Ins lv lead exist pm/icd at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$23,977.20
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.
$36,888.00
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.
$336.17 with Optum vs $29,510.40 with MULTIPLAN — 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 | $336.17 | ↓ -99% |
| Molina | Managed Medicaid | $384.01 | ↓ -98% |
| Value Options | Managed Medicaid | $384.01 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $384.01 | ↓ -98% |
| Wellcare | Managed Medicaid | $384.01 | ↓ -98% |
| Medicaid | Managed Medicaid | $384.01 | ↓ -98% |
| Blue Cross | Health Options | $493.70 | ↓ -98% |
| Blue Cross | Medicare Advantage HMO | $501.19 | ↓ -98% |
| Wellcare | Medicare Advantage | $501.19 | ↓ -98% |
| Value Options | Medicare Advantage | $501.19 | ↓ -98% |
| Blue Cross | Medicare Advantage PPO | $501.19 | ↓ -98% |
| Careplus | Medicare Advantage | $501.19 | ↓ -98% |
| Avmed | Medicare Advantage | $501.19 | ↓ -98% |
| Magellan | Medicare Advantage | $501.19 | ↓ -98% |
| Blue Cross | Network Blue | $505.84 | ↓ -98% |
| Blue Cross | Perferred Patient Care | $517.98 | ↓ -98% |
| Blue Cross | Traditional (PPS) | $517.98 | ↓ -98% |
| Freedom Health | Medicare Advantage | $526.25 | ↓ -98% |
| WellMed | Medicare Advantage | $526.25 | ↓ -98% |
| Independent Living Systems | Medicare Advantage | $526.25 | ↓ -98% |
| United | Medicare Advantage | $536.55 | ↓ -98% |
| Clear Spring Health | All Products | $541.29 | ↓ -98% |
| Aetna | Medicare Advantage Behavioral Health | $601.43 | ↓ -97% |
| Clear Spring Health | ALL PRODUCTS | $607.56 | ↓ -97% |
| Aetna | Medicare Advantage PCP | $621.48 | ↓ -97% |
| Aetna | Medicare Advantage Specialist | $631.50 | ↓ -97% |
| Avmed | Exchange | $716.64 | ↓ -97% |
| Avmed | Select | $744.20 | ↓ -97% |
| Avmed | Broad | $799.33 | ↓ -97% |
| Aetna | PPO First Health | $859.90 | ↓ -96% |
| United | All Products | $1,043.04 | ↓ -96% |
| Aetna | POS First Health | $1,627.20 | ↓ -93% |
| Clarity Health | All Products | $2,350.40 | ↓ -90% |
| The Legacy Companies | All Products | $2,350.40 | ↓ -90% |
| Three Rivers | All Products | $2,350.40 | ↓ -90% |
| Consociate Health | ALL PRODUCTS | $2,712.00 | ↓ -89% |
| National Provider Network | All Products | $3,073.60 | ↓ -87% |
| Aetna | All Products First Health | $3,254.40 | ↓ -86% |
| Cigna | Surefit Mid-Level | $3,616.00 | ↓ -85% |
| Cigna | All Products Mid-Level | $3,616.00 | ↓ -85% |
| Cigna | All Products Physician | $3,616.00 | ↓ -85% |
| Cigna | Individual Family Plan Mid-Level | $3,616.00 | ↓ -85% |
| Cigna | Individual Family Plan Physician | $3,616.00 | ↓ -85% |
| Cigna | Surefit Physician | $3,616.00 | ↓ -85% |
| OPTUM | Managed Medicaid | $4,706.22 | ↓ -80% |
| AETNA | QHP | $4,863.00 | ↓ -80% |
| Carelon BH Strategies | Managed Medicaid | $4,953.92 | ↓ -79% |
| MOLINA | Florida KidCare | $4,953.92 | ↓ -79% |
| SUNSHINE HEALTH | Managed Medicaid | $4,953.92 | ↓ -79% |
| Molina | Florida Kidcare | $4,953.92 | ↓ -79% |
| AMERIHEALTH | Managed Medicaid | $4,953.92 | ↓ -79% |
| MOLINA | Managed Medicaid | $5,201.62 | ↓ -78% |
| AETNA | Managed Medicaid/CHIP | $5,449.31 | ↓ -77% |
| Independent Living Systems | Managed Medicaid | $5,944.70 | ↓ -75% |
| AETNA | ALL PRODUCTS | $7,917.00 | ↓ -67% |
| CIGNA | Individual Family Plan | $9,480.22 | ↓ -60% |
| Freedom Health | MEDICARE ADVANTAGE | $10,504.89 | ↓ -56% |
| BLUE CROSS | Medicare Advantage PPO | $10,504.89 | ↓ -56% |
| BLUE CROSS | Medicare Advantage HMO | $10,504.89 | ↓ -56% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $10,504.89 | ↓ -56% |
| UNITED | MEDICARE ADVANTAGE | $10,504.89 | ↓ -56% |
| Careplus | MEDICARE ADVANTAGE | $10,504.89 | ↓ -56% |
| HUMANA | Medicare Advantage HMO | $10,504.89 | ↓ -56% |
| AETNA | MEDICARE ADVANTAGE | $10,914.80 | ↓ -54% |
| Wellcare | MEDICARE ADVANTAGE | $10,914.80 | ↓ -54% |
| WellMed | MEDICARE ADVANTAGE | $10,914.80 | ↓ -54% |
| AVMED | MEDICARE ADVANTAGE | $10,925.08 | ↓ -54% |
| Independent Living Systems | MEDICARE ADVANTAGE | $11,030.13 | ↓ -54% |
| CIGNA | SUREFIT | $11,435.28 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $11,730.38 | ↓ -51% |
| DEVOTED HEALTH | Medicare Advantage HMO | $12,006.28 | ↓ -50% |
| AVMED | EXCHANGE | $16,492.68 | ↓ -31% |
| UNITED | NHP | $16,612.00 | ↓ -31% |
| BMI | ALL PRODUCTS | $18,444.00 | ↓ -23% |
| AVMED | Select | $18,488.60 | ↓ -23% |
| UNITED | ALL PRODUCTS | $19,717.00 | ↓ -18% |
| UNITED | International | $21,645.00 | ↓ -10% |
| MAGELLAN | ALL PRODUCTS | $22,132.80 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $23,977.20 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $23,977.20 | ↑ +0% |
| AVMED | BROAD | $24,056.20 | ↑ +0% |
| AETNA | All Products First Health | $29,510.40 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $29,510.40 | ↑ +23% |
| Aetna | All Products Specialist | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Ins lv lead exist pm/icd at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $38,571.92 | not published |
| Adventhealth Tampa | Tampa | $35,379.39 | $10,914.80 – $24,230.85 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $22,520.23 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $45,355.54 | $10,914.80 – $19,930.42 |
| cleveland clinic florida weston hospital | Weston | $23,977.20 | $336.17 – $31,354.80 |
| martin north hospital | Stuart | $23,977.20 | $384.01 – $18,444.00 |
| Baptist Hospital | MIAMI | $16,852.55 | $173.17 – $23,334.30 |
| Bethesda Hospital East | BOYNTON BEACH | $16,852.55 | $3,651.00 – $23,334.30 |