Inj for mammo ductogram at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$397.80
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.
$612.00
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.
$36.17 with Optum vs $4,027.00 with BLUE CROSS — 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 | $36.17 | ↓ -91% |
| Blue Cross | Medicare Advantage PPO | $68.64 | ↓ -83% |
| Avmed | Medicare Advantage | $68.64 | ↓ -83% |
| Careplus | Medicare Advantage | $68.64 | ↓ -83% |
| Magellan | Medicare Advantage | $68.64 | ↓ -83% |
| Wellcare | Medicare Advantage | $68.64 | ↓ -83% |
| Blue Cross | Medicare Advantage HMO | $68.64 | ↓ -83% |
| Value Options | Medicare Advantage | $68.64 | ↓ -83% |
| Blue Cross | Health Options | $70.54 | ↓ -82% |
| Independent Living Systems | Medicare Advantage | $72.07 | ↓ -82% |
| Freedom Health | Medicare Advantage | $72.07 | ↓ -82% |
| WellMed | Medicare Advantage | $72.07 | ↓ -82% |
| Blue Cross | Network Blue | $72.28 | ↓ -82% |
| Blue Cross | Perferred Patient Care | $74.01 | ↓ -81% |
| Blue Cross | Traditional (PPS) | $74.01 | ↓ -81% |
| Clear Spring Health | All Products | $74.13 | ↓ -81% |
| United | Medicare Advantage | $76.16 | ↓ -81% |
| Aetna | Medicare Advantage Behavioral Health | $82.37 | ↓ -79% |
| Aetna | Medicare Advantage PCP | $85.11 | ↓ -79% |
| Aetna | Medicare Advantage Specialist | $86.49 | ↓ -78% |
| Clear Spring Health | ALL PRODUCTS | $94.36 | ↓ -76% |
| Avmed | Exchange | $101.45 | ↓ -74% |
| Avmed | Select | $105.35 | ↓ -74% |
| Avmed | Broad | $113.16 | ↓ -72% |
| Aetna | POS First Health | $120.68 | ↓ -70% |
| Molina | Managed Medicaid | $123.83 | ↓ -69% |
| Value Options | Managed Medicaid | $123.83 | ↓ -69% |
| Medicaid | Managed Medicaid | $123.83 | ↓ -69% |
| Wellcare | Managed Medicaid | $123.83 | ↓ -69% |
| AmeriHealth | Managed Medicaid | $123.83 | ↓ -69% |
| AETNA | QHP | $142.27 | ↓ -64% |
| AETNA | MEDICARE ADVANTAGE | $142.88 | ↓ -64% |
| AVMED | Select | $145.92 | ↓ -63% |
| AVMED | EXCHANGE | $145.92 | ↓ -63% |
| United | All Products | $147.66 | ↓ -63% |
| CIGNA | Individual Family Plan | $156.26 | ↓ -61% |
| CIGNA | SUREFIT | $188.48 | ↓ -53% |
| AVMED | BROAD | $188.48 | ↓ -53% |
| CIGNA | ALL PRODUCTS | $193.34 | ↓ -51% |
| Cigna | Individual Family Plan Mid-Level | $213.92 | ↓ -46% |
| AETNA | ALL PRODUCTS | $216.45 | ↓ -46% |
| Cigna | Surefit Mid-Level | $218.02 | ↓ -45% |
| OPTUM | Managed Medicaid | $223.78 | ↓ -44% |
| Cigna | All Products Mid-Level | $235.43 | ↓ -41% |
| SUNSHINE HEALTH | Managed Medicaid | $235.56 | ↓ -41% |
| Molina | Florida Kidcare | $235.56 | ↓ -41% |
| AMERIHEALTH | Managed Medicaid | $235.56 | ↓ -41% |
| Carelon BH Strategies | Managed Medicaid | $235.56 | ↓ -41% |
| MOLINA | Florida KidCare | $235.56 | ↓ -41% |
| MOLINA | Managed Medicaid | $247.34 | ↓ -38% |
| Aetna | PPO First Health | $251.22 | ↓ -37% |
| Cigna | Individual Family Plan Physician | $251.67 | ↓ -37% |
| Cigna | Surefit Physician | $256.48 | ↓ -36% |
| AETNA | Managed Medicaid/CHIP | $259.12 | ↓ -35% |
| Cigna | All Products Physician | $276.97 | ↓ -30% |
| Independent Living Systems | Managed Medicaid | $282.67 | ↓ -29% |
| BMI | ALL PRODUCTS | $304.00 | ↓ -24% |
| MAGELLAN | ALL PRODUCTS | $364.80 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $395.20 | ↓ -1% |
| Clarity Health | ALL PRODUCTS | $395.20 | ↓ -1% |
| Three Rivers | All Products | $397.80 | ↑ +0% |
| Clarity Health | All Products | $397.80 | ↑ +0% |
| The Legacy Companies | All Products | $397.80 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $456.00 | ↑ +15% |
| MULTIPLAN | ALL PRODUCTS | $486.40 | ↑ +22% |
| AETNA | All Products First Health | $486.40 | ↑ +22% |
| National Provider Network | All Products | $520.20 | ↑ +31% |
| Aetna | All Products First Health | $550.80 | ↑ +38% |
| BLUE CROSS | HMO | $2,467.00 | ↑ +520% |
| BLUE CROSS | BSL | $2,467.00 | ↑ +520% |
| BLUE CROSS | NWB | $3,264.00 | ↑ +721% |
| BLUE CROSS | NWBI | $3,264.00 | ↑ +721% |
| BLUE CROSS | PPO | $4,027.00 | ↑ +912% |
| BLUE CROSS | PHS | $4,027.00 | ↑ +912% |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Carelon BH Strategies | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| WellMed | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Inj for mammo ductogram at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Port Charlotte | Port Charlotte | $1,799.70 | not published |
| cleveland clinic florida weston hospital | Weston | $397.80 | $36.17 – $1,595.00 |
| martin north hospital | Stuart | $395.20 | $91.74 – $1,339.00 |
| Boca Raton Regional Hospital | BOCA RATON | $124.80 | $69.12 – $192.00 |
| AdventHealth Orlando | Orlando | $637.00 | not published |
| Adventhealth Carrollwood | Tampa | $1,032.21 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $4,105.66 – $4,192.10 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $4,167.82 – $4,255.56 |