Ihc/icc per specimen each multiplex antibody stain at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$233.35
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.
$359.00
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.
$84.01 with AETNA vs $826.87 with AVMED — 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 | QHP | $84.01 | ↓ -64% |
| CIGNA | Individual Family Plan | $92.26 | ↓ -60% |
| OPTUM | Managed Medicaid | $94.71 | ↓ -59% |
| MOLINA | Florida KidCare | $99.69 | ↓ -57% |
| Wellcare | Managed Medicaid | $99.69 | ↓ -57% |
| SUNSHINE HEALTH | Managed Medicaid | $99.69 | ↓ -57% |
| Medicaid | Managed Medicaid | $99.69 | ↓ -57% |
| Molina | Florida Kidcare | $99.69 | ↓ -57% |
| Carelon BH Strategies | Managed Medicaid | $99.69 | ↓ -57% |
| AMERIHEALTH | Managed Medicaid | $99.69 | ↓ -57% |
| United | All Products | $103.79 | ↓ -56% |
| MOLINA | Managed Medicaid | $104.67 | ↓ -55% |
| AETNA | Managed Medicaid/CHIP | $109.66 | ↓ -53% |
| CIGNA | SUREFIT | $111.29 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $114.16 | ↓ -51% |
| Independent Living Systems | Managed Medicaid | $119.63 | ↓ -49% |
| Aetna | PPO First Health | $126.22 | ↓ -46% |
| AETNA | ALL PRODUCTS | $127.80 | ↓ -45% |
| Aetna | POS First Health | $149.40 | ↓ -36% |
| United | Medicare Advantage | $167.45 | ↓ -28% |
| Independent Living Systems | Medicare Advantage | $175.82 | ↓ -25% |
| Avmed | Medicare Advantage | $176.69 | ↓ -24% |
| Careplus | Medicare Advantage | $176.69 | ↓ -24% |
| Blue Cross | Medicare Advantage HMO | $176.69 | ↓ -24% |
| Blue Cross | Medicare Advantage PPO | $176.69 | ↓ -24% |
| Value Options | Medicare Advantage | $176.69 | ↓ -24% |
| Magellan | Medicare Advantage | $176.69 | ↓ -24% |
| Wellcare | Medicare Advantage | $176.69 | ↓ -24% |
| BMI | ALL PRODUCTS | $179.50 | ↓ -23% |
| Freedom Health | Medicare Advantage | $185.52 | ↓ -20% |
| WellMed | Medicare Advantage | $185.52 | ↓ -20% |
| Clear Spring Health | All Products | $190.83 | ↓ -18% |
| Aetna | Medicare Advantage Behavioral Health | $212.03 | ↓ -9% |
| MAGELLAN | ALL PRODUCTS | $215.40 | ↓ -8% |
| Clarity Health | All Products | $215.80 | ↓ -8% |
| Three Rivers | All Products | $215.80 | ↓ -8% |
| The Legacy Companies | All Products | $215.80 | ↓ -8% |
| Aetna | Medicare Advantage PCP | $219.10 | ↓ -6% |
| Aetna | Medicare Advantage Specialist | $222.63 | ↓ -5% |
| Avmed | Exchange | $224.87 | ↓ -4% |
| Clarity Health | ALL PRODUCTS | $233.35 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $233.35 | ↑ +0% |
| Avmed | Select | $233.52 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $249.00 | ↑ +7% |
| Avmed | Broad | $250.82 | ↑ +7% |
| Clear Spring Health | ALL PRODUCTS | $260.33 | ↑ +12% |
| National Provider Network | All Products | $282.20 | ↑ +21% |
| MULTIPLAN | ALL PRODUCTS | $287.20 | ↑ +23% |
| AETNA | All Products First Health | $287.20 | ↑ +23% |
| Aetna | All Products First Health | $298.80 | ↑ +28% |
| Cigna | Surefit Mid-Level | $332.00 | ↑ +42% |
| Cigna | Surefit Physician | $332.00 | ↑ +42% |
| Cigna | Individual Family Plan Physician | $332.00 | ↑ +42% |
| Cigna | All Products Mid-Level | $332.00 | ↑ +42% |
| Cigna | Individual Family Plan Mid-Level | $332.00 | ↑ +42% |
| Cigna | All Products Physician | $332.00 | ↑ +42% |
| HUMANA | Medicare Advantage HMO | $361.08 | ↑ +55% |
| BLUE CROSS | Medicare Advantage HMO | $361.08 | ↑ +55% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $361.08 | ↑ +55% |
| Careplus | MEDICARE ADVANTAGE | $361.08 | ↑ +55% |
| UNITED | MEDICARE ADVANTAGE | $361.08 | ↑ +55% |
| Freedom Health | MEDICARE ADVANTAGE | $361.08 | ↑ +55% |
| BLUE CROSS | Medicare Advantage PPO | $361.08 | ↑ +55% |
| WellMed | MEDICARE ADVANTAGE | $374.32 | ↑ +60% |
| AETNA | MEDICARE ADVANTAGE | $374.32 | ↑ +60% |
| Wellcare | MEDICARE ADVANTAGE | $374.32 | ↑ +60% |
| AVMED | MEDICARE ADVANTAGE | $375.52 | ↑ +61% |
| Independent Living Systems | MEDICARE ADVANTAGE | $379.13 | ↑ +62% |
| DEVOTED HEALTH | Medicare Advantage HMO | $411.75 | ↑ +76% |
| AVMED | EXCHANGE | $566.90 | ↑ +143% |
| AVMED | Select | $635.50 | ↑ +172% |
| AVMED | BROAD | $826.87 | ↑ +254% |
| BLUE CROSS | PHS | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Optum | Managed Medicaid | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| 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 | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Ihc/icc per specimen each multiplex antibody stain at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $393.99 | $355.60 – $624.74 |
| Adventhealth Lake Wales | Lake Wales | $915.98 | $374.32 – $830.99 |
| Adventhealth Palm Coast Parkway | Palm Coast | $597.26 | $355.60 – $799.51 |
| Adventhealth Tampa | Tampa | $1,365.48 | $374.32 – $830.99 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $284.24 | $355.60 – $817.70 |
| Adventhealth Port Charlotte | Port Charlotte | $1,945.52 | $374.32 – $683.50 |
| cleveland clinic florida weston hospital | Weston | $233.35 | $92.98 – $411.75 |
| martin north hospital | Stuart | $233.35 | $99.69 – $411.75 |