Lip surgery procedure at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$423.80
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.
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What you pay up front if you don't use insurance.
$652.00
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.
$167.56 with CIGNA vs $8,326.00 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 |
|---|---|---|---|
| CIGNA | Individual Family Plan | $167.56 | ↓ -60% |
| CIGNA | SUREFIT | $202.12 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $207.34 | ↓ -51% |
| Freedom Health | MEDICARE ADVANTAGE | $233.10 | ↓ -45% |
| BLUE CROSS | Medicare Advantage HMO | $233.10 | ↓ -45% |
| BLUE CROSS | Medicare Advantage PPO | $233.10 | ↓ -45% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $233.10 | ↓ -45% |
| HUMANA | Medicare Advantage HMO | $233.10 | ↓ -45% |
| Careplus | MEDICARE ADVANTAGE | $233.10 | ↓ -45% |
| UNITED | MEDICARE ADVANTAGE | $233.10 | ↓ -45% |
| AVMED | MEDICARE ADVANTAGE | $242.42 | ↓ -43% |
| Independent Living Systems | MEDICARE ADVANTAGE | $244.75 | ↓ -42% |
| Wellcare | MEDICARE ADVANTAGE | $247.34 | ↓ -42% |
| AETNA | MEDICARE ADVANTAGE | $247.34 | ↓ -42% |
| WellMed | MEDICARE ADVANTAGE | $247.34 | ↓ -42% |
| DEVOTED HEALTH | Medicare Advantage HMO | $272.07 | ↓ -36% |
| BMI | ALL PRODUCTS | $326.00 | ↓ -23% |
| AVMED | EXCHANGE | $365.96 | ↓ -14% |
| MAGELLAN | ALL PRODUCTS | $391.20 | ↓ -8% |
| AVMED | Select | $410.25 | ↓ -3% |
| Clarity Health | ALL PRODUCTS | $423.80 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $423.80 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $489.00 | ↑ +15% |
| AETNA | All Products First Health | $521.60 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $521.60 | ↑ +23% |
| AVMED | BROAD | $533.79 | ↑ +26% |
| AETNA | QHP | $554.00 | ↑ +31% |
| OPTUM | Managed Medicaid | $839.72 | ↑ +98% |
| UNITED | NHP | $850.00 | ↑ +101% |
| Carelon BH Strategies | Managed Medicaid | $883.92 | ↑ +109% |
| MOLINA | Florida KidCare | $883.92 | ↑ +109% |
| Molina | Florida Kidcare | $883.92 | ↑ +109% |
| Medicaid | Managed Medicaid | $883.92 | ↑ +109% |
| AMERIHEALTH | Managed Medicaid | $883.92 | ↑ +109% |
| SUNSHINE HEALTH | Managed Medicaid | $883.92 | ↑ +109% |
| Wellcare | Managed Medicaid | $883.92 | ↑ +109% |
| MOLINA | Managed Medicaid | $928.12 | ↑ +119% |
| AETNA | Managed Medicaid/CHIP | $972.31 | ↑ +129% |
| Independent Living Systems | Managed Medicaid | $1,060.70 | ↑ +150% |
| UNITED | International | $1,151.00 | ↑ +172% |
| UNITED | ALL PRODUCTS | $1,151.00 | ↑ +172% |
| BLUE CROSS | BSL | $4,536.00 | ↑ +970% |
| BLUE CROSS | HMO | $4,536.00 | ↑ +970% |
| BLUE CROSS | NWB | $6,003.00 | ↑ +1316% |
| BLUE CROSS | NWBI | $6,003.00 | ↑ +1316% |
| AETNA | ALL PRODUCTS | $7,917.00 | ↑ +1768% |
| BLUE CROSS | PPO | $8,326.00 | ↑ +1865% |
| BLUE CROSS | PHS | $8,326.00 | ↑ +1865% |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Lip surgery procedure at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $500.50 | $166.35 – $3,494.00 |
| martin north hospital | Stuart | $423.15 | $184.23 – $1,060.70 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $234.97 – $528.29 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $1,156.04 – $1,180.37 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $247.34 – $451.64 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $1,173.53 – $1,198.24 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $1,213.80 – $1,239.35 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $223.78 – $477.85 |