healthcosts.net
Lower Back (Lumbar Spine) MRI (with and without 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.
$106.11 with Blue Cross vs $2,464.00 with AETNA — 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 | $106.11 | ↓ -95% |
| United | Medicare Advantage | $108.31 | ↓ -95% |
| Blue Cross | Network Blue | $108.72 | ↓ -95% |
| Avmed | Medicare Advantage | $109.95 | ↓ -95% |
| Value Options | Medicare Advantage | $109.95 | ↓ -95% |
| Magellan | Medicare Advantage | $109.95 | ↓ -95% |
| Careplus | Medicare Advantage | $109.95 | ↓ -95% |
| Wellcare | Medicare Advantage | $109.95 | ↓ -95% |
| Blue Cross | Medicare Advantage PPO | $109.95 | ↓ -95% |
| Blue Cross | Medicare Advantage HMO | $109.95 | ↓ -95% |
| Blue Cross | Traditional (PPS) | $111.33 | ↓ -94% |
| Blue Cross | Perferred Patient Care | $111.33 | ↓ -94% |
| Independent Living Systems | Medicare Advantage | $113.73 | ↓ -94% |
| Freedom Health | Medicare Advantage | $115.45 | ↓ -94% |
| WellMed | Medicare Advantage | $115.45 | ↓ -94% |
| Clear Spring Health | All Products | $118.75 | ↓ -94% |
| Aetna | Medicare Advantage Behavioral Health | $131.94 | ↓ -93% |
| Aetna | Medicare Advantage PCP | $136.34 | ↓ -93% |
| Aetna | Medicare Advantage Specialist | $138.54 | ↓ -93% |
| United | All Products | $141.51 | ↓ -93% |
| Avmed | Exchange | $143.27 | ↓ -93% |
| Avmed | Select | $148.78 | ↓ -93% |
| Avmed | Broad | $159.80 | ↓ -92% |
| OPTUM | Managed Medicaid | $241.90 | ↓ -88% |
| MOLINA | Florida KidCare | $254.63 | ↓ -87% |
| Medicaid | Managed Medicaid | $254.63 | ↓ -87% |
| AMERIHEALTH | Managed Medicaid | $254.63 | ↓ -87% |
| Molina | Florida Kidcare | $254.63 | ↓ -87% |
| Wellcare | Managed Medicaid | $254.63 | ↓ -87% |
| SUNSHINE HEALTH | Managed Medicaid | $254.63 | ↓ -87% |
| Carelon BH Strategies | Managed Medicaid | $254.63 | ↓ -87% |
| MOLINA | Managed Medicaid | $267.36 | ↓ -87% |
| AETNA | Managed Medicaid/CHIP | $280.09 | ↓ -86% |
| Aetna | POS First Health | $300.00 | ↓ -85% |
| Independent Living Systems | Managed Medicaid | $305.56 | ↓ -85% |
| UNITED | MEDICARE ADVANTAGE | $358.48 | ↓ -82% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $358.48 | ↓ -82% |
| Careplus | MEDICARE ADVANTAGE | $358.48 | ↓ -82% |
| Freedom Health | MEDICARE ADVANTAGE | $358.48 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $358.48 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $358.48 | ↓ -82% |
| BLUE CROSS | Medicare Advantage PPO | $358.48 | ↓ -82% |
| Wellcare | MEDICARE ADVANTAGE | $364.32 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $364.32 | ↓ -82% |
| WellMed | 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% |
| Aetna | PPO First Health | $425.00 | ↓ -79% |
| Clear Spring Health | ALL PRODUCTS | $463.78 | ↓ -77% |
| AVMED | EXCHANGE | $562.81 | ↓ -72% |
| Clarity Health | All Products | $595.40 | ↓ -70% |
| Three Rivers | All Products | $595.40 | ↓ -70% |
| The Legacy Companies | All Products | $595.40 | ↓ -70% |
| BLUE CROSS | HMO | $616.00 | ↓ -69% |
| BLUE CROSS | BSL | $616.00 | ↓ -69% |
| AVMED | Select | $630.92 | ↓ -68% |
| BLUE CROSS | NWBI | $642.00 | ↓ -68% |
| BLUE CROSS | NWB | $642.00 | ↓ -68% |
| Consociate Health | ALL PRODUCTS | $687.00 | ↓ -66% |
| BLUE CROSS | PHS | $697.00 | ↓ -65% |
| BLUE CROSS | PPO | $697.00 | ↓ -65% |
| National Provider Network | All Products | $778.60 | ↓ -61% |
| CIGNA | Individual Family Plan | $791.56 | ↓ -60% |
| AVMED | BROAD | $820.92 | ↓ -59% |
| Aetna | All Products First Health | $824.40 | ↓ -59% |
| Cigna | Individual Family Plan Mid-Level | $916.00 | ↓ -54% |
| Cigna | Surefit Physician | $916.00 | ↓ -54% |
| Cigna | All Products Physician | $916.00 | ↓ -54% |
| Cigna | All Products Mid-Level | $916.00 | ↓ -54% |
| Cigna | Individual Family Plan Physician | $916.00 | ↓ -54% |
| Cigna | Surefit Mid-Level | $916.00 | ↓ -54% |
| CIGNA | SUREFIT | $954.80 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $979.44 | ↓ -51% |
| AETNA | QHP | $1,119.00 | ↓ -44% |
| BMI | ALL PRODUCTS | $1,540.00 | ↓ -23% |
| AETNA | ALL PRODUCTS | $1,814.00 | ↓ -9% |
| MAGELLAN | ALL PRODUCTS | $1,848.00 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $2,002.00 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $2,002.00 | ↑ +0% |
| MULTIPLAN | ALL PRODUCTS | $2,464.00 | ↑ +23% |
| AETNA | All Products First Health | $2,464.00 | ↑ +23% |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| Optum | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) MRI (with and without contrast) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $2,597.40 | $99.15 – $2,618.00 |
| martin north hospital | Stuart | $2,002.00 | $88.71 – $1,540.00 |
| Baptist Hospital | MIAMI | $4,846.40 | $173.17 – $6,710.40 |
| Bethesda Hospital East | BOYNTON BEACH | $4,846.40 | $255.55 – $6,710.40 |
| Boca Raton Regional Hospital | BOCA RATON | $4,345.90 | $357.78 – $4,365.96 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $4,846.40 | $247.73 – $6,710.40 |
| Doctors Hospital | CORAL GABLES | $4,846.40 | $247.73 – $6,710.40 |
| Fishermens Community Hospital | MARATHON | $4,846.40 | $247.73 – $6,710.40 |