Incision of tendon sheath at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$923.00
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.
$1,420.00
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.
$218.07 with Optum vs $3,678.79 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 | $218.07 | ↓ -76% |
| AmeriHealth | Managed Medicaid | $275.50 | ↓ -70% |
| Wellcare | Managed Medicaid | $275.50 | ↓ -70% |
| Medicaid | Managed Medicaid | $275.50 | ↓ -70% |
| Molina | Managed Medicaid | $275.50 | ↓ -70% |
| Value Options | Managed Medicaid | $275.50 | ↓ -70% |
| Blue Cross | Health Options | $314.37 | ↓ -66% |
| Blue Cross | Network Blue | $322.10 | ↓ -65% |
| Blue Cross | Traditional (PPS) | $329.83 | ↓ -64% |
| Blue Cross | Perferred Patient Care | $329.83 | ↓ -64% |
| Wellcare | Medicare Advantage | $362.60 | ↓ -61% |
| Blue Cross | Medicare Advantage HMO | $362.60 | ↓ -61% |
| Blue Cross | Medicare Advantage PPO | $362.60 | ↓ -61% |
| Magellan | Medicare Advantage | $362.60 | ↓ -61% |
| Avmed | Medicare Advantage | $362.60 | ↓ -61% |
| Value Options | Medicare Advantage | $362.60 | ↓ -61% |
| Careplus | Medicare Advantage | $362.60 | ↓ -61% |
| United | Medicare Advantage | $365.03 | ↓ -60% |
| Freedom Health | Medicare Advantage | $380.73 | ↓ -59% |
| Independent Living Systems | Medicare Advantage | $380.73 | ↓ -59% |
| WellMed | Medicare Advantage | $380.73 | ↓ -59% |
| Clear Spring Health | All Products | $391.61 | ↓ -58% |
| Aetna | Medicare Advantage Behavioral Health | $435.12 | ↓ -53% |
| Aetna | Medicare Advantage PCP | $449.62 | ↓ -51% |
| Aetna | Medicare Advantage Specialist | $456.88 | ↓ -51% |
| Avmed | Exchange | $484.26 | ↓ -48% |
| Avmed | Select | $502.89 | ↓ -46% |
| Aetna | PPO First Health | $528.92 | ↓ -43% |
| Avmed | Broad | $540.14 | ↓ -41% |
| Aetna | POS First Health | $639.00 | ↓ -31% |
| United | All Products | $704.83 | ↓ -24% |
| The Legacy Companies | All Products | $923.00 | ↑ +0% |
| Clarity Health | All Products | $923.00 | ↑ +0% |
| Three Rivers | All Products | $923.00 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $1,065.00 | ↑ +15% |
| OPTUM | Managed Medicaid | $1,074.60 | ↑ +16% |
| SUNSHINE HEALTH | Managed Medicaid | $1,131.16 | ↑ +23% |
| AMERIHEALTH | Managed Medicaid | $1,131.16 | ↑ +23% |
| Carelon BH Strategies | Managed Medicaid | $1,131.16 | ↑ +23% |
| Molina | Florida Kidcare | $1,131.16 | ↑ +23% |
| MOLINA | Florida KidCare | $1,131.16 | ↑ +23% |
| MOLINA | Managed Medicaid | $1,187.72 | ↑ +29% |
| National Provider Network | All Products | $1,207.00 | ↑ +31% |
| AETNA | Managed Medicaid/CHIP | $1,244.28 | ↑ +35% |
| Aetna | All Products First Health | $1,278.00 | ↑ +38% |
| Independent Living Systems | Managed Medicaid | $1,357.39 | ↑ +47% |
| Cigna | Surefit Physician | $1,420.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $1,420.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $1,420.00 | ↑ +54% |
| Cigna | All Products Physician | $1,420.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $1,420.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $1,420.00 | ↑ +54% |
| Careplus | MEDICARE ADVANTAGE | $1,606.46 | ↑ +74% |
| Freedom Health | MEDICARE ADVANTAGE | $1,606.46 | ↑ +74% |
| UNITED | MEDICARE ADVANTAGE | $1,606.46 | ↑ +74% |
| HUMANA | Medicare Advantage HMO | $1,606.46 | ↑ +74% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $1,606.46 | ↑ +74% |
| BLUE CROSS | Medicare Advantage PPO | $1,606.46 | ↑ +74% |
| BLUE CROSS | Medicare Advantage HMO | $1,606.46 | ↑ +74% |
| AVMED | MEDICARE ADVANTAGE | $1,670.72 | ↑ +81% |
| Wellcare | MEDICARE ADVANTAGE | $1,679.19 | ↑ +82% |
| AETNA | MEDICARE ADVANTAGE | $1,679.19 | ↑ +82% |
| WellMed | MEDICARE ADVANTAGE | $1,679.19 | ↑ +82% |
| Independent Living Systems | MEDICARE ADVANTAGE | $1,686.78 | ↑ +83% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,847.11 | ↑ +100% |
| AVMED | EXCHANGE | $2,522.14 | ↑ +173% |
| AVMED | Select | $2,827.37 | ↑ +206% |
| AVMED | BROAD | $3,678.79 | ↑ +299% |
| Value Options | All Products | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
Visitor-reported prices
Comments
Incision of tendon sheath at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $923.00 | $218.07 – $1,847.11 |
| martin north hospital | Stuart | $923.00 | $262.83 – $1,847.11 |
| Baptist Hospital | MIAMI | $9,087.65 | $173.17 – $6,291.90 |
| AdventHealth Orlando | Orlando | $9,363.00 | $1,679.19 – $4,449.86 |
| Adventhealth Carrollwood | Tampa | $16,347.39 | $614.00 – $3,727.81 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $1,595.23 – $2,802.57 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $1,595.23 – $3,586.59 |
| Adventhealth Tampa | Tampa | not published | $614.00 – $3,727.81 |