Ins pm gen exist dual lead at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$34,689.85
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.
$53,369.00
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.
$187.23 with Optum vs $51,596.07 with AVMED — 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 | $187.23 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $282.64 | ↓ -99% |
| Medicaid | Managed Medicaid | $282.64 | ↓ -99% |
| Value Options | Managed Medicaid | $282.64 | ↓ -99% |
| Wellcare | Managed Medicaid | $282.64 | ↓ -99% |
| Molina | Managed Medicaid | $282.64 | ↓ -99% |
| Blue Cross | Health Options | $366.10 | ↓ -99% |
| Careplus | Medicare Advantage | $374.06 | ↓ -99% |
| Blue Cross | Medicare Advantage PPO | $374.06 | ↓ -99% |
| Magellan | Medicare Advantage | $374.06 | ↓ -99% |
| Blue Cross | Medicare Advantage HMO | $374.06 | ↓ -99% |
| Wellcare | Medicare Advantage | $374.06 | ↓ -99% |
| Avmed | Medicare Advantage | $374.06 | ↓ -99% |
| Value Options | Medicare Advantage | $374.06 | ↓ -99% |
| Blue Cross | Network Blue | $375.11 | ↓ -99% |
| Blue Cross | Perferred Patient Care | $384.11 | ↓ -99% |
| Blue Cross | Traditional (PPS) | $384.11 | ↓ -99% |
| United | Medicare Advantage | $392.46 | ↓ -99% |
| Freedom Health | Medicare Advantage | $392.76 | ↓ -99% |
| Independent Living Systems | Medicare Advantage | $392.76 | ↓ -99% |
| WellMed | Medicare Advantage | $392.76 | ↓ -99% |
| Clear Spring Health | All Products | $403.98 | ↓ -99% |
| Aetna | Medicare Advantage Behavioral Health | $448.87 | ↓ -99% |
| Clear Spring Health | ALL PRODUCTS | $449.78 | ↓ -99% |
| Aetna | Medicare Advantage PCP | $463.83 | ↓ -99% |
| Aetna | Medicare Advantage Specialist | $471.32 | ↓ -99% |
| Avmed | Exchange | $524.51 | ↓ -98% |
| Avmed | Select | $544.68 | ↓ -98% |
| Avmed | Broad | $585.03 | ↓ -98% |
| Aetna | PPO First Health | $628.71 | ↓ -98% |
| United | All Products | $763.41 | ↓ -98% |
| Aetna | POS First Health | $1,092.60 | ↓ -97% |
| Clarity Health | All Products | $1,578.20 | ↓ -95% |
| The Legacy Companies | All Products | $1,578.20 | ↓ -95% |
| Three Rivers | All Products | $1,578.20 | ↓ -95% |
| Consociate Health | ALL PRODUCTS | $1,821.00 | ↓ -95% |
| National Provider Network | All Products | $2,063.80 | ↓ -94% |
| Aetna | All Products First Health | $2,185.20 | ↓ -94% |
| Cigna | All Products Physician | $2,428.00 | ↓ -93% |
| Cigna | Individual Family Plan Mid-Level | $2,428.00 | ↓ -93% |
| Cigna | Surefit Physician | $2,428.00 | ↓ -93% |
| Cigna | All Products Mid-Level | $2,428.00 | ↓ -93% |
| Cigna | Surefit Mid-Level | $2,428.00 | ↓ -93% |
| Cigna | Individual Family Plan Physician | $2,428.00 | ↓ -93% |
| AETNA | QHP | $4,863.00 | ↓ -86% |
| AETNA | ALL PRODUCTS | $7,917.00 | ↓ -77% |
| OPTUM | Managed Medicaid | $13,248.30 | ↓ -62% |
| CIGNA | Individual Family Plan | $13,715.83 | ↓ -60% |
| MOLINA | Florida KidCare | $13,945.58 | ↓ -60% |
| Carelon BH Strategies | Managed Medicaid | $13,945.58 | ↓ -60% |
| AMERIHEALTH | Managed Medicaid | $13,945.58 | ↓ -60% |
| SUNSHINE HEALTH | Managed Medicaid | $13,945.58 | ↓ -60% |
| Molina | Florida Kidcare | $13,945.58 | ↓ -60% |
| MOLINA | Managed Medicaid | $14,642.86 | ↓ -58% |
| AETNA | Managed Medicaid/CHIP | $15,340.14 | ↓ -56% |
| CIGNA | SUREFIT | $16,544.39 | ↓ -52% |
| Independent Living Systems | Managed Medicaid | $16,734.70 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $16,971.34 | ↓ -51% |
| BLUE CROSS | Medicare Advantage HMO | $22,531.04 | ↓ -35% |
| Careplus | MEDICARE ADVANTAGE | $22,531.04 | ↓ -35% |
| UNITED | MEDICARE ADVANTAGE | $22,531.04 | ↓ -35% |
| BLUE CROSS | Medicare Advantage PPO | $22,531.04 | ↓ -35% |
| HUMANA | Medicare Advantage HMO | $22,531.04 | ↓ -35% |
| Freedom Health | MEDICARE ADVANTAGE | $22,531.04 | ↓ -35% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $22,531.04 | ↓ -35% |
| AETNA | MEDICARE ADVANTAGE | $23,228.50 | ↓ -33% |
| Wellcare | MEDICARE ADVANTAGE | $23,228.50 | ↓ -33% |
| WellMed | MEDICARE ADVANTAGE | $23,228.50 | ↓ -33% |
| AVMED | MEDICARE ADVANTAGE | $23,432.28 | ↓ -32% |
| Independent Living Systems | MEDICARE ADVANTAGE | $23,657.59 | ↓ -32% |
| UNITED | NHP | $25,171.00 | ↓ -27% |
| DEVOTED HEALTH | Medicare Advantage HMO | $25,551.35 | ↓ -26% |
| BMI | ALL PRODUCTS | $26,684.50 | ↓ -23% |
| UNITED | ALL PRODUCTS | $29,874.00 | ↓ -14% |
| MAGELLAN | ALL PRODUCTS | $32,021.40 | ↓ -8% |
| UNITED | International | $32,797.00 | ↓ -5% |
| Clarity Health | ALL PRODUCTS | $34,689.85 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $34,689.85 | ↑ +0% |
| AVMED | EXCHANGE | $35,373.73 | ↑ +2% |
| AVMED | Select | $39,654.62 | ↑ +14% |
| AETNA | All Products First Health | $42,695.20 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $42,695.20 | ↑ +23% |
| AVMED | BROAD | $51,596.07 | ↑ +49% |
| Magellan | Pinnacle | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
Visitor-reported prices
Comments
Ins pm gen exist dual lead at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $34,689.85 | $428.95 – $45,363.65 |
| martin north hospital | Stuart | $34,689.85 | $437.28 – $40,026.75 |
| Baptist Hospital | MIAMI | $9,201.40 | $173.17 – $26,015.92 |
| Bethesda Hospital East | BOYNTON BEACH | $9,201.40 | $3,651.00 – $24,157.64 |
| Boca Raton Regional Hospital | BOCA RATON | $46,409.35 | $4,587.00 – $46,623.55 |
| Doctors Hospital | CORAL GABLES | $9,201.40 | $2,477.30 – $26,015.92 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $9,201.40 | $2,463.14 – $25,551.35 |
| Fishermens Community Hospital | MARATHON | $9,201.40 | $2,364.05 – $14,870.03 |