Kidney endoscopy & biopsy at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,695.20
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.
$2,608.00
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.
$239.79 with Optum vs $21,256.02 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 | $239.79 | ↓ -86% |
| Molina | Managed Medicaid | $286.52 | ↓ -83% |
| Value Options | Managed Medicaid | $286.52 | ↓ -83% |
| Medicaid | Managed Medicaid | $286.52 | ↓ -83% |
| Wellcare | Managed Medicaid | $286.52 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $286.52 | ↓ -83% |
| Blue Cross | Health Options | $317.76 | ↓ -81% |
| Magellan | Medicare Advantage | $324.46 | ↓ -81% |
| Avmed | Medicare Advantage | $324.46 | ↓ -81% |
| Wellcare | Medicare Advantage | $324.46 | ↓ -81% |
| Value Options | Medicare Advantage | $324.46 | ↓ -81% |
| Blue Cross | Medicare Advantage PPO | $324.46 | ↓ -81% |
| Blue Cross | Medicare Advantage HMO | $324.46 | ↓ -81% |
| Careplus | Medicare Advantage | $324.46 | ↓ -81% |
| Blue Cross | Network Blue | $325.57 | ↓ -81% |
| Blue Cross | Traditional (PPS) | $333.39 | ↓ -80% |
| Blue Cross | Perferred Patient Care | $333.39 | ↓ -80% |
| Freedom Health | Medicare Advantage | $340.68 | ↓ -80% |
| Independent Living Systems | Medicare Advantage | $340.68 | ↓ -80% |
| WellMed | Medicare Advantage | $340.68 | ↓ -80% |
| United | Medicare Advantage | $347.41 | ↓ -80% |
| Clear Spring Health | All Products | $350.42 | ↓ -79% |
| Aetna | Medicare Advantage Behavioral Health | $389.35 | ↓ -77% |
| Aetna | Medicare Advantage PCP | $402.33 | ↓ -76% |
| Aetna | Medicare Advantage Specialist | $408.82 | ↓ -76% |
| Avmed | Exchange | $460.99 | ↓ -73% |
| Avmed | Select | $478.72 | ↓ -72% |
| Avmed | Broad | $514.18 | ↓ -70% |
| Cigna | Individual Family Plan Mid-Level | $525.95 | ↓ -69% |
| Cigna | Surefit Mid-Level | $536.01 | ↓ -68% |
| Aetna | POS First Health | $538.87 | ↓ -68% |
| Cigna | All Products Mid-Level | $578.83 | ↓ -66% |
| Cigna | Individual Family Plan Physician | $618.71 | ↓ -64% |
| Cigna | Surefit Physician | $630.59 | ↓ -63% |
| Aetna | PPO First Health | $644.45 | ↓ -62% |
| United | All Products | $670.96 | ↓ -60% |
| Cigna | All Products Physician | $680.97 | ↓ -60% |
| Clarity Health | All Products | $1,695.20 | ↑ +0% |
| The Legacy Companies | All Products | $1,695.20 | ↑ +0% |
| Three Rivers | All Products | $1,695.20 | ↑ +0% |
| OPTUM | Managed Medicaid | $1,770.94 | ↑ +4% |
| Molina | Florida Kidcare | $1,864.15 | ↑ +10% |
| MOLINA | Florida KidCare | $1,864.15 | ↑ +10% |
| AMERIHEALTH | Managed Medicaid | $1,864.15 | ↑ +10% |
| SUNSHINE HEALTH | Managed Medicaid | $1,864.15 | ↑ +10% |
| Carelon BH Strategies | Managed Medicaid | $1,864.15 | ↑ +10% |
| Consociate Health | ALL PRODUCTS | $1,956.00 | ↑ +15% |
| MOLINA | Managed Medicaid | $1,957.36 | ↑ +15% |
| AETNA | Managed Medicaid/CHIP | $2,050.57 | ↑ +21% |
| National Provider Network | All Products | $2,216.80 | ↑ +31% |
| Independent Living Systems | Managed Medicaid | $2,236.98 | ↑ +32% |
| Aetna | All Products First Health | $2,347.20 | ↑ +38% |
| UNITED | MEDICARE ADVANTAGE | $9,282.10 | ↑ +448% |
| Careplus | MEDICARE ADVANTAGE | $9,282.10 | ↑ +448% |
| HUMANA | Medicare Advantage HMO | $9,282.10 | ↑ +448% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $9,282.10 | ↑ +448% |
| BLUE CROSS | Medicare Advantage PPO | $9,282.10 | ↑ +448% |
| BLUE CROSS | Medicare Advantage HMO | $9,282.10 | ↑ +448% |
| Freedom Health | MEDICARE ADVANTAGE | $9,282.10 | ↑ +448% |
| AVMED | MEDICARE ADVANTAGE | $9,653.39 | ↑ +469% |
| Independent Living Systems | MEDICARE ADVANTAGE | $9,746.21 | ↑ +475% |
| AETNA | MEDICARE ADVANTAGE | $9,885.63 | ↑ +483% |
| WellMed | MEDICARE ADVANTAGE | $9,885.63 | ↑ +483% |
| Wellcare | MEDICARE ADVANTAGE | $9,885.63 | ↑ +483% |
| DEVOTED HEALTH | Medicare Advantage HMO | $10,874.19 | ↑ +541% |
| AVMED | EXCHANGE | $14,572.90 | ↑ +760% |
| AVMED | Select | $16,336.50 | ↑ +864% |
| AVMED | BROAD | $21,256.02 | ↑ +1154% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
Visitor-reported prices
Comments
Kidney endoscopy & biopsy at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $1,695.20 | $239.79 – $10,874.19 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $17,280.80 | $5,792.00 – $5,792.00 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $9,391.35 – $16,499.11 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $9,391.35 – $21,114.71 |
| Adventhealth Tampa | Tampa | not published | $401.00 – $21,946.09 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $962.08 – $982.34 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $9,885.63 – $18,051.15 |
| martin north hospital | Stuart | not published | $1,864.15 – $10,874.19 |