Laparoscopy gastrostomy at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$2,204.80
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.
?
What you pay up front if you don't use insurance.
$3,392.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$375.34 with Optum vs $13,411.19 with AVMED — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $375.34 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $449.37 | ↓ -80% |
| Value Options | Managed Medicaid | $449.37 | ↓ -80% |
| Wellcare | Managed Medicaid | $449.37 | ↓ -80% |
| Medicaid | Managed Medicaid | $449.37 | ↓ -80% |
| Molina | Managed Medicaid | $449.37 | ↓ -80% |
| Blue Cross | Health Options | $535.83 | ↓ -76% |
| Blue Cross | Network Blue | $549.01 | ↓ -75% |
| Blue Cross | Perferred Patient Care | $562.19 | ↓ -75% |
| Blue Cross | Traditional (PPS) | $562.19 | ↓ -75% |
| United | Medicare Advantage | $621.90 | ↓ -72% |
| Blue Cross | Medicare Advantage HMO | $629.38 | ↓ -71% |
| Blue Cross | Medicare Advantage PPO | $629.38 | ↓ -71% |
| Careplus | Medicare Advantage | $629.38 | ↓ -71% |
| Avmed | Medicare Advantage | $629.38 | ↓ -71% |
| Magellan | Medicare Advantage | $629.38 | ↓ -71% |
| Wellcare | Medicare Advantage | $629.38 | ↓ -71% |
| Value Options | Medicare Advantage | $629.38 | ↓ -71% |
| Independent Living Systems | Medicare Advantage | $653.00 | ↓ -70% |
| Freedom Health | Medicare Advantage | $660.85 | ↓ -70% |
| WellMed | Medicare Advantage | $660.85 | ↓ -70% |
| Clear Spring Health | All Products | $679.73 | ↓ -69% |
| Aetna | Medicare Advantage Behavioral Health | $755.26 | ↓ -66% |
| Aetna | Medicare Advantage PCP | $780.43 | ↓ -65% |
| Aetna | Medicare Advantage Specialist | $793.02 | ↓ -64% |
| Avmed | Exchange | $827.14 | ↓ -62% |
| Avmed | Select | $858.95 | ↓ -61% |
| Avmed | Broad | $922.58 | ↓ -58% |
| Aetna | PPO First Health | $939.84 | ↓ -57% |
| United | All Products | $1,203.87 | ↓ -45% |
| Aetna | POS First Health | $1,526.40 | ↓ -31% |
| The Legacy Companies | All Products | $2,204.80 | ↑ +0% |
| Clarity Health | All Products | $2,204.80 | ↑ +0% |
| Three Rivers | All Products | $2,204.80 | ↑ +0% |
| OPTUM | Managed Medicaid | $2,324.53 | ↑ +5% |
| SUNSHINE HEALTH | Managed Medicaid | $2,446.87 | ↑ +11% |
| AMERIHEALTH | Managed Medicaid | $2,446.87 | ↑ +11% |
| MOLINA | Florida KidCare | $2,446.87 | ↑ +11% |
| Carelon BH Strategies | Managed Medicaid | $2,446.87 | ↑ +11% |
| Molina | Florida Kidcare | $2,446.87 | ↑ +11% |
| Consociate Health | ALL PRODUCTS | $2,544.00 | ↑ +15% |
| MOLINA | Managed Medicaid | $2,569.21 | ↑ +17% |
| AETNA | Managed Medicaid/CHIP | $2,691.56 | ↑ +22% |
| National Provider Network | All Products | $2,883.20 | ↑ +31% |
| Independent Living Systems | Managed Medicaid | $2,936.24 | ↑ +33% |
| Aetna | All Products First Health | $3,052.80 | ↑ +38% |
| Cigna | Individual Family Plan Physician | $3,392.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $3,392.00 | ↑ +54% |
| Cigna | All Products Physician | $3,392.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $3,392.00 | ↑ +54% |
| Cigna | Surefit Physician | $3,392.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $3,392.00 | ↑ +54% |
| Careplus | MEDICARE ADVANTAGE | $5,856.41 | ↑ +166% |
| Freedom Health | MEDICARE ADVANTAGE | $5,856.41 | ↑ +166% |
| UNITED | MEDICARE ADVANTAGE | $5,856.41 | ↑ +166% |
| HUMANA | Medicare Advantage HMO | $5,856.41 | ↑ +166% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $5,856.41 | ↑ +166% |
| BLUE CROSS | Medicare Advantage PPO | $5,856.41 | ↑ +166% |
| BLUE CROSS | Medicare Advantage HMO | $5,856.41 | ↑ +166% |
| AVMED | MEDICARE ADVANTAGE | $6,090.67 | ↑ +176% |
| Independent Living Systems | MEDICARE ADVANTAGE | $6,149.23 | ↑ +179% |
| Wellcare | MEDICARE ADVANTAGE | $6,313.22 | ↑ +186% |
| AETNA | MEDICARE ADVANTAGE | $6,313.22 | ↑ +186% |
| WellMed | MEDICARE ADVANTAGE | $6,313.22 | ↑ +186% |
| DEVOTED HEALTH | Medicare Advantage HMO | $6,944.54 | ↑ +215% |
| AVMED | EXCHANGE | $9,194.57 | ↑ +317% |
| AVMED | Select | $10,307.29 | ↑ +367% |
| AVMED | BROAD | $13,411.19 | ↑ +508% |
| Value Options | All Products | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
Visitor-reported prices
Comments
Laparoscopy gastrostomy at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $2,204.80 | $375.34 – $6,944.54 |
| martin north hospital | Stuart | $2,204.80 | $447.99 – $6,944.54 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $5,997.56 – $10,536.76 |
| Adventhealth Lake Wales | Lake Wales | not published | $6,313.22 – $14,015.34 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $5,997.56 – $13,484.40 |
| Adventhealth Tampa | Tampa | not published | $6,313.22 – $14,015.34 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $5,997.56 – $13,791.22 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $1,306.78 – $1,334.29 |