Hysteroscopy biopsy at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$11,883.95
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.
$18,283.00
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.
$111.78 with Optum vs $14,626.40 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 |
|---|---|---|---|
| Optum | Managed Medicaid | $111.78 | ↓ -99% |
| Avmed | Medicare Advantage | $225.54 | ↓ -98% |
| Wellcare | Medicare Advantage | $225.54 | ↓ -98% |
| Magellan | Medicare Advantage | $225.54 | ↓ -98% |
| Careplus | Medicare Advantage | $225.54 | ↓ -98% |
| Blue Cross | Medicare Advantage PPO | $225.54 | ↓ -98% |
| Blue Cross | Medicare Advantage HMO | $225.54 | ↓ -98% |
| Value Options | Medicare Advantage | $225.54 | ↓ -98% |
| Independent Living Systems | Medicare Advantage | $236.82 | ↓ -98% |
| WellMed | Medicare Advantage | $236.82 | ↓ -98% |
| Freedom Health | Medicare Advantage | $236.82 | ↓ -98% |
| United | Medicare Advantage | $242.04 | ↓ -98% |
| Clear Spring Health | All Products | $243.58 | ↓ -98% |
| Blue Cross | Health Options | $254.74 | ↓ -98% |
| Blue Cross | Network Blue | $261.01 | ↓ -98% |
| Blue Cross | Perferred Patient Care | $267.27 | ↓ -98% |
| Blue Cross | Traditional (PPS) | $267.27 | ↓ -98% |
| Aetna | Medicare Advantage Behavioral Health | $270.65 | ↓ -98% |
| Aetna | Medicare Advantage PCP | $279.67 | ↓ -98% |
| Aetna | Medicare Advantage Specialist | $284.18 | ↓ -98% |
| Clear Spring Health | ALL PRODUCTS | $285.63 | ↓ -98% |
| Avmed | Exchange | $322.93 | ↓ -97% |
| Avmed | Select | $335.35 | ↓ -97% |
| Avmed | Broad | $360.19 | ↓ -97% |
| Aetna | POS First Health | $362.81 | ↓ -97% |
| United | All Products | $470.02 | ↓ -96% |
| Medicaid | Managed Medicaid | $474.95 | ↓ -96% |
| Molina | Managed Medicaid | $474.95 | ↓ -96% |
| AmeriHealth | Managed Medicaid | $474.95 | ↓ -96% |
| Value Options | Managed Medicaid | $474.95 | ↓ -96% |
| Wellcare | Managed Medicaid | $474.95 | ↓ -96% |
| Cigna | Individual Family Plan Mid-Level | $480.01 | ↓ -96% |
| Cigna | Surefit Mid-Level | $489.17 | ↓ -96% |
| Cigna | All Products Mid-Level | $528.27 | ↓ -96% |
| Cigna | Individual Family Plan Physician | $564.69 | ↓ -95% |
| Cigna | Surefit Physician | $575.51 | ↓ -95% |
| Cigna | All Products Physician | $621.52 | ↓ -95% |
| Three Rivers | All Products | $1,192.75 | ↓ -90% |
| The Legacy Companies | All Products | $1,192.75 | ↓ -90% |
| Clarity Health | All Products | $1,192.75 | ↓ -90% |
| Consociate Health | ALL PRODUCTS | $1,376.25 | ↓ -88% |
| OPTUM | Managed Medicaid | $1,486.15 | ↓ -87% |
| National Provider Network | All Products | $1,559.75 | ↓ -87% |
| AMERIHEALTH | Managed Medicaid | $1,564.37 | ↓ -87% |
| SUNSHINE HEALTH | Managed Medicaid | $1,564.37 | ↓ -87% |
| Carelon BH Strategies | Managed Medicaid | $1,564.37 | ↓ -87% |
| MOLINA | Florida KidCare | $1,564.37 | ↓ -87% |
| Molina | Florida Kidcare | $1,564.37 | ↓ -87% |
| MOLINA | Managed Medicaid | $1,642.59 | ↓ -86% |
| Aetna | All Products First Health | $1,651.50 | ↓ -86% |
| AETNA | Managed Medicaid/CHIP | $1,720.81 | ↓ -86% |
| Independent Living Systems | Managed Medicaid | $1,877.24 | ↓ -84% |
| Aetna | PPO First Health | $2,039.56 | ↓ -83% |
| Freedom Health | MEDICARE ADVANTAGE | $3,191.55 | ↓ -73% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $3,191.55 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $3,191.55 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $3,191.55 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $3,191.55 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $3,191.55 | ↓ -73% |
| Careplus | MEDICARE ADVANTAGE | $3,191.55 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $3,319.21 | ↓ -72% |
| Independent Living Systems | MEDICARE ADVANTAGE | $3,351.13 | ↓ -72% |
| WellMed | MEDICARE ADVANTAGE | $3,380.46 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $3,380.46 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $3,380.46 | ↓ -72% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,718.51 | ↓ -69% |
| AETNA | QHP | $4,278.22 | ↓ -64% |
| BLUE CROSS | HMO | $4,383.00 | ↓ -63% |
| BLUE CROSS | BSL | $4,383.00 | ↓ -63% |
| CIGNA | Individual Family Plan | $4,698.73 | ↓ -60% |
| AVMED | EXCHANGE | $5,010.73 | ↓ -58% |
| AVMED | Select | $5,617.13 | ↓ -53% |
| CIGNA | SUREFIT | $5,667.73 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $5,813.99 | ↓ -51% |
| BLUE CROSS | NWB | $5,843.00 | ↓ -51% |
| BLUE CROSS | NWBI | $5,843.00 | ↓ -51% |
| AETNA | ALL PRODUCTS | $6,508.75 | ↓ -45% |
| AVMED | BROAD | $7,308.65 | ↓ -38% |
| BLUE CROSS | PHS | $8,031.00 | ↓ -32% |
| BLUE CROSS | PPO | $8,031.00 | ↓ -32% |
| BMI | ALL PRODUCTS | $9,141.50 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $10,969.80 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $11,883.95 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $11,883.95 | ↑ +0% |
| AETNA | All Products First Health | $14,626.40 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $14,626.40 | ↑ +23% |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| UNITED | NHP | 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 | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Hysteroscopy biopsy at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $30,377.57 | $614.00 – $7,504.63 |
| cleveland clinic florida weston hospital | Weston | $11,883.95 | $111.78 – $15,540.55 |
| martin north hospital | Stuart | $11,883.95 | $212.98 – $9,141.50 |
| AdventHealth Orlando | Orlando | $16,619.00 | $3,380.46 – $8,958.23 |
| Adventhealth Riverview | Riverview | $30,377.57 | not published |
| Adventhealth Wesley Chapel | Wesley Chapel | $30,377.57 | $3,380.46 – $7,504.63 |
| Adventhealth Zephyrhills | Zephyrhills | $30,377.57 | $3,380.46 – $7,839.63 |
| Adventhealth Carrollwood | Tampa | $30,377.57 | $614.00 – $7,504.63 |