Hla i & ii typing lr at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
not published by hospital
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.
not published by hospital
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.
$170.10 with OPTUM vs $940.56 with CIGNA — 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 | $170.10 | — |
| Carelon BH Strategies | Managed Medicaid | $179.05 | — |
| AMERIHEALTH | Managed Medicaid | $179.05 | — |
| SUNSHINE HEALTH | Managed Medicaid | $179.05 | — |
| Medicaid | Managed Medicaid | $179.05 | — |
| Molina | Florida Kidcare | $179.05 | — |
| Wellcare | Managed Medicaid | $179.05 | — |
| MOLINA | Florida KidCare | $179.05 | — |
| MOLINA | Managed Medicaid | $188.00 | — |
| AETNA | Managed Medicaid/CHIP | $196.96 | — |
| Independent Living Systems | Managed Medicaid | $214.86 | — |
| WellMed | MEDICARE ADVANTAGE | $402.12 | — |
| AETNA | MEDICARE ADVANTAGE | $402.12 | — |
| BLUE CROSS | Medicare Advantage HMO | $402.12 | — |
| BLUE CROSS | Medicare Advantage PPO | $402.12 | — |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $402.12 | — |
| Careplus | MEDICARE ADVANTAGE | $402.12 | — |
| Freedom Health | MEDICARE ADVANTAGE | $402.12 | — |
| HUMANA | Medicare Advantage HMO | $402.12 | — |
| UNITED | MEDICARE ADVANTAGE | $402.12 | — |
| Wellcare | MEDICARE ADVANTAGE | $402.12 | — |
| AVMED | MEDICARE ADVANTAGE | $418.20 | — |
| Independent Living Systems | MEDICARE ADVANTAGE | $422.23 | — |
| DEVOTED HEALTH | Medicare Advantage HMO | $442.33 | — |
| CIGNA | Individual Family Plan | $742.95 | — |
| CIGNA | SUREFIT | $899.54 | — |
| CIGNA | ALL PRODUCTS | $940.56 | — |
Visitor-reported prices
Comments
Hla i & ii typing lr at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $6,206.72 | $402.12 – $892.71 |
| Adventhealth Port Charlotte | Port Charlotte | $1,407.42 | $402.12 – $734.27 |
| cleveland clinic florida weston hospital | Weston | $1,534.65 | $170.10 – $989.40 |
| martin north hospital | Stuart | $1,534.65 | $179.05 – $873.00 |
| Adventhealth Waterman | Tavares | $1,396.51 | $402.12 – $811.40 |
| AdventHealth Orlando | Orlando | $3,152.00 | $402.12 – $1,065.62 |
| Adventhealth Riverview | Riverview | $6,206.72 | not published |
| Adventhealth Carrollwood | Tampa | $6,206.72 | $402.12 – $892.71 |