ -50% |
| BLUE CROSS | Medicare Advantage HMO | $696.43 | ↓ -50% |
| HUMANA | Medicare Advantage HMO | $696.43 | ↓ -50% |
| Careplus | MEDICARE ADVANTAGE | $696.43 | ↓ -50% |
| AVMED | MEDICARE ADVANTAGE | $724.29 | ↓ -48% |
| WellMed | MEDICARE ADVANTAGE | $727.31 | ↓ -48% |
| Wellcare | MEDICARE ADVANTAGE | $727.31 | ↓ -48% |
| AETNA | MEDICARE ADVANTAGE | $727.31 | ↓ -48% |
| Independent Living Systems | MEDICARE ADVANTAGE | $731.25 | ↓ -48% |
| DEVOTED HEALTH | Medicare Advantage HMO | $800.05 | ↓ -43% |
| OPTUM | Managed Medicaid | $832.44 | ↓ -41% |
| Medicaid | Managed Medicaid | $876.25 | ↓ -38% |
| SUNSHINE HEALTH | Managed Medicaid | $876.25 | ↓ -38% |
| Wellcare | Managed Medicaid | $876.25 | ↓ -38% |
| MOLINA | Florida KidCare | $876.25 | ↓ -38% |
| Carelon BH Strategies | Managed Medicaid | $876.25 | ↓ -38% |
| Molina | Florida Kidcare | $876.25 | ↓ -38% |
| AMERIHEALTH | Managed Medicaid | $876.25 | ↓ -38% |
| MOLINA | Managed Medicaid | $920.06 | ↓ -34% |
| AETNA | Managed Medicaid/CHIP | $963.88 | ↓ -31% |
| Aetna | POS First Health | $972.00 | ↓ -31% |
| Independent Living Systems | Managed Medicaid | $1,051.50 | ↓ -25% |
| AVMED | EXCHANGE | $1,093.40 | ↓ -22% |
| AVMED | Select | $1,225.72 | ↓ -13% |
| The Legacy Companies | All Products | $1,404.00 | ↑ +0% |
| Clarity Health | All Products | $1,404.00 | ↑ +0% |
| Three Rivers | All Products | $1,404.00 | ↑ +0% |
| AVMED | BROAD | $1,594.83 | ↑ +14% |
| Consociate Health | ALL PRODUCTS | $1,620.00 | ↑ +15% |
| National Provider Network | All Products | $1,836.00 | ↑ +31% |
| Aetna | All Products First Health | $1,944.00 | ↑ +38% |
| Cigna | Surefit Physician | $2,160.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $2,160.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $2,160.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $2,160.00 | ↑ +54% |
| Cigna | All Products Physician | $2,160.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $2,160.00 | ↑ +54% |
| Aetna | Medical Rental | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Optum | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
Visitor-reported prices
Comments
Hdr rdncl ntrstl/icav brchtx at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $5,293.60 | $281.21 – $2,160.00 |
| martin north hospital | Stuart | $5,293.60 | $289.54 – $2,992.00 |
| Baptist Hospital | MIAMI | $18,732.35 | $173.17 – $25,937.10 |
| Boca Raton Regional Hospital | BOCA RATON | $2,124.20 | $285.70 – $2,134.00 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $2,445.60 | $696.43 – $1,936.61 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville | $7,228.51 | $675.54 – $1,810.70 |
| AdventHealth Orlando | Orlando | $18,484.00 | not published |
| Adventhealth Carrollwood | Tampa | $9,093.19 | not published |