Ins tun cv cath wo subq prt/pm at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$25,255.10
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.
$38,854.00
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.
$202.50 with Optum vs $31,083.20 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 | $202.50 | ↓ -99% |
| Blue Cross | Health Options | $311.46 | ↓ -99% |
| Blue Cross | Network Blue | $319.11 | ↓ -99% |
| Blue Cross | Perferred Patient Care | $326.77 | ↓ -99% |
| Blue Cross | Traditional (PPS) | $326.77 | ↓ -99% |
| United | Medicare Advantage | $344.27 | ↓ -99% |
| Magellan | Medicare Advantage | $345.93 | ↓ -99% |
| Wellcare | Medicare Advantage | $345.93 | ↓ -99% |
| Value Options | Medicare Advantage | $345.93 | ↓ -99% |
| Careplus | Medicare Advantage | $345.93 | ↓ -99% |
| Avmed | Medicare Advantage | $345.93 | ↓ -99% |
| Blue Cross | Medicare Advantage HMO | $345.93 | ↓ -99% |
| Blue Cross | Medicare Advantage PPO | $345.93 | ↓ -99% |
| Independent Living Systems | Medicare Advantage | $361.48 | ↓ -99% |
| Freedom Health | Medicare Advantage | $363.23 | ↓ -99% |
| WellMed | Medicare Advantage | $363.23 | ↓ -99% |
| Clear Spring Health | All Products | $373.60 | ↓ -99% |
| Clear Spring Health | ALL PRODUCTS | $408.25 | ↓ -98% |
| Aetna | Medicare Advantage Behavioral Health | $415.12 | ↓ -98% |
| Aetna | Medicare Advantage PCP | $428.95 | ↓ -98% |
| Aetna | Medicare Advantage Specialist | $435.87 | ↓ -98% |
| Value Options | Managed Medicaid | $446.46 | ↓ -98% |
| Medicaid | Managed Medicaid | $446.46 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $446.46 | ↓ -98% |
| Molina | Managed Medicaid | $446.46 | ↓ -98% |
| Wellcare | Managed Medicaid | $446.46 | ↓ -98% |
| Avmed | Exchange | $456.78 | ↓ -98% |
| Avmed | Select | $474.35 | ↓ -98% |
| Avmed | Broad | $509.49 | ↓ -98% |
| Aetna | POS First Health | $521.21 | ↓ -98% |
| United | All Products | $664.83 | ↓ -97% |
| OPTUM | Managed Medicaid | $1,311.96 | ↓ -95% |
| Cigna | Individual Family Plan Mid-Level | $1,336.30 | ↓ -95% |
| Cigna | Surefit Mid-Level | $1,361.88 | ↓ -95% |
| AMERIHEALTH | Managed Medicaid | $1,381.01 | ↓ -95% |
| Molina | Florida Kidcare | $1,381.01 | ↓ -95% |
| MOLINA | Florida KidCare | $1,381.01 | ↓ -95% |
| SUNSHINE HEALTH | Managed Medicaid | $1,381.01 | ↓ -95% |
| Carelon BH Strategies | Managed Medicaid | $1,381.01 | ↓ -95% |
| The Legacy Companies | All Products | $1,398.80 | ↓ -94% |
| Three Rivers | All Products | $1,398.80 | ↓ -94% |
| Clarity Health | All Products | $1,398.80 | ↓ -94% |
| MOLINA | Managed Medicaid | $1,450.06 | ↓ -94% |
| Cigna | All Products Mid-Level | $1,470.67 | ↓ -94% |
| AETNA | Managed Medicaid/CHIP | $1,519.11 | ↓ -94% |
| Aetna | PPO First Health | $1,555.16 | ↓ -94% |
| Cigna | Individual Family Plan Physician | $1,572.10 | ↓ -94% |
| Cigna | Surefit Physician | $1,602.18 | ↓ -94% |
| Consociate Health | ALL PRODUCTS | $1,614.00 | ↓ -94% |
| Independent Living Systems | Managed Medicaid | $1,657.21 | ↓ -93% |
| Cigna | All Products Physician | $1,730.18 | ↓ -93% |
| National Provider Network | All Products | $1,829.20 | ↓ -93% |
| Aetna | All Products First Health | $1,936.80 | ↓ -92% |
| AETNA | QHP | $2,789.00 | ↓ -89% |
| AETNA | ALL PRODUCTS | $4,542.00 | ↓ -82% |
| Freedom Health | MEDICARE ADVANTAGE | $5,426.13 | ↓ -79% |
| BLUE CROSS | Medicare Advantage HMO | $5,426.13 | ↓ -79% |
| BLUE CROSS | Medicare Advantage PPO | $5,426.13 | ↓ -79% |
| UNITED | MEDICARE ADVANTAGE | $5,426.13 | ↓ -79% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $5,426.13 | ↓ -79% |
| Careplus | MEDICARE ADVANTAGE | $5,426.13 | ↓ -79% |
| HUMANA | Medicare Advantage HMO | $5,426.13 | ↓ -79% |
| AVMED | MEDICARE ADVANTAGE | $5,643.18 | ↓ -78% |
| Independent Living Systems | MEDICARE ADVANTAGE | $5,697.44 | ↓ -77% |
| WellMed | MEDICARE ADVANTAGE | $5,810.88 | ↓ -77% |
| AETNA | MEDICARE ADVANTAGE | $5,810.88 | ↓ -77% |
| Wellcare | MEDICARE ADVANTAGE | $5,810.88 | ↓ -77% |
| DEVOTED HEALTH | Medicare Advantage HMO | $6,391.96 | ↓ -75% |
| AVMED | EXCHANGE | $8,519.03 | ↓ -66% |
| AVMED | Select | $9,549.99 | ↓ -62% |
| CIGNA | Individual Family Plan | $9,985.48 | ↓ -60% |
| CIGNA | SUREFIT | $12,044.74 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $12,355.57 | ↓ -51% |
| AVMED | BROAD | $12,425.85 | ↓ -51% |
| BMI | ALL PRODUCTS | $19,427.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $23,312.40 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $25,255.10 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $25,255.10 | ↑ +0% |
| AETNA | All Products First Health | $31,083.20 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $31,083.20 | ↑ +23% |
| BLUE CROSS | BSL | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Specialist | 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 | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
Visitor-reported prices
Comments
Ins tun cv cath wo subq prt/pm at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $46,619.20 | $537.00 – $12,900.14 |
| cleveland clinic florida weston hospital | Weston | $25,255.10 | $389.35 – $33,025.90 |
| martin north hospital | Stuart | $25,255.10 | $260.40 – $19,427.00 |
| Baptist Hospital | MIAMI | $8,208.85 | $173.17 – $6,508.18 |
| Bethesda Hospital East | BOYNTON BEACH | $8,208.85 | $1,361.95 – $6,043.31 |
| Doctors Hospital | CORAL GABLES | $8,208.85 | $1,104.95 – $6,508.18 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $8,208.85 | $1,098.64 – $6,391.96 |
| Homestead Hospital | HOMESTEAD | $8,208.85 | $167.89 – $6,391.96 |