Inj, pegcetacoplan, 1mg at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$54,905.53
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.
$84,470.04
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.
$138.04 with AETNA vs $67,576.03 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 |
|---|---|---|---|
| AETNA | MEDICARE ADVANTAGE | $138.04 | ↓ -100% |
| WellMed | MEDICARE ADVANTAGE | $138.04 | ↓ -100% |
| Wellcare | MEDICARE ADVANTAGE | $138.04 | ↓ -100% |
| Freedom Health | MEDICARE ADVANTAGE | $147.36 | ↓ -100% |
| UNITED | MEDICARE ADVANTAGE | $147.36 | ↓ -100% |
| BLUE CROSS | Medicare Advantage HMO | $147.36 | ↓ -100% |
| BLUE CROSS | Medicare Advantage PPO | $147.36 | ↓ -100% |
| HUMANA | Medicare Advantage HMO | $147.36 | ↓ -100% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $147.36 | ↓ -100% |
| Careplus | MEDICARE ADVANTAGE | $147.36 | ↓ -100% |
| DEVOTED HEALTH | Medicare Advantage HMO | $151.84 | ↓ -100% |
| AVMED | MEDICARE ADVANTAGE | $153.25 | ↓ -100% |
| Independent Living Systems | MEDICARE ADVANTAGE | $154.73 | ↓ -100% |
| AVMED | EXCHANGE | $231.36 | ↓ -100% |
| AVMED | Select | $259.35 | ↓ -100% |
| CIGNA | Individual Family Plan | $260.34 | ↓ -100% |
| BLUE CROSS | NWBI | $262.30 | ↓ -100% |
| BLUE CROSS | PHS | $262.30 | ↓ -100% |
| BLUE CROSS | PPO | $262.30 | ↓ -100% |
| BLUE CROSS | NWB | $262.30 | ↓ -100% |
| BLUE CROSS | HMO | $262.30 | ↓ -100% |
| BLUE CROSS | BSL | $262.30 | ↓ -100% |
| CIGNA | SUREFIT | $314.99 | ↓ -99% |
| CIGNA | ALL PRODUCTS | $329.19 | ↓ -99% |
| AVMED | BROAD | $337.45 | ↓ -99% |
| OPTUM | Managed Medicaid | $746.88 | ↓ -99% |
| AMERIHEALTH | Managed Medicaid | $786.19 | ↓ -99% |
| Carelon BH Strategies | Managed Medicaid | $786.19 | ↓ -99% |
| Medicaid | Managed Medicaid | $786.19 | ↓ -99% |
| Molina | Florida Kidcare | $786.19 | ↓ -99% |
| MOLINA | Florida KidCare | $786.19 | ↓ -99% |
| SUNSHINE HEALTH | Managed Medicaid | $786.19 | ↓ -99% |
| Wellcare | Managed Medicaid | $786.19 | ↓ -99% |
| MOLINA | Managed Medicaid | $825.50 | ↓ -98% |
| AETNA | Managed Medicaid/CHIP | $864.81 | ↓ -98% |
| Independent Living Systems | Managed Medicaid | $943.43 | ↓ -98% |
| AETNA | QHP | $16,894.01 | ↓ -69% |
| AETNA | ALL PRODUCTS | $24,496.31 | ↓ -55% |
| BMI | ALL PRODUCTS | $42,235.02 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $50,682.02 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $54,905.53 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $54,905.53 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $63,352.53 | ↑ +15% |
| MULTIPLAN | ALL PRODUCTS | $67,576.03 | ↑ +23% |
| AETNA | All Products First Health | $67,576.03 | ↑ +23% |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Inj, pegcetacoplan, 1mg at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $147.81 – $243.89 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $143.38 – $243.89 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $143.38 – $243.89 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness | not published | $143.38 – $317.79 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD | not published | $143.38 – $443.43 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH | not published | $143.38 – $243.89 |
| HCA FLORIDA LEHIGH HOSPITAL | LEHIGH ACRES | not published | $143.38 – $317.79 |
| HCA FLORIDA FAWCETT HOSPITAL | FORT MYERS | not published | $143.38 – $317.79 |