Hernia Repair (Inguinal) at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$13,190.45
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.
$20,293.00
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.
$298.01 with Optum vs $16,234.40 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 |
|---|---|---|---|
| Optum | Managed Medicaid | $298.01 | ↓ -98% |
| Medicaid | Managed Medicaid | $406.99 | ↓ -97% |
| Molina | Managed Medicaid | $406.99 | ↓ -97% |
| Value Options | Managed Medicaid | $406.99 | ↓ -97% |
| AmeriHealth | Managed Medicaid | $406.99 | ↓ -97% |
| Wellcare | Managed Medicaid | $406.99 | ↓ -97% |
| Blue Cross | Health Options | $486.80 | ↓ -96% |
| Blue Cross | Network Blue | $498.78 | ↓ -96% |
| Blue Cross | Perferred Patient Care | $510.75 | ↓ -96% |
| Blue Cross | Traditional (PPS) | $510.75 | ↓ -96% |
| United | Medicare Advantage | $564.78 | ↓ -96% |
| Blue Cross | Medicare Advantage PPO | $568.52 | ↓ -96% |
| Wellcare | Medicare Advantage | $568.52 | ↓ -96% |
| Careplus | Medicare Advantage | $568.52 | ↓ -96% |
| Avmed | Medicare Advantage | $568.52 | ↓ -96% |
| Magellan | Medicare Advantage | $568.52 | ↓ -96% |
| Value Options | Medicare Advantage | $568.52 | ↓ -96% |
| Blue Cross | Medicare Advantage HMO | $568.52 | ↓ -96% |
| Independent Living Systems | Medicare Advantage | $593.02 | ↓ -96% |
| Freedom Health | Medicare Advantage | $596.95 | ↓ -95% |
| WellMed | Medicare Advantage | $596.95 | ↓ -95% |
| Clear Spring Health | All Products | $614.00 | ↓ -95% |
| Clear Spring Health | ALL PRODUCTS | $669.73 | ↓ -95% |
| Aetna | Medicare Advantage Behavioral Health | $682.22 | ↓ -95% |
| Aetna | Medicare Advantage PCP | $704.96 | ↓ -95% |
| Aetna | Medicare Advantage Specialist | $716.34 | ↓ -95% |
| Avmed | Exchange | $751.06 | ↓ -94% |
| Avmed | Select | $779.95 | ↓ -94% |
| Avmed | Broad | $837.72 | ↓ -94% |
| Aetna | PPO First Health | $854.30 | ↓ -94% |
| United | All Products | $1,093.14 | ↓ -92% |
| Aetna | POS First Health | $1,432.80 | ↓ -89% |
| Clarity Health | All Products | $2,069.60 | ↓ -84% |
| Three Rivers | All Products | $2,069.60 | ↓ -84% |
| The Legacy Companies | All Products | $2,069.60 | ↓ -84% |
| OPTUM | Managed Medicaid | $2,376.39 | ↓ -82% |
| Consociate Health | ALL PRODUCTS | $2,388.00 | ↓ -82% |
| MOLINA | Florida KidCare | $2,501.46 | ↓ -81% |
| Molina | Florida Kidcare | $2,501.46 | ↓ -81% |
| SUNSHINE HEALTH | Managed Medicaid | $2,501.46 | ↓ -81% |
| Carelon BH Strategies | Managed Medicaid | $2,501.46 | ↓ -81% |
| AMERIHEALTH | Managed Medicaid | $2,501.46 | ↓ -81% |
| MOLINA | Managed Medicaid | $2,626.53 | ↓ -80% |
| National Provider Network | All Products | $2,706.40 | ↓ -79% |
| AETNA | Managed Medicaid/CHIP | $2,751.61 | ↓ -79% |
| Aetna | All Products First Health | $2,865.60 | ↓ -78% |
| Independent Living Systems | Managed Medicaid | $3,001.75 | ↓ -77% |
| Cigna | Surefit Mid-Level | $3,184.00 | ↓ -76% |
| Cigna | All Products Mid-Level | $3,184.00 | ↓ -76% |
| Cigna | All Products Physician | $3,184.00 | ↓ -76% |
| Cigna | Individual Family Plan Mid-Level | $3,184.00 | ↓ -76% |
| Cigna | Individual Family Plan Physician | $3,184.00 | ↓ -76% |
| Cigna | Surefit Physician | $3,184.00 | ↓ -76% |
| BLUE CROSS | Medicare Advantage HMO | $3,542.40 | ↓ -73% |
| Careplus | MEDICARE ADVANTAGE | $3,542.40 | ↓ -73% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $3,542.40 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $3,542.40 | ↓ -73% |
| Freedom Health | MEDICARE ADVANTAGE | $3,542.40 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $3,542.40 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $3,542.40 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $3,684.10 | ↓ -72% |
| Independent Living Systems | MEDICARE ADVANTAGE | $3,719.52 | ↓ -72% |
| WellMed | MEDICARE ADVANTAGE | $3,738.94 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $3,738.94 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $3,738.94 | ↓ -72% |
| DEVOTED HEALTH | Medicare Advantage HMO | $4,112.83 | ↓ -69% |
| CIGNA | Individual Family Plan | $5,215.30 | ↓ -60% |
| AETNA | QHP | $5,359.00 | ↓ -59% |
| AVMED | EXCHANGE | $5,561.57 | ↓ -58% |
| AVMED | Select | $6,234.62 | ↓ -53% |
| CIGNA | SUREFIT | $6,290.83 | ↓ -52% |
| UNITED | NHP | $6,386.00 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $6,453.17 | ↓ -51% |
| UNITED | ALL PRODUCTS | $7,578.00 | ↓ -43% |
| AVMED | BROAD | $8,112.10 | ↓ -39% |
| UNITED | International | $8,320.00 | ↓ -37% |
| AETNA | ALL PRODUCTS | $8,724.00 | ↓ -34% |
| BMI | ALL PRODUCTS | $10,146.50 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $12,175.80 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $13,190.45 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $13,190.45 | ↑ +0% |
| MULTIPLAN | ALL PRODUCTS | $16,234.40 | ↑ +23% |
| AETNA | All Products First Health | $16,234.40 | ↑ +23% |
| BLUE CROSS | PHS | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Value Options | All Products | 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 | — |
| BLUE CROSS | PPO | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Hernia Repair (Inguinal) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $32,065.11 | $758.00 – $8,300.44 |
| cleveland clinic florida weston hospital | Weston | $2,069.60 | $298.01 – $4,112.83 |
| martin north hospital | Stuart | $13,190.45 | $406.99 – $10,146.50 |
| Boca Raton Regional Hospital | BOCA RATON | $5,870.15 | $3,251.16 – $6,223.00 |
| AdventHealth Orlando | Orlando | $22,786.00 | $3,738.94 – $9,908.18 |
| Adventhealth Riverview | Riverview | $32,065.11 | not published |
| Adventhealth Wesley Chapel | Wesley Chapel | $32,065.11 | $3,738.94 – $8,300.44 |
| Adventhealth Zephyrhills | Zephyrhills | $32,065.11 | $3,738.94 – $8,670.97 |