Lisocabtagene mara car pos t at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,740,703.90
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.
$2,678,006.00
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.
$24,125.92 with OPTUM vs $2,142,404.80 with MULTIPLAN — 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 | $24,125.92 | ↓ -99% |
| MOLINA | Florida KidCare | $25,395.70 | ↓ -99% |
| Wellcare | Managed Medicaid | $25,395.70 | ↓ -99% |
| SUNSHINE HEALTH | Managed Medicaid | $25,395.70 | ↓ -99% |
| Carelon BH Strategies | Managed Medicaid | $25,395.70 | ↓ -99% |
| AMERIHEALTH | Managed Medicaid | $25,395.70 | ↓ -99% |
| Medicaid | Managed Medicaid | $25,395.70 | ↓ -99% |
| Molina | Florida Kidcare | $25,395.70 | ↓ -99% |
| MOLINA | Managed Medicaid | $26,665.49 | ↓ -98% |
| AETNA | Managed Medicaid/CHIP | $27,935.27 | ↓ -98% |
| Independent Living Systems | Managed Medicaid | $30,474.84 | ↓ -98% |
| UNITED | MEDICARE ADVANTAGE | $516,726.08 | ↓ -70% |
| Freedom Health | MEDICARE ADVANTAGE | $516,726.08 | ↓ -70% |
| HUMANA | Medicare Advantage HMO | $516,726.08 | ↓ -70% |
| BLUE CROSS | Medicare Advantage PPO | $516,726.08 | ↓ -70% |
| BLUE CROSS | Medicare Advantage HMO | $516,726.08 | ↓ -70% |
| Careplus | MEDICARE ADVANTAGE | $516,726.08 | ↓ -70% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $516,726.08 | ↓ -70% |
| AVMED | MEDICARE ADVANTAGE | $537,395.12 | ↓ -69% |
| Independent Living Systems | MEDICARE ADVANTAGE | $542,562.38 | ↓ -69% |
| Wellcare | MEDICARE ADVANTAGE | $562,201.24 | ↓ -68% |
| WellMed | MEDICARE ADVANTAGE | $562,201.24 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $562,201.24 | ↓ -68% |
| AETNA | ALL PRODUCTS | $613,249.11 | ↓ -65% |
| DEVOTED HEALTH | Medicare Advantage HMO | $618,421.36 | ↓ -64% |
| AVMED | EXCHANGE | $811,259.95 | ↓ -53% |
| AVMED | Select | $909,437.90 | ↓ -48% |
| CIGNA | Individual Family Plan | $918,661.88 | ↓ -47% |
| BLUE CROSS | PHS | $1,068,182.36 | ↓ -39% |
| BLUE CROSS | HMO | $1,068,182.36 | ↓ -39% |
| BLUE CROSS | NWB | $1,068,182.36 | ↓ -39% |
| BLUE CROSS | BSL | $1,068,182.36 | ↓ -39% |
| BLUE CROSS | NWBI | $1,068,182.36 | ↓ -39% |
| BLUE CROSS | PPO | $1,068,182.36 | ↓ -39% |
| CIGNA | SUREFIT | $1,111,477.81 | ↓ -36% |
| CIGNA | ALL PRODUCTS | $1,161,576.95 | ↓ -33% |
| AVMED | BROAD | $1,183,302.72 | ↓ -32% |
| BMI | ALL PRODUCTS | $1,339,003.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $1,606,803.60 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $1,740,703.90 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $1,740,703.90 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $2,008,504.50 | ↑ +15% |
| AETNA | All Products First Health | $2,142,404.80 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $2,142,404.80 | ↑ +23% |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| AETNA | QHP | not published by hospital | — |
Visitor-reported prices
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Lisocabtagene mara car pos t at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $1,740,703.90 | $24,125.92 – $2,276,305.10 |
| martin north hospital | Stuart | $1,740,703.90 | $0.01 – $2,008,504.50 |
| Baptist Hospital | MIAMI | $2,208,414.65 | $173.17 – $3,057,804.90 |
| Bethesda Hospital East | BOYNTON BEACH | $2,208,414.65 | $24,307.81 – $3,057,804.90 |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | NEWBERRY | $9,635,877.70 | $545,334.97 – $1,686,603.72 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $516,442.00 – $927,632.05 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $500,948.74 – $1,208,732.67 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $500,948.74 – $927,632.05 |