healthcosts.net
Knee arthroscopy at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$2,010.45
Cash price
What you pay up front if you don't use insurance.
$3,093.00
Gross charge
The hospital's undiscounted list price — almost no one pays this.
$424.86 with Value Options vs $7,458.24 with AVMED — same scan, same building. Share
Negotiated rates by payer
| Payer | Plan | Negotiated rate | vs. cash |
|---|---|---|---|
| Value Options | Managed Medicaid | $424.86 | ↓ -79% |
| Medicaid | Managed Medicaid | $424.86 | ↓ -79% |
| Molina | Managed Medicaid | $424.86 | ↓ -79% |
| Wellcare | Managed Medicaid | $424.86 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $424.86 | ↓ -79% |
| Optum | Managed Medicaid | $431.23 | ↓ -79% |
| Blue Cross | Health Options | $513.94 | ↓ -74% |
| Blue Cross | Network Blue | $526.58 | ↓ -74% |
| Blue Cross | Traditional (PPS) | $539.21 | ↓ -73% |
| Blue Cross | Perferred Patient Care | $539.21 | ↓ -73% |
| Avmed | Medicare Advantage | $559.39 | ↓ -72% |
| Value Options | Medicare Advantage | $559.39 | ↓ -72% |
| Magellan | Medicare Advantage | $559.39 | ↓ -72% |
| Careplus | Medicare Advantage | $559.39 | ↓ -72% |
| Wellcare | Medicare Advantage | $559.39 | ↓ -72% |
| Blue Cross | Medicare Advantage PPO | $559.39 | ↓ -72% |
| Blue Cross | Medicare Advantage HMO | $559.39 | ↓ -72% |
| United | Medicare Advantage | $572.33 | ↓ -72% |
| Independent Living Systems | Medicare Advantage | $587.36 | ↓ -71% |
| Freedom Health | Medicare Advantage | $587.36 | ↓ -71% |
| WellMed | Medicare Advantage | $587.36 | ↓ -71% |
| Clear Spring Health | All Products | $604.14 | ↓ -70% |
| Aetna | Medicare Advantage Behavioral Health | $671.27 | ↓ -67% |
| Aetna | Medicare Advantage PCP | $693.64 | ↓ -65% |
| Aetna | Medicare Advantage Specialist | $704.83 | ↓ -65% |
| Avmed | Exchange | $759.97 | ↓ -62% |
| Avmed | Select | $789.20 | ↓ -61% |
| Avmed | Broad | $847.66 | ↓ -58% |
| Aetna | PPO First Health | $860.30 | ↓ -57% |
| United | All Products | $1,106.10 | ↓ -45% |
| OPTUM | Managed Medicaid | $1,311.27 | ↓ -35% |
| MOLINA | Florida KidCare | $1,380.28 | ↓ -31% |
| AMERIHEALTH | Managed Medicaid | $1,380.28 | ↓ -31% |
| Molina | Florida Kidcare | $1,380.28 | ↓ -31% |
| SUNSHINE HEALTH | Managed Medicaid | $1,380.28 | ↓ -31% |
| Carelon BH Strategies | Managed Medicaid | $1,380.28 | ↓ -31% |
| Aetna | POS First Health | $1,391.85 | ↓ -31% |
| MOLINA | Managed Medicaid | $1,449.29 | ↓ -28% |
| AETNA | Managed Medicaid/CHIP | $1,518.31 | ↓ -24% |
| Independent Living Systems | Managed Medicaid | $1,656.34 | ↓ -18% |
| Clarity Health | All Products | $2,010.45 | ↑ +0% |
| Three Rivers | All Products | $2,010.45 | ↑ +0% |
| The Legacy Companies | All Products | $2,010.45 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $2,319.75 | ↑ +15% |
| National Provider Network | All Products | $2,629.05 | ↑ +31% |
| Aetna | All Products First Health | $2,783.70 | ↑ +38% |
| Cigna | Individual Family Plan Mid-Level | $3,093.00 | ↑ +54% |
| Cigna | Surefit Physician | $3,093.00 | ↑ +54% |
| Cigna | All Products Physician | $3,093.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $3,093.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $3,093.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $3,093.00 | ↑ +54% |
| UNITED | MEDICARE ADVANTAGE | $3,256.87 | ↑ +62% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $3,256.87 | ↑ +62% |
| Careplus | MEDICARE ADVANTAGE | $3,256.87 | ↑ +62% |
| Freedom Health | MEDICARE ADVANTAGE | $3,256.87 | ↑ +62% |
| BLUE CROSS | Medicare Advantage HMO | $3,256.87 | ↑ +62% |
| HUMANA | Medicare Advantage HMO | $3,256.87 | ↑ +62% |
| BLUE CROSS | Medicare Advantage PPO | $3,256.87 | ↑ +62% |
| AVMED | MEDICARE ADVANTAGE | $3,387.15 | ↑ +68% |
| Wellcare | MEDICARE ADVANTAGE | $3,416.88 | ↑ +70% |
| AETNA | MEDICARE ADVANTAGE | $3,416.88 | ↑ +70% |
| WellMed | MEDICARE ADVANTAGE | $3,416.88 | ↑ +70% |
| Independent Living Systems | MEDICARE ADVANTAGE | $3,419.72 | ↑ +70% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,758.57 | ↑ +87% |
| AVMED | EXCHANGE | $5,113.29 | ↑ +154% |
| AVMED | Select | $5,732.10 | ↑ +185% |
| AVMED | BROAD | $7,458.24 | ↑ +271% |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
Visitor-reported prices
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Knee arthroscopy at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $2,010.45 | $424.86 – $3,758.57 |
| martin north hospital | Stuart | $2,010.45 | $424.86 – $3,758.57 |