Lower Back (Lumbar Spine) CT scan (with contrast) at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$2,002.00
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.
$3,080.00
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.
$54.27 with Blue Cross vs $2,464.00 with MULTIPLAN — 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 |
|---|---|---|---|
| Blue Cross | Health Options | $54.27 | ↓ -97% |
| Blue Cross | Network Blue | $55.60 | ↓ -97% |
| United | Medicare Advantage | $56.53 | ↓ -97% |
| Blue Cross | Perferred Patient Care | $56.94 | ↓ -97% |
| Blue Cross | Traditional (PPS) | $56.94 | ↓ -97% |
| Careplus | Medicare Advantage | $58.48 | ↓ -97% |
| Wellcare | Medicare Advantage | $58.48 | ↓ -97% |
| Magellan | Medicare Advantage | $58.48 | ↓ -97% |
| Avmed | Medicare Advantage | $58.48 | ↓ -97% |
| Value Options | Medicare Advantage | $58.48 | ↓ -97% |
| Blue Cross | Medicare Advantage PPO | $58.48 | ↓ -97% |
| Blue Cross | Medicare Advantage HMO | $58.48 | ↓ -97% |
| Independent Living Systems | Medicare Advantage | $59.36 | ↓ -97% |
| WellMed | Medicare Advantage | $61.40 | ↓ -97% |
| Freedom Health | Medicare Advantage | $61.40 | ↓ -97% |
| Clear Spring Health | All Products | $63.16 | ↓ -97% |
| Aetna | Medicare Advantage Behavioral Health | $70.18 | ↓ -96% |
| Aetna | Medicare Advantage PCP | $72.52 | ↓ -96% |
| Aetna | Medicare Advantage Specialist | $73.68 | ↓ -96% |
| United | All Products | $75.02 | ↓ -96% |
| Avmed | Exchange | $75.96 | ↓ -96% |
| Avmed | Select | $78.88 | ↓ -96% |
| Avmed | Broad | $84.72 | ↓ -96% |
| OPTUM | Managed Medicaid | $196.56 | ↓ -90% |
| AMERIHEALTH | Managed Medicaid | $206.90 | ↓ -90% |
| Wellcare | Managed Medicaid | $206.90 | ↓ -90% |
| Carelon BH Strategies | Managed Medicaid | $206.90 | ↓ -90% |
| SUNSHINE HEALTH | Managed Medicaid | $206.90 | ↓ -90% |
| Molina | Florida Kidcare | $206.90 | ↓ -90% |
| MOLINA | Florida KidCare | $206.90 | ↓ -90% |
| Medicaid | Managed Medicaid | $206.90 | ↓ -90% |
| MOLINA | Managed Medicaid | $217.25 | ↓ -89% |
| AETNA | Managed Medicaid/CHIP | $227.59 | ↓ -89% |
| Clear Spring Health | ALL PRODUCTS | $245.49 | ↓ -88% |
| Independent Living Systems | Managed Medicaid | $248.28 | ↓ -88% |
| Aetna | POS First Health | $300.00 | ↓ -85% |
| Clarity Health | All Products | $349.05 | ↓ -83% |
| Three Rivers | All Products | $349.05 | ↓ -83% |
| The Legacy Companies | All Products | $349.05 | ↓ -83% |
| Freedom Health | MEDICARE ADVANTAGE | $358.48 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $358.48 | ↓ -82% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $358.48 | ↓ -82% |
| BLUE CROSS | Medicare Advantage PPO | $358.48 | ↓ -82% |
| Careplus | MEDICARE ADVANTAGE | $358.48 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $358.48 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $358.48 | ↓ -82% |
| WellMed | MEDICARE ADVANTAGE | $364.32 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $364.32 | ↓ -82% |
| Wellcare | MEDICARE ADVANTAGE | $364.32 | ↓ -82% |
| AVMED | MEDICARE ADVANTAGE | $372.82 | ↓ -81% |
| Independent Living Systems | MEDICARE ADVANTAGE | $376.40 | ↓ -81% |
| DEVOTED HEALTH | Medicare Advantage HMO | $400.75 | ↓ -80% |
| Consociate Health | ALL PRODUCTS | $402.75 | ↓ -80% |
| Aetna | PPO First Health | $425.00 | ↓ -79% |
| National Provider Network | All Products | $456.45 | ↓ -77% |
| BLUE CROSS | BSL | $462.00 | ↓ -77% |
| BLUE CROSS | HMO | $462.00 | ↓ -77% |
| BLUE CROSS | NWBI | $482.00 | ↓ -76% |
| BLUE CROSS | NWB | $482.00 | ↓ -76% |
| Aetna | All Products First Health | $483.30 | ↓ -76% |
| BLUE CROSS | PPO | $524.00 | ↓ -74% |
| BLUE CROSS | PHS | $524.00 | ↓ -74% |
| Cigna | Individual Family Plan Mid-Level | $537.00 | ↓ -73% |
| Cigna | Surefit Physician | $537.00 | ↓ -73% |
| Cigna | Surefit Mid-Level | $537.00 | ↓ -73% |
| Cigna | Individual Family Plan Physician | $537.00 | ↓ -73% |
| Cigna | All Products Physician | $537.00 | ↓ -73% |
| Cigna | All Products Mid-Level | $537.00 | ↓ -73% |
| AVMED | EXCHANGE | $562.81 | ↓ -72% |
| AVMED | Select | $630.92 | ↓ -68% |
| CIGNA | Individual Family Plan | $791.56 | ↓ -60% |
| AVMED | BROAD | $820.92 | ↓ -59% |
| AETNA | QHP | $839.00 | ↓ -58% |
| CIGNA | SUREFIT | $954.80 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $979.44 | ↓ -51% |
| AETNA | ALL PRODUCTS | $1,360.00 | ↓ -32% |
| BMI | ALL PRODUCTS | $1,540.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $1,848.00 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $2,002.00 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $2,002.00 | ↑ +0% |
| AETNA | All Products First Health | $2,464.00 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $2,464.00 | ↑ +23% |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Optum | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) CT scan (with contrast) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $4,644.91 | $346.11 – $608.05 |
| Adventhealth Lake Wales | Lake Wales | $9,676.14 | $337.22 – $958.38 |
| Adventhealth Palm Coast Parkway | Palm Coast | $4,801.86 | $346.11 – $1,140.93 |
| Adventhealth Tampa | Tampa | $8,472.61 | $332.53 – $808.79 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $2,880.34 | $346.11 – $795.86 |
| Adventhealth Port Charlotte | Port Charlotte | $8,035.82 | $347.52 – $665.25 |
| cleveland clinic florida weston hospital | Weston | $2,351.05 | $50.71 – $2,618.00 |
| martin north hospital | Stuart | $2,002.00 | $45.37 – $1,540.00 |