Insti hexaminolevulinate hcl at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$63.18
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.
$97.20
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.
$15.16 with AETNA vs $51.84 with AETNA — 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 |
|---|---|---|---|
| AETNA | QHP | $15.16 | ↓ -76% |
| AETNA | MEDICARE ADVANTAGE | $15.23 | ↓ -76% |
| AVMED | EXCHANGE | $15.55 | ↓ -75% |
| AVMED | Select | $15.55 | ↓ -75% |
| CIGNA | Individual Family Plan | $16.65 | ↓ -74% |
| CIGNA | SUREFIT | $20.09 | ↓ -68% |
| AVMED | BROAD | $20.09 | ↓ -68% |
| CIGNA | ALL PRODUCTS | $20.61 | ↓ -67% |
| AETNA | ALL PRODUCTS | $23.07 | ↓ -63% |
| BMI | ALL PRODUCTS | $32.40 | ↓ -49% |
| MAGELLAN | ALL PRODUCTS | $38.88 | ↓ -38% |
| The Legacy Companies | ALL PRODUCTS | $42.12 | ↓ -33% |
| Clarity Health | ALL PRODUCTS | $42.12 | ↓ -33% |
| Consociate Health | ALL PRODUCTS | $48.60 | ↓ -23% |
| MULTIPLAN | ALL PRODUCTS | $51.84 | ↓ -18% |
| AETNA | All Products First Health | $51.84 | ↓ -18% |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Independent Living Systems | Managed Medicaid | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Medicaid | Managed Medicaid | not published by hospital | — |
| MOLINA | Florida KidCare | not published by hospital | — |
| MOLINA | Managed Medicaid | not published by hospital | — |
| OPTUM | Managed Medicaid | not published by hospital | — |
| SUNSHINE HEALTH | Managed Medicaid | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| Wellcare | Managed Medicaid | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| WellMed | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | Managed Medicaid/CHIP | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| AMERIHEALTH | Managed Medicaid | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| Carelon BH Strategies | Managed Medicaid | not published by hospital | — |
| Carelon BH Strategies | MEDICARE ADVANTAGE | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Insti hexaminolevulinate hcl at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $2,370.59 | $1,681.66 – $3,446.03 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville | $2,370.59 | $1,681.66 – $3,446.03 |
| HCA FLORIDA LEHIGH HOSPITAL | LEHIGH ACRES | $5,062.50 | $1,381.40 – $3,061.86 |
| HCA FLORIDA ENGLEWOOD HOSPITAL | ENGLEWOOD | $5,062.50 | $1,381.40 – $3,061.86 |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | VENICE | $3,600.00 | $1,381.40 – $3,061.86 |
| OVIEDO MEDICAL CENTER | Oviedo | $6,345.00 | $1,381.40 – $4,272.36 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $1,424.12 – $2,349.80 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $1,381.40 – $2,349.80 |