Insert pm/icd lead dual at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$21,767.85
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.
$33,489.00
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.
$277.19 with Optum vs $26,791.20 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 | $277.19 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $279.84 | ↓ -99% |
| Molina | Managed Medicaid | $279.84 | ↓ -99% |
| Wellcare | Managed Medicaid | $279.84 | ↓ -99% |
| Value Options | Managed Medicaid | $279.84 | ↓ -99% |
| Medicaid | Managed Medicaid | $279.84 | ↓ -99% |
| Blue Cross | Health Options | $361.62 | ↓ -98% |
| Blue Cross | Medicare Advantage HMO | $368.35 | ↓ -98% |
| Blue Cross | Medicare Advantage PPO | $368.35 | ↓ -98% |
| Value Options | Medicare Advantage | $368.35 | ↓ -98% |
| Magellan | Medicare Advantage | $368.35 | ↓ -98% |
| Wellcare | Medicare Advantage | $368.35 | ↓ -98% |
| Avmed | Medicare Advantage | $368.35 | ↓ -98% |
| Careplus | Medicare Advantage | $368.35 | ↓ -98% |
| Blue Cross | Network Blue | $370.51 | ↓ -98% |
| Blue Cross | Traditional (PPS) | $379.40 | ↓ -98% |
| Blue Cross | Perferred Patient Care | $379.40 | ↓ -98% |
| United | Medicare Advantage | $385.88 | ↓ -98% |
| Freedom Health | Medicare Advantage | $386.77 | ↓ -98% |
| WellMed | Medicare Advantage | $386.77 | ↓ -98% |
| Independent Living Systems | Medicare Advantage | $386.77 | ↓ -98% |
| Clear Spring Health | All Products | $397.82 | ↓ -98% |
| Clear Spring Health | ALL PRODUCTS | $441.56 | ↓ -98% |
| Aetna | Medicare Advantage Behavioral Health | $442.02 | ↓ -98% |
| Aetna | Medicare Advantage PCP | $456.75 | ↓ -98% |
| Aetna | Medicare Advantage Specialist | $464.12 | ↓ -98% |
| Avmed | Exchange | $513.66 | ↓ -98% |
| Avmed | Select | $533.41 | ↓ -98% |
| Avmed | Broad | $572.92 | ↓ -97% |
| Aetna | PPO First Health | $599.08 | ↓ -97% |
| United | All Products | $747.61 | ↓ -97% |
| OPTUM | Managed Medicaid | $916.39 | ↓ -96% |
| SUNSHINE HEALTH | Managed Medicaid | $964.62 | ↓ -96% |
| AMERIHEALTH | Managed Medicaid | $964.62 | ↓ -96% |
| MOLINA | Florida KidCare | $964.62 | ↓ -96% |
| Molina | Florida Kidcare | $964.62 | ↓ -96% |
| Carelon BH Strategies | Managed Medicaid | $964.62 | ↓ -96% |
| Aetna | POS First Health | $1,006.20 | ↓ -95% |
| MOLINA | Managed Medicaid | $1,012.85 | ↓ -95% |
| AETNA | Managed Medicaid/CHIP | $1,061.08 | ↓ -95% |
| Independent Living Systems | Managed Medicaid | $1,157.54 | ↓ -95% |
| Clarity Health | All Products | $1,453.40 | ↓ -93% |
| The Legacy Companies | All Products | $1,453.40 | ↓ -93% |
| Three Rivers | All Products | $1,453.40 | ↓ -93% |
| Consociate Health | ALL PRODUCTS | $1,677.00 | ↓ -92% |
| National Provider Network | All Products | $1,900.60 | ↓ -91% |
| Aetna | All Products First Health | $2,012.40 | ↓ -91% |
| Cigna | Surefit Mid-Level | $2,236.00 | ↓ -90% |
| Cigna | All Products Mid-Level | $2,236.00 | ↓ -90% |
| Cigna | All Products Physician | $2,236.00 | ↓ -90% |
| Cigna | Individual Family Plan Mid-Level | $2,236.00 | ↓ -90% |
| Cigna | Individual Family Plan Physician | $2,236.00 | ↓ -90% |
| Cigna | Surefit Physician | $2,236.00 | ↓ -90% |
| AETNA | QHP | $5,359.00 | ↓ -75% |
| BLUE CROSS | Medicare Advantage HMO | $8,307.26 | ↓ -62% |
| Careplus | MEDICARE ADVANTAGE | $8,307.26 | ↓ -62% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $8,307.26 | ↓ -62% |
| Freedom Health | MEDICARE ADVANTAGE | $8,307.26 | ↓ -62% |
| UNITED | MEDICARE ADVANTAGE | $8,307.26 | ↓ -62% |
| HUMANA | Medicare Advantage HMO | $8,307.26 | ↓ -62% |
| BLUE CROSS | Medicare Advantage PPO | $8,307.26 | ↓ -62% |
| CIGNA | Individual Family Plan | $8,606.67 | ↓ -60% |
| AVMED | MEDICARE ADVANTAGE | $8,639.55 | ↓ -60% |
| Wellcare | MEDICARE ADVANTAGE | $8,641.82 | ↓ -60% |
| AETNA | MEDICARE ADVANTAGE | $8,641.82 | ↓ -60% |
| WellMed | MEDICARE ADVANTAGE | $8,641.82 | ↓ -60% |
| Independent Living Systems | MEDICARE ADVANTAGE | $8,722.63 | ↓ -60% |
| AETNA | ALL PRODUCTS | $8,724.00 | ↓ -60% |
| DEVOTED HEALTH | Medicare Advantage HMO | $9,506.00 | ↓ -56% |
| CIGNA | SUREFIT | $10,381.59 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $10,649.50 | ↓ -51% |
| UNITED | NHP | $10,701.00 | ↓ -51% |
| UNITED | ALL PRODUCTS | $12,702.00 | ↓ -42% |
| AVMED | EXCHANGE | $13,042.40 | ↓ -40% |
| UNITED | International | $13,944.00 | ↓ -36% |
| AVMED | Select | $14,620.78 | ↓ -33% |
| BMI | ALL PRODUCTS | $16,744.50 | ↓ -23% |
| AVMED | BROAD | $19,023.63 | ↓ -13% |
| MAGELLAN | ALL PRODUCTS | $20,093.40 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $21,767.85 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $21,767.85 | ↑ +0% |
| AETNA | All Products First Health | $26,791.20 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $26,791.20 | ↑ +23% |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Consociate Health | Transplant | 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 | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Insert pm/icd lead dual at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $26,593.72 | $8,209.72 – $14,423.19 |
| Adventhealth Tampa | Tampa | $11,558.07 | $8,641.82 – $19,184.83 |
| Adventhealth Port Charlotte | Port Charlotte | $11,618.23 | $8,641.82 – $15,779.96 |
| cleveland clinic florida weston hospital | Weston | $21,767.85 | $277.19 – $28,465.65 |
| martin north hospital | Stuart | $21,767.85 | $279.84 – $16,744.50 |
| Baptist Hospital | MIAMI | $9,201.40 | $173.17 – $12,740.40 |
| Bethesda Hospital East | BOYNTON BEACH | $9,201.40 | $963.70 – $12,740.40 |
| Boca Raton Regional Hospital | BOCA RATON | $12,523.55 | $4,587.00 – $12,581.35 |