Ins icd gen exist sgl lead at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$40,625.00
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.
$62,500.00
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.
$432.40 with Clear Spring Health vs $67,311.00 with UNITED — 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 |
|---|---|---|---|
| Clear Spring Health | ALL PRODUCTS | $432.40 | ↓ -99% |
| AETNA | QHP | $6,596.00 | ↓ -84% |
| AETNA | ALL PRODUCTS | $11,411.00 | ↓ -72% |
| OPTUM | Managed Medicaid | $13,248.30 | ↓ -67% |
| Molina | Florida Kidcare | $13,945.58 | ↓ -66% |
| SUNSHINE HEALTH | Managed Medicaid | $13,945.58 | ↓ -66% |
| Carelon BH Strategies | Managed Medicaid | $13,945.58 | ↓ -66% |
| Medicaid | Managed Medicaid | $13,945.58 | ↓ -66% |
| Wellcare | Managed Medicaid | $13,945.58 | ↓ -66% |
| AMERIHEALTH | Managed Medicaid | $13,945.58 | ↓ -66% |
| MOLINA | Florida KidCare | $13,945.58 | ↓ -66% |
| MOLINA | Managed Medicaid | $14,642.86 | ↓ -64% |
| AETNA | Managed Medicaid/CHIP | $15,340.14 | ↓ -62% |
| CIGNA | Individual Family Plan | $16,062.50 | ↓ -60% |
| Independent Living Systems | Managed Medicaid | $16,734.70 | ↓ -59% |
| CIGNA | SUREFIT | $19,375.00 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $19,875.00 | ↓ -51% |
| BLUE CROSS | Medicare Advantage HMO | $22,531.04 | ↓ -45% |
| UNITED | MEDICARE ADVANTAGE | $22,531.04 | ↓ -45% |
| Freedom Health | MEDICARE ADVANTAGE | $22,531.04 | ↓ -45% |
| Careplus | MEDICARE ADVANTAGE | $22,531.04 | ↓ -45% |
| HUMANA | Medicare Advantage HMO | $22,531.04 | ↓ -45% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $22,531.04 | ↓ -45% |
| BLUE CROSS | Medicare Advantage PPO | $22,531.04 | ↓ -45% |
| WellMed | MEDICARE ADVANTAGE | $23,228.50 | ↓ -43% |
| Wellcare | MEDICARE ADVANTAGE | $23,228.50 | ↓ -43% |
| AETNA | MEDICARE ADVANTAGE | $23,228.50 | ↓ -43% |
| AVMED | MEDICARE ADVANTAGE | $23,432.28 | ↓ -42% |
| Independent Living Systems | MEDICARE ADVANTAGE | $23,657.59 | ↓ -42% |
| UNITED | NHP | $25,171.00 | ↓ -38% |
| DEVOTED HEALTH | Medicare Advantage HMO | $25,551.35 | ↓ -37% |
| BMI | ALL PRODUCTS | $31,250.00 | ↓ -23% |
| UNITED | International | $32,797.00 | ↓ -19% |
| AVMED | EXCHANGE | $35,373.73 | ↓ -13% |
| MAGELLAN | ALL PRODUCTS | $37,500.00 | ↓ -8% |
| AVMED | Select | $39,654.62 | ↓ -2% |
| Clarity Health | ALL PRODUCTS | $40,625.00 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $40,625.00 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $46,875.00 | ↑ +15% |
| AETNA | All Products First Health | $50,000.00 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $50,000.00 | ↑ +23% |
| AVMED | BROAD | $51,596.07 | ↑ +27% |
| UNITED | ALL PRODUCTS | $67,311.00 | ↑ +66% |
| BLUE CROSS | BSL | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
Visitor-reported prices
Comments
Ins icd gen exist sgl lead at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $40,625.00 | $272.18 – $53,125.00 |
| martin north hospital | Stuart | $40,625.00 | $272.18 – $31,250.00 |
| Baptist Hospital | MIAMI | $10,040.55 | $173.17 – $26,015.92 |
| Bethesda Hospital East | BOYNTON BEACH | $10,040.55 | $3,651.00 – $24,157.64 |
| Boca Raton Regional Hospital | BOCA RATON | $52,870.35 | $4,587.00 – $53,114.37 |
| Doctors Hospital | CORAL GABLES | $10,040.55 | $2,703.23 – $26,015.92 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $10,040.55 | $2,687.78 – $25,551.35 |
| Fishermens Community Hospital | MARATHON | $10,040.55 | $2,579.65 – $14,870.03 |