Impl neurostim electr perc 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.
$3,699.03 with OPTUM vs $15,085.85 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 |
|---|---|---|---|
| OPTUM | Managed Medicaid | $3,699.03 | — |
| Wellcare | Managed Medicaid | $3,893.72 | — |
| MOLINA | Florida KidCare | $3,893.72 | — |
| Carelon BH Strategies | Managed Medicaid | $3,893.72 | — |
| SUNSHINE HEALTH | Managed Medicaid | $3,893.72 | — |
| AMERIHEALTH | Managed Medicaid | $3,893.72 | — |
| Molina | Florida Kidcare | $3,893.72 | — |
| Medicaid | Managed Medicaid | $3,893.72 | — |
| MOLINA | Managed Medicaid | $4,088.41 | — |
| AETNA | Managed Medicaid/CHIP | $4,283.09 | — |
| Independent Living Systems | Managed Medicaid | $4,672.46 | — |
| UNITED | MEDICARE ADVANTAGE | $6,587.71 | — |
| BLUE CROSS | Medicare Advantage HMO | $6,587.71 | — |
| BLUE CROSS | Medicare Advantage PPO | $6,587.71 | — |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $6,587.71 | — |
| Freedom Health | MEDICARE ADVANTAGE | $6,587.71 | — |
| Careplus | MEDICARE ADVANTAGE | $6,587.71 | — |
| HUMANA | Medicare Advantage HMO | $6,587.71 | — |
| AETNA | MEDICARE ADVANTAGE | $6,655.18 | — |
| Wellcare | MEDICARE ADVANTAGE | $6,655.18 | — |
| WellMed | MEDICARE ADVANTAGE | $6,655.18 | — |
| AVMED | MEDICARE ADVANTAGE | $6,851.22 | — |
| Independent Living Systems | MEDICARE ADVANTAGE | $6,917.09 | — |
| DEVOTED HEALTH | Medicare Advantage HMO | $7,320.70 | — |
| AVMED | EXCHANGE | $10,342.70 | — |
| AVMED | Select | $11,594.37 | — |
| AVMED | BROAD | $15,085.85 | — |
Visitor-reported prices
Comments
Impl neurostim electr perc at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $2,044.90 | $321.52 – $7,320.70 |
| martin north hospital | Stuart | $20,644.65 | $327.74 – $15,880.50 |
| Boca Raton Regional Hospital | BOCA RATON | $11,607.05 | $4,587.00 – $11,660.62 |
| Doctors Hospital | CORAL GABLES | $12,945.40 | $3,485.30 – $17,924.40 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City | $28,624.80 | $8,515.00 – $9,461.00 |
| AdventHealth Orlando | Orlando | $23,503.00 | $6,655.18 – $17,636.24 |
| Adventhealth Carrollwood | Tampa | $38,530.78 | $537.00 – $14,774.51 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $6,322.42 – $14,214.81 |