Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$540.80
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.
$832.00
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.
$92.55 with OPTUM vs $433.60 with AETNA — 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 | $92.55 | ↓ -83% |
| AMERIHEALTH | Managed Medicaid | $97.42 | ↓ -82% |
| SUNSHINE HEALTH | Managed Medicaid | $97.42 | ↓ -82% |
| Wellcare | Managed Medicaid | $97.42 | ↓ -82% |
| MOLINA | Florida KidCare | $97.42 | ↓ -82% |
| Medicaid | Managed Medicaid | $97.42 | ↓ -82% |
| Carelon BH Strategies | Managed Medicaid | $97.42 | ↓ -82% |
| Molina | Florida Kidcare | $97.42 | ↓ -82% |
| MOLINA | Managed Medicaid | $102.29 | ↓ -81% |
| AETNA | Managed Medicaid/CHIP | $107.16 | ↓ -80% |
| Independent Living Systems | Managed Medicaid | $116.90 | ↓ -78% |
| AETNA | QHP | $126.83 | ↓ -77% |
| Freedom Health | MEDICARE ADVANTAGE | $128.29 | ↓ -76% |
| WellMed | MEDICARE ADVANTAGE | $128.29 | ↓ -76% |
| AETNA | MEDICARE ADVANTAGE | $128.29 | ↓ -76% |
| Wellcare | MEDICARE ADVANTAGE | $128.29 | ↓ -76% |
| UNITED | MEDICARE ADVANTAGE | $128.29 | ↓ -76% |
| BLUE CROSS | Medicare Advantage HMO | $128.29 | ↓ -76% |
| BLUE CROSS | Medicare Advantage PPO | $128.29 | ↓ -76% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $128.29 | ↓ -76% |
| Careplus | MEDICARE ADVANTAGE | $128.29 | ↓ -76% |
| HUMANA | Medicare Advantage HMO | $128.29 | ↓ -76% |
| AVMED | EXCHANGE | $130.08 | ↓ -76% |
| AVMED | Select | $130.08 | ↓ -76% |
| AVMED | MEDICARE ADVANTAGE | $133.42 | ↓ -75% |
| Independent Living Systems | MEDICARE ADVANTAGE | $134.70 | ↓ -75% |
| DEVOTED HEALTH | Medicare Advantage HMO | $141.12 | ↓ -74% |
| AVMED | BROAD | $168.02 | ↓ -69% |
| AETNA | ALL PRODUCTS | $192.95 | ↓ -64% |
| CIGNA | Individual Family Plan | $237.03 | ↓ -56% |
| BMI | ALL PRODUCTS | $271.00 | ↓ -50% |
| CIGNA | SUREFIT | $286.98 | ↓ -47% |
| CIGNA | ALL PRODUCTS | $300.07 | ↓ -45% |
| MAGELLAN | ALL PRODUCTS | $325.20 | ↓ -40% |
| Clarity Health | ALL PRODUCTS | $352.30 | ↓ -35% |
| The Legacy Companies | ALL PRODUCTS | $352.30 | ↓ -35% |
| Consociate Health | ALL PRODUCTS | $406.50 | ↓ -25% |
| MULTIPLAN | ALL PRODUCTS | $433.60 | ↓ -20% |
| AETNA | All Products First Health | $433.60 | ↓ -20% |
| UNITED | NHP | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $371.29 | $121.88 – $214.12 |
| Adventhealth Lake Wales | Lake Wales | $594.05 | $128.29 – $284.80 |
| Adventhealth Palm Coast Parkway | Palm Coast | $389.85 | $121.88 – $274.01 |
| Adventhealth Tampa | Tampa | $1,980.15 | $128.29 – $284.80 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $345.57 | $121.88 – $280.25 |
| Adventhealth Port Charlotte | Port Charlotte | $449.02 | $128.29 – $234.26 |
| cleveland clinic florida weston hospital | Weston | $540.80 | $92.55 – $460.70 |
| martin north hospital | Stuart | $540.80 | $97.42 – $406.50 |