Ivp w/nephrotomography at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$140.40
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.
$216.00
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.
$18.66 with Aetna vs $409.21 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 |
|---|---|---|---|
| Aetna | PPO First Health | $18.66 | ↓ -87% |
| Blue Cross | Health Options | $21.74 | ↓ -85% |
| Blue Cross | Network Blue | $22.27 | ↓ -84% |
| Blue Cross | Traditional (PPS) | $22.81 | ↓ -84% |
| Blue Cross | Perferred Patient Care | $22.81 | ↓ -84% |
| United | Medicare Advantage | $23.06 | ↓ -84% |
| Blue Cross | Medicare Advantage PPO | $23.71 | ↓ -83% |
| Blue Cross | Medicare Advantage HMO | $23.71 | ↓ -83% |
| Avmed | Medicare Advantage | $23.71 | ↓ -83% |
| Wellcare | Medicare Advantage | $23.71 | ↓ -83% |
| Careplus | Medicare Advantage | $23.71 | ↓ -83% |
| Value Options | Medicare Advantage | $23.71 | ↓ -83% |
| Magellan | Medicare Advantage | $23.71 | ↓ -83% |
| Independent Living Systems | Medicare Advantage | $24.21 | ↓ -83% |
| Freedom Health | Medicare Advantage | $24.90 | ↓ -82% |
| WellMed | Medicare Advantage | $24.90 | ↓ -82% |
| Clear Spring Health | All Products | $25.61 | ↓ -82% |
| Aetna | Medicare Advantage Behavioral Health | $28.45 | ↓ -80% |
| Aetna | Medicare Advantage PCP | $29.40 | ↓ -79% |
| United | All Products | $29.71 | ↓ -79% |
| Aetna | Medicare Advantage Specialist | $29.87 | ↓ -79% |
| Avmed | Exchange | $30.08 | ↓ -79% |
| Avmed | Select | $31.24 | ↓ -78% |
| Avmed | Broad | $33.55 | ↓ -76% |
| OPTUM | Managed Medicaid | $71.29 | ↓ -49% |
| Molina | Florida Kidcare | $75.04 | ↓ -47% |
| Medicaid | Managed Medicaid | $75.04 | ↓ -47% |
| MOLINA | Florida KidCare | $75.04 | ↓ -47% |
| AMERIHEALTH | Managed Medicaid | $75.04 | ↓ -47% |
| SUNSHINE HEALTH | Managed Medicaid | $75.04 | ↓ -47% |
| Carelon BH Strategies | Managed Medicaid | $75.04 | ↓ -47% |
| Wellcare | Managed Medicaid | $75.04 | ↓ -47% |
| MOLINA | Managed Medicaid | $78.79 | ↓ -44% |
| AETNA | Managed Medicaid/CHIP | $82.54 | ↓ -41% |
| Independent Living Systems | Managed Medicaid | $90.05 | ↓ -36% |
| Aetna | POS First Health | $97.20 | ↓ -31% |
| Clarity Health | All Products | $140.40 | ↑ +0% |
| Three Rivers | All Products | $140.40 | ↑ +0% |
| The Legacy Companies | All Products | $140.40 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $162.00 | ↑ +15% |
| BLUE CROSS | Medicare Advantage HMO | $178.69 | ↑ +27% |
| UNITED | MEDICARE ADVANTAGE | $178.69 | ↑ +27% |
| Freedom Health | MEDICARE ADVANTAGE | $178.69 | ↑ +27% |
| HUMANA | Medicare Advantage HMO | $178.69 | ↑ +27% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $178.69 | ↑ +27% |
| BLUE CROSS | Medicare Advantage PPO | $178.69 | ↑ +27% |
| Careplus | MEDICARE ADVANTAGE | $178.69 | ↑ +27% |
| AETNA | MEDICARE ADVANTAGE | $183.17 | ↑ +30% |
| Wellcare | MEDICARE ADVANTAGE | $183.17 | ↑ +30% |
| WellMed | MEDICARE ADVANTAGE | $183.17 | ↑ +30% |
| National Provider Network | All Products | $183.60 | ↑ +31% |
| AVMED | MEDICARE ADVANTAGE | $185.84 | ↑ +32% |
| Independent Living Systems | MEDICARE ADVANTAGE | $187.63 | ↑ +34% |
| Aetna | All Products First Health | $194.40 | ↑ +38% |
| DEVOTED HEALTH | Medicare Advantage HMO | $201.48 | ↑ +44% |
| Cigna | All Products Physician | $216.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $216.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $216.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $216.00 | ↑ +54% |
| Cigna | Surefit Physician | $216.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $216.00 | ↑ +54% |
| AVMED | EXCHANGE | $280.55 | ↑ +100% |
| AVMED | Select | $314.50 | ↑ +124% |
| AVMED | BROAD | $409.21 | ↑ +191% |
| Aetna | Medical Rental | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Optum | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Ivp w/nephrotomography at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Port Charlotte | Port Charlotte | $794.68 | $183.17 – $359.53 |
| cleveland clinic florida weston hospital | Weston | $1,138.15 | $20.31 – $1,304.75 |
| martin north hospital | Stuart | $140.40 | $18.17 – $216.00 |
| Baptist Hospital | MIAMI | $1,518.40 | $73.69 – $2,102.40 |
| Bethesda Hospital East | BOYNTON BEACH | $1,518.40 | $73.69 – $2,102.40 |
| Boca Raton Regional Hospital | BOCA RATON | $1,270.10 | $179.88 – $1,275.96 |
| Doctors Hospital | CORAL GABLES | $1,518.40 | $71.44 – $2,102.40 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $1,518.40 | $71.44 – $2,102.40 |