Kidney imaging morphology at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$117.00
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.
$180.00
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.
$16.39 with Aetna vs $923.67 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 | $16.39 | ↓ -86% |
| Blue Cross | Health Options | $20.22 | ↓ -83% |
| United | Medicare Advantage | $20.54 | ↓ -82% |
| Blue Cross | Network Blue | $20.72 | ↓ -82% |
| Value Options | Medicare Advantage | $20.74 | ↓ -82% |
| Avmed | Medicare Advantage | $20.74 | ↓ -82% |
| Blue Cross | Medicare Advantage PPO | $20.74 | ↓ -82% |
| Wellcare | Medicare Advantage | $20.74 | ↓ -82% |
| Careplus | Medicare Advantage | $20.74 | ↓ -82% |
| Magellan | Medicare Advantage | $20.74 | ↓ -82% |
| Blue Cross | Medicare Advantage HMO | $20.74 | ↓ -82% |
| Blue Cross | Traditional (PPS) | $21.21 | ↓ -82% |
| Blue Cross | Perferred Patient Care | $21.21 | ↓ -82% |
| Independent Living Systems | Medicare Advantage | $21.57 | ↓ -82% |
| WellMed | Medicare Advantage | $21.78 | ↓ -81% |
| Freedom Health | Medicare Advantage | $21.78 | ↓ -81% |
| Clear Spring Health | All Products | $22.40 | ↓ -81% |
| Aetna | Medicare Advantage Behavioral Health | $24.89 | ↓ -79% |
| Aetna | Medicare Advantage PCP | $25.72 | ↓ -78% |
| Aetna | Medicare Advantage Specialist | $26.13 | ↓ -78% |
| United | All Products | $26.72 | ↓ -77% |
| Avmed | Exchange | $27.05 | ↓ -77% |
| Avmed | Select | $28.09 | ↓ -76% |
| Avmed | Broad | $30.17 | ↓ -74% |
| Aetna | POS First Health | $81.00 | ↓ -31% |
| Three Rivers | All Products | $117.00 | ↑ +0% |
| Clarity Health | All Products | $117.00 | ↑ +0% |
| The Legacy Companies | All Products | $117.00 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $135.00 | ↑ +15% |
| National Provider Network | All Products | $153.00 | ↑ +31% |
| Aetna | All Products First Health | $162.00 | ↑ +38% |
| Cigna | Individual Family Plan Physician | $180.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $180.00 | ↑ +54% |
| Cigna | Surefit Physician | $180.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $180.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $180.00 | ↑ +54% |
| Cigna | All Products Physician | $180.00 | ↑ +54% |
| OPTUM | Managed Medicaid | $225.17 | ↑ +92% |
| MOLINA | Florida KidCare | $237.02 | ↑ +103% |
| AMERIHEALTH | Managed Medicaid | $237.02 | ↑ +103% |
| Carelon BH Strategies | Managed Medicaid | $237.02 | ↑ +103% |
| Medicaid | Managed Medicaid | $237.02 | ↑ +103% |
| Molina | Florida Kidcare | $237.02 | ↑ +103% |
| SUNSHINE HEALTH | Managed Medicaid | $237.02 | ↑ +103% |
| Wellcare | Managed Medicaid | $237.02 | ↑ +103% |
| MOLINA | Managed Medicaid | $248.87 | ↑ +113% |
| AETNA | Managed Medicaid/CHIP | $260.72 | ↑ +123% |
| Independent Living Systems | Managed Medicaid | $284.42 | ↑ +143% |
| BLUE CROSS | Medicare Advantage HMO | $403.35 | ↑ +245% |
| BLUE CROSS | Medicare Advantage PPO | $403.35 | ↑ +245% |
| Freedom Health | MEDICARE ADVANTAGE | $403.35 | ↑ +245% |
| HUMANA | Medicare Advantage HMO | $403.35 | ↑ +245% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $403.35 | ↑ +245% |
| Careplus | MEDICARE ADVANTAGE | $403.35 | ↑ +245% |
| UNITED | MEDICARE ADVANTAGE | $403.35 | ↑ +245% |
| Wellcare | MEDICARE ADVANTAGE | $417.47 | ↑ +257% |
| WellMed | MEDICARE ADVANTAGE | $417.47 | ↑ +257% |
| AETNA | MEDICARE ADVANTAGE | $417.47 | ↑ +257% |
| AVMED | MEDICARE ADVANTAGE | $419.48 | ↑ +259% |
| Independent Living Systems | MEDICARE ADVANTAGE | $423.52 | ↑ +262% |
| DEVOTED HEALTH | Medicare Advantage HMO | $459.22 | ↑ +292% |
| AVMED | EXCHANGE | $633.26 | ↑ +441% |
| AVMED | Select | $709.89 | ↑ +507% |
| AVMED | BROAD | $923.67 | ↑ +689% |
| Optum | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Anesthesia | 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 | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
Visitor-reported prices
Comments
Kidney imaging morphology at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $2,369.90 | $18.89 – $459.22 |
| martin north hospital | Stuart | $2,252.90 | $16.90 – $459.22 |
| Boca Raton Regional Hospital | BOCA RATON | $1,077.70 | $409.97 – $1,082.67 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $1,235.60 | $431.99 – $884.18 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | $2,010.00 | $848.52 – $1,553.17 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | $2,825.50 | $848.52 – $1,366.26 |
| HCA FLORIDA FAWCETT HOSPITAL | FORT MYERS | $6,677.91 | $848.52 – $1,401.23 |
| HCA FLORIDA HIGHLANDS HOSPITAL | Sebring | $4,312.00 | $848.52 – $1,307.08 |