healthcosts.net
Kidney (Retroperitoneal) Ultrasound (complete) at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$759.20
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.
$1,168.00
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.
$27.89 with Aetna vs $734.40 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 | PPO First Health | $27.89 | ↓ -96% |
| Blue Cross | Health Options | $32.84 | ↓ -96% |
| Blue Cross | Network Blue | $33.64 | ↓ -96% |
| Blue Cross | Traditional (PPS) | $34.45 | ↓ -95% |
| Blue Cross | Perferred Patient Care | $34.45 | ↓ -95% |
| United | Medicare Advantage | $34.62 | ↓ -95% |
| Avmed | Medicare Advantage | $35.44 | ↓ -95% |
| Value Options | Medicare Advantage | $35.44 | ↓ -95% |
| Magellan | Medicare Advantage | $35.44 | ↓ -95% |
| Careplus | Medicare Advantage | $35.44 | ↓ -95% |
| Wellcare | Medicare Advantage | $35.44 | ↓ -95% |
| Blue Cross | Medicare Advantage PPO | $35.44 | ↓ -95% |
| Blue Cross | Medicare Advantage HMO | $35.44 | ↓ -95% |
| Independent Living Systems | Medicare Advantage | $36.35 | ↓ -95% |
| Freedom Health | Medicare Advantage | $37.21 | ↓ -95% |
| WellMed | Medicare Advantage | $37.21 | ↓ -95% |
| Clear Spring Health | All Products | $38.28 | ↓ -95% |
| Aetna | Medicare Advantage Behavioral Health | $42.53 | ↓ -94% |
| Aetna | Medicare Advantage PCP | $43.95 | ↓ -94% |
| Aetna | Medicare Advantage Specialist | $44.65 | ↓ -94% |
| United | All Products | $45.75 | ↓ -94% |
| Avmed | Exchange | $46.32 | ↓ -94% |
| Avmed | Select | $48.10 | ↓ -94% |
| Avmed | Broad | $51.66 | ↓ -93% |
| Aetna | All Products Behavioral Health | $80.47 | ↓ -89% |
| Optum | Managed Medicaid | $81.56 | ↓ -89% |
| Aetna | All Products Anesthesia | $83.15 | ↓ -89% |
| OPTUM | Managed Medicaid | $100.02 | ↓ -87% |
| Aetna | Medical Rental | $102.52 | ↓ -86% |
| MOLINA | Florida KidCare | $105.28 | ↓ -86% |
| Medicaid | Managed Medicaid | $105.28 | ↓ -86% |
| AMERIHEALTH | Managed Medicaid | $105.28 | ↓ -86% |
| Molina | Florida Kidcare | $105.28 | ↓ -86% |
| Wellcare | Managed Medicaid | $105.28 | ↓ -86% |
| SUNSHINE HEALTH | Managed Medicaid | $105.28 | ↓ -86% |
| Carelon BH Strategies | Managed Medicaid | $105.28 | ↓ -86% |
| UNITED | MEDICARE ADVANTAGE | $106.74 | ↓ -86% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $106.74 | ↓ -86% |
| Careplus | MEDICARE ADVANTAGE | $106.74 | ↓ -86% |
| Freedom Health | MEDICARE ADVANTAGE | $106.74 | ↓ -86% |
| BLUE CROSS | Medicare Advantage HMO | $106.74 | ↓ -86% |
| HUMANA | Medicare Advantage HMO | $106.74 | ↓ -86% |
| BLUE CROSS | Medicare Advantage PPO | $106.74 | ↓ -86% |
| Aetna | All Products PCP | $107.40 | ↓ -86% |
| Wellcare | MEDICARE ADVANTAGE | $109.17 | ↓ -86% |
| AETNA | MEDICARE ADVANTAGE | $109.17 | ↓ -86% |
