Hepatobiliary system imaging at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$2,252.90
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.
$3,466.00
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.
$27.62 with Aetna vs $2,772.80 with MULTIPLAN — 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 | $27.62 | ↓ -99% |
| Blue Cross | Health Options | $31.91 | ↓ -99% |
| Blue Cross | Network Blue | $32.70 | ↓ -99% |
| Blue Cross | Traditional (PPS) | $33.48 | ↓ -99% |
| Blue Cross | Perferred Patient Care | $33.48 | ↓ -99% |
| United | Medicare Advantage | $34.30 | ↓ -98% |
| Magellan | Medicare Advantage | $35.10 | ↓ -98% |
| Avmed | Medicare Advantage | $35.10 | ↓ -98% |
| Value Options | Medicare Advantage | $35.10 | ↓ -98% |
| Wellcare | Medicare Advantage | $35.10 | ↓ -98% |
| Blue Cross | Medicare Advantage PPO | $35.10 | ↓ -98% |
| Blue Cross | Medicare Advantage HMO | $35.10 | ↓ -98% |
| Careplus | Medicare Advantage | $35.10 | ↓ -98% |
| Independent Living Systems | Medicare Advantage | $36.02 | ↓ -98% |
| WellMed | Medicare Advantage | $36.86 | ↓ -98% |
| Freedom Health | Medicare Advantage | $36.86 | ↓ -98% |
| Clear Spring Health | All Products | $37.91 | ↓ -98% |
| Aetna | Medicare Advantage Behavioral Health | $42.12 | ↓ -98% |
| Aetna | Medicare Advantage PCP | $43.52 | ↓ -98% |
| Aetna | Medicare Advantage Specialist | $44.23 | ↓ -98% |
| United | All Products | $45.31 | ↓ -98% |
| Avmed | Exchange | $45.88 | ↓ -98% |
| Avmed | Select | $47.64 | ↓ -98% |
| Avmed | Broad | $51.17 | ↓ -98% |
| Aetna | POS First Health | $133.20 | ↓ -94% |
| Clarity Health | All Products | $192.40 | ↓ -91% |
| Three Rivers | All Products | $192.40 | ↓ -91% |
| The Legacy Companies | All Products | $192.40 | ↓ -91% |
| Consociate Health | ALL PRODUCTS | $222.00 | ↓ -90% |
| OPTUM | Managed Medicaid | $225.17 | ↓ -90% |
| AMERIHEALTH | Managed Medicaid | $237.02 | ↓ -89% |
| SUNSHINE HEALTH | Managed Medicaid | $237.02 | ↓ -89% |
| MOLINA | Florida KidCare | $237.02 | ↓ -89% |
| Molina | Florida Kidcare | $237.02 | ↓ -89% |
| Medicaid | Managed Medicaid | $237.02 | ↓ -89% |
| Carelon BH Strategies | Managed Medicaid | $237.02 | ↓ -89% |
| Wellcare | Managed Medicaid | $237.02 | ↓ -89% |
| MOLINA | Managed Medicaid | $248.87 | ↓ -89% |
| National Provider Network | All Products | $251.60 | ↓ -89% |
| AETNA | Managed Medicaid/CHIP | $260.72 | ↓ -88% |
| Aetna | All Products First Health | $266.40 | ↓ -88% |
| Independent Living Systems | Managed Medicaid | $284.42 | ↓ -87% |
| Cigna | Individual Family Plan Mid-Level | $296.00 | ↓ -87% |
| Cigna | All Products Physician | $296.00 | ↓ -87% |
| Cigna | Individual Family Plan Physician | $296.00 | ↓ -87% |
| Cigna | Surefit Mid-Level | $296.00 | ↓ -87% |
| Cigna | Surefit Physician | $296.00 | ↓ -87% |
| Cigna | All Products Mid-Level | $296.00 | ↓ -87% |
| BLUE CROSS | Medicare Advantage PPO | $403.35 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $403.35 | ↓ -82% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $403.35 | ↓ -82% |
| Careplus | MEDICARE ADVANTAGE | $403.35 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $403.35 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $403.35 | ↓ -82% |
| Freedom Health | MEDICARE ADVANTAGE | $403.35 | ↓ -82% |
| WellMed | MEDICARE ADVANTAGE | $417.47 | ↓ -81% |
| AETNA | MEDICARE ADVANTAGE | $417.47 | ↓ -81% |
| Wellcare | MEDICARE ADVANTAGE | $417.47 | ↓ -81% |
| AVMED | MEDICARE ADVANTAGE | $419.48 | ↓ -81% |
| Independent Living Systems | MEDICARE ADVANTAGE | $423.52 | ↓ -81% |
| Clear Spring Health | ALL PRODUCTS | $432.14 | ↓ -81% |
| DEVOTED HEALTH | Medicare Advantage HMO | $459.22 | ↓ -80% |
| AVMED | EXCHANGE | $633.26 | ↓ -72% |
| AVMED | Select | $709.89 | ↓ -68% |
| AETNA | QHP | $811.04 | ↓ -64% |
| CIGNA | Individual Family Plan | $890.76 | ↓ -60% |
| AVMED | BROAD | $923.67 | ↓ -59% |
| CIGNA | SUREFIT | $1,074.46 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $1,102.19 | ↓ -51% |
| AETNA | ALL PRODUCTS | $1,233.90 | ↓ -45% |
| BLUE CROSS | HMO | $1,575.00 | ↓ -30% |
| BLUE CROSS | BSL | $1,575.00 | ↓ -30% |
| BMI | ALL PRODUCTS | $1,733.00 | ↓ -23% |
| BLUE CROSS | NWB | $1,760.00 | ↓ -22% |
| BLUE CROSS | NWBI | $1,760.00 | ↓ -22% |
| BLUE CROSS | PHS | $2,038.00 | ↓ -10% |
| BLUE CROSS | PPO | $2,038.00 | ↓ -10% |
| MAGELLAN | ALL PRODUCTS | $2,079.60 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $2,252.90 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $2,252.90 | ↑ +0% |
| AETNA | All Products First Health | $2,772.80 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $2,772.80 | ↑ +23% |
| UNITED | NHP | 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 | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | 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 | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Hepatobiliary system imaging at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,203.02 | $396.60 – $696.76 |
| Adventhealth Lake Wales | Lake Wales | $5,046.36 | $417.47 – $926.79 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,275.05 | $396.60 – $891.68 |
| Adventhealth Tampa | Tampa | $1,891.53 | $417.47 – $926.79 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,765.34 | $396.60 – $911.97 |
| Adventhealth Port Charlotte | Port Charlotte | $3,408.58 | $417.47 – $762.31 |
| cleveland clinic florida weston hospital | Weston | $2,445.30 | $29.82 – $2,946.10 |
| martin north hospital | Stuart | $2,252.90 | $26.68 – $1,733.00 |