Laser surg penis lesion(s) at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$335.40
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.
$516.00
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.
$46.52 with Optum vs $5,233.00 with BLUE CROSS — 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 | $46.52 | ↓ -86% |
| Blue Cross | Health Options | $86.64 | ↓ -74% |
| Blue Cross | Network Blue | $88.77 | ↓ -74% |
| Blue Cross | Perferred Patient Care | $90.90 | ↓ -73% |
| Blue Cross | Traditional (PPS) | $90.90 | ↓ -73% |
| Careplus | Medicare Advantage | $96.55 | ↓ -71% |
| Magellan | Medicare Advantage | $96.55 | ↓ -71% |
| Value Options | Medicare Advantage | $96.55 | ↓ -71% |
| Wellcare | Medicare Advantage | $96.55 | ↓ -71% |
| Blue Cross | Medicare Advantage HMO | $96.55 | ↓ -71% |
| Blue Cross | Medicare Advantage PPO | $96.55 | ↓ -71% |
| Avmed | Medicare Advantage | $96.55 | ↓ -71% |
| United | Medicare Advantage | $98.66 | ↓ -71% |
| WellMed | Medicare Advantage | $101.38 | ↓ -70% |
| Freedom Health | Medicare Advantage | $101.38 | ↓ -70% |
| Independent Living Systems | Medicare Advantage | $101.38 | ↓ -70% |
| Clear Spring Health | All Products | $104.27 | ↓ -69% |
| AmeriHealth | Managed Medicaid | $107.24 | ↓ -68% |
| Medicaid | Managed Medicaid | $107.24 | ↓ -68% |
| Molina | Managed Medicaid | $107.24 | ↓ -68% |
| Wellcare | Managed Medicaid | $107.24 | ↓ -68% |
| Value Options | Managed Medicaid | $107.24 | ↓ -68% |
| Aetna | Medicare Advantage Behavioral Health | $115.86 | ↓ -65% |
| Aetna | Medicare Advantage PCP | $119.72 | ↓ -64% |
| Aetna | Medicare Advantage Specialist | $121.65 | ↓ -64% |
| Avmed | Exchange | $133.29 | ↓ -60% |
| Avmed | Select | $138.42 | ↓ -59% |
| Avmed | Broad | $148.67 | ↓ -56% |
| Aetna | POS First Health | $148.80 | ↓ -56% |
| Cigna | Individual Family Plan Mid-Level | $169.82 | ↓ -49% |
| Cigna | Surefit Mid-Level | $173.07 | ↓ -48% |
| Cigna | All Products Mid-Level | $186.89 | ↓ -44% |
| United | All Products | $194.00 | ↓ -42% |
| Cigna | Individual Family Plan Physician | $199.77 | ↓ -40% |
| Cigna | Surefit Physician | $203.60 | ↓ -39% |
| Aetna | PPO First Health | $211.74 | ↓ -37% |
| Cigna | All Products Physician | $219.87 | ↓ -34% |
| The Legacy Companies | All Products | $335.40 | ↑ +0% |
| Clarity Health | All Products | $335.40 | ↑ +0% |
| Three Rivers | All Products | $335.40 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $387.00 | ↑ +15% |
| National Provider Network | All Products | $438.60 | ↑ +31% |
| Aetna | All Products First Health | $464.40 | ↑ +38% |
| OPTUM | Managed Medicaid | $1,256.84 | ↑ +275% |
| MOLINA | Florida KidCare | $1,322.99 | ↑ +294% |
| SUNSHINE HEALTH | Managed Medicaid | $1,322.99 | ↑ +294% |
| Carelon BH Strategies | Managed Medicaid | $1,322.99 | ↑ +294% |
| AMERIHEALTH | Managed Medicaid | $1,322.99 | ↑ +294% |
| Molina | Florida Kidcare | $1,322.99 | ↑ +294% |
| MOLINA | Managed Medicaid | $1,389.14 | ↑ +314% |
| AETNA | Managed Medicaid/CHIP | $1,455.29 | ↑ +334% |
| Independent Living Systems | Managed Medicaid | $1,587.59 | ↑ +373% |
| Careplus | MEDICARE ADVANTAGE | $1,836.14 | ↑ +447% |
| Freedom Health | MEDICARE ADVANTAGE | $1,836.14 | ↑ +447% |
| UNITED | MEDICARE ADVANTAGE | $1,836.14 | ↑ +447% |
| HUMANA | Medicare Advantage HMO | $1,836.14 | ↑ +447% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $1,836.14 | ↑ +447% |
| BLUE CROSS | Medicare Advantage PPO | $1,836.14 | ↑ +447% |
| BLUE CROSS | Medicare Advantage HMO | $1,836.14 | ↑ +447% |
| AVMED | MEDICARE ADVANTAGE | $1,909.59 | ↑ +469% |
| Independent Living Systems | MEDICARE ADVANTAGE | $1,927.95 | ↑ +475% |
| Wellcare | MEDICARE ADVANTAGE | $2,154.64 | ↑ +542% |
| AETNA | MEDICARE ADVANTAGE | $2,154.64 | ↑ +542% |
| WellMed | MEDICARE ADVANTAGE | $2,154.64 | ↑ +542% |
| UNITED | NHP | $2,297.00 | ↑ +585% |
| DEVOTED HEALTH | Medicare Advantage HMO | $2,370.10 | ↑ +607% |
| AVMED | EXCHANGE | $2,882.75 | ↑ +759% |
| AVMED | Select | $3,231.61 | ↑ +864% |
| AVMED | BROAD | $4,204.77 | ↑ +1154% |
| BLUE CROSS | BSL | $5,233.00 | ↑ +1460% |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | Medical Rental | 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 Anesthesia | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
Visitor-reported prices
Comments
Laser surg penis lesion(s) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $335.40 | $46.52 – $2,370.10 |
| martin north hospital | Stuart | $335.40 | $72.44 – $2,370.10 |
| Baptist Hospital | MIAMI | $575.90 | $153.28 – $2,413.20 |
| AdventHealth Orlando | Orlando | $6,465.00 | $2,154.64 – $5,709.80 |
| Adventhealth Carrollwood | Tampa | $10,691.85 | $401.00 – $4,783.30 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $2,046.91 – $3,596.09 |
| Adventhealth Lake Wales | Lake Wales | not published | $2,154.64 – $4,783.30 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $2,046.91 – $4,602.10 |