| WellMed | MEDICARE ADVANTAGE | $109.17 | ↓ -86% |
| MOLINA | Managed Medicaid | $110.54 | ↓ -85% |
| AVMED | MEDICARE ADVANTAGE | $111.01 | ↓ -85% |
| Independent Living Systems | MEDICARE ADVANTAGE | $112.08 | ↓ -85% |
| AETNA | Managed Medicaid/CHIP | $115.81 | ↓ -85% |
| DEVOTED HEALTH | Medicare Advantage HMO | $120.09 | ↓ -84% |
| Independent Living Systems | Managed Medicaid | $126.34 | ↓ -83% |
| Aetna | All Products Specialist | $132.11 | ↓ -83% |
| Aetna | POS First Health | $146.70 | ↓ -81% |
| Clear Spring Health | ALL PRODUCTS | $155.15 | ↓ -80% |
| AVMED | EXCHANGE | $167.58 | ↓ -78% |
| AVMED | Select | $187.87 | ↓ -75% |
| Clarity Health | All Products | $211.90 | ↓ -72% |
| Three Rivers | All Products | $211.90 | ↓ -72% |
| The Legacy Companies | All Products | $211.90 | ↓ -72% |
| AETNA | QHP | $214.81 | ↓ -72% |
| CIGNA | Individual Family Plan | $235.93 | ↓ -69% |
| AVMED | BROAD | $244.44 | ↓ -68% |
| Consociate Health | ALL PRODUCTS | $244.50 | ↓ -68% |
| National Provider Network | All Products | $277.10 | ↓ -64% |
| BLUE CROSS | HMO | $284.00 | ↓ -63% |
| BLUE CROSS | BSL | $284.00 | ↓ -63% |
| CIGNA | SUREFIT | $284.58 | ↓ -63% |
| CIGNA | ALL PRODUCTS | $291.92 | ↓ -62% |
| Aetna | All Products First Health | $293.40 | ↓ -61% |
| BLUE CROSS | NWBI | $317.00 | ↓ -58% |
| BLUE CROSS | NWB | $317.00 | ↓ -58% |
| Cigna | Individual Family Plan Mid-Level | $326.00 | ↓ -57% |
| Cigna | Surefit Physician | $326.00 | ↓ -57% |
| Cigna | All Products Physician | $326.00 | ↓ -57% |
| Cigna | All Products Mid-Level | $326.00 | ↓ -57% |
| Cigna | Individual Family Plan Physician | $326.00 | ↓ -57% |
| Cigna | Surefit Mid-Level | $326.00 | ↓ -57% |
| AETNA | ALL PRODUCTS | $326.81 | ↓ -57% |
| BLUE CROSS | PHS | $353.00 | ↓ -54% |
| BLUE CROSS | PPO | $353.00 | ↓ -54% |
| BMI | ALL PRODUCTS | $459.00 | ↓ -40% |
| MAGELLAN | ALL PRODUCTS | $550.80 | ↓ -27% |
| The Legacy Companies | ALL PRODUCTS | $596.70 | ↓ -21% |
| Clarity Health | ALL PRODUCTS | $596.70 | ↓ -21% |
| MULTIPLAN | ALL PRODUCTS | $734.40 | ↓ -3% |
| AETNA | All Products First Health | $734.40 | ↓ -3% |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Kidney (Retroperitoneal) Ultrasound (complete) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $808.60 | $30.68 – $780.30 |
| martin north hospital | Stuart | $808.60 | $27.45 – $459.00 |
| Baptist Hospital | MIAMI | $1,302.60 | $104.70 – $1,404.90 |
| Bethesda Hospital East | BOYNTON BEACH | $1,302.60 | $104.70 – $1,803.60 |
| Boca Raton Regional Hospital | BOCA RATON | $1,168.05 | $107.21 – $1,173.44 |
| Doctors Hospital | CORAL GABLES | $1,302.60 | $101.50 – $1,803.60 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $1,302.60 | $101.50 – $1,404.90 |
| Fishermens Community Hospital | MARATHON | $1,302.60 | $101.50 – $1,803.60 |