Lumbar diskogram s&i at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$215.80
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.
$332.00
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.
$32.94 with Aetna vs $4,488.75 with AVMED — 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 |
|---|---|---|---|
| Aetna | PPO First Health | $32.94 | ↓ -85% |
| Blue Cross | Health Options | $38.63 | ↓ -82% |
| United | Medicare Advantage | $39.15 | ↓ -82% |
| Blue Cross | Network Blue | $39.58 | ↓ -82% |
| Blue Cross | Traditional (PPS) | $40.53 | ↓ -81% |
| Blue Cross | Perferred Patient Care | $40.53 | ↓ -81% |
| Independent Living Systems | Medicare Advantage | $41.11 | ↓ -81% |
| Value Options | Medicare Advantage | $41.86 | ↓ -81% |
| Wellcare | Medicare Advantage | $41.86 | ↓ -81% |
| Avmed | Medicare Advantage | $41.86 | ↓ -81% |
| Magellan | Medicare Advantage | $41.86 | ↓ -81% |
| Careplus | Medicare Advantage | $41.86 | ↓ -81% |
| Blue Cross | Medicare Advantage HMO | $41.86 | ↓ -81% |
| Blue Cross | Medicare Advantage PPO | $41.86 | ↓ -81% |
| Freedom Health | Medicare Advantage | $43.95 | ↓ -80% |
| WellMed | Medicare Advantage | $43.95 | ↓ -80% |
| Clear Spring Health | All Products | $45.21 | ↓ -79% |
| Aetna | Medicare Advantage Behavioral Health | $50.23 | ↓ -77% |
| United | All Products | $51.30 | ↓ -76% |
| Aetna | Medicare Advantage PCP | $51.91 | ↓ -76% |
| Avmed | Exchange | $51.94 | ↓ -76% |
| Aetna | Medicare Advantage Specialist | $52.74 | ↓ -76% |
| Avmed | Select | $53.93 | ↓ -75% |
| Avmed | Broad | $57.93 | ↓ -73% |
| Aetna | POS First Health | $149.40 | ↓ -31% |
| Clarity Health | All Products | $215.80 | ↑ +0% |
| Three Rivers | All Products | $215.80 | ↑ +0% |
| The Legacy Companies | All Products | $215.80 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $249.00 | ↑ +15% |
| National Provider Network | All Products | $282.20 | ↑ +31% |
| Aetna | All Products First Health | $298.80 | ↑ +38% |
| Cigna | Individual Family Plan Physician | $332.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $332.00 | ↑ +54% |
| Cigna | Surefit Physician | $332.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $332.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $332.00 | ↑ +54% |
| Cigna | All Products Physician | $332.00 | ↑ +54% |
| OPTUM | Managed Medicaid | $350.47 | ↑ +62% |
| MOLINA | Florida KidCare | $368.92 | ↑ +71% |
| AMERIHEALTH | Managed Medicaid | $368.92 | ↑ +71% |
| Carelon BH Strategies | Managed Medicaid | $368.92 | ↑ +71% |
| Medicaid | Managed Medicaid | $368.92 | ↑ +71% |
| Molina | Florida Kidcare | $368.92 | ↑ +71% |
| SUNSHINE HEALTH | Managed Medicaid | $368.92 | ↑ +71% |
| Wellcare | Managed Medicaid | $368.92 | ↑ +71% |
| MOLINA | Managed Medicaid | $387.37 | ↑ +80% |
| AETNA | Managed Medicaid/CHIP | $405.81 | ↑ +88% |
| Independent Living Systems | Managed Medicaid | $442.70 | ↑ +105% |
| BLUE CROSS | Medicare Advantage HMO | $1,960.15 | ↑ +808% |
| BLUE CROSS | Medicare Advantage PPO | $1,960.15 | ↑ +808% |
| Freedom Health | MEDICARE ADVANTAGE | $1,960.15 | ↑ +808% |
| HUMANA | Medicare Advantage HMO | $1,960.15 | ↑ +808% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $1,960.15 | ↑ +808% |
| Careplus | MEDICARE ADVANTAGE | $1,960.15 | ↑ +808% |
| UNITED | MEDICARE ADVANTAGE | $1,960.15 | ↑ +808% |
| AVMED | MEDICARE ADVANTAGE | $2,038.56 | ↑ +845% |
| Wellcare | MEDICARE ADVANTAGE | $2,039.19 | ↑ +845% |
| WellMed | MEDICARE ADVANTAGE | $2,039.19 | ↑ +845% |
| AETNA | MEDICARE ADVANTAGE | $2,039.19 | ↑ +845% |
| Independent Living Systems | MEDICARE ADVANTAGE | $2,058.16 | ↑ +854% |
| DEVOTED HEALTH | Medicare Advantage HMO | $2,243.11 | ↑ +939% |
| AVMED | EXCHANGE | $3,077.44 | ↑ +1326% |
| AVMED | Select | $3,449.87 | ↑ +1499% |
| AVMED | BROAD | $4,488.75 | ↑ +1980% |
| Optum | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Molina | Managed Medicaid | 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 Behavioral Health | not published by hospital | — |
Visitor-reported prices
Comments
Lumbar diskogram s&i at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $6,598.98 | $2,039.19 – $4,527.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $9,880.00 | $3,701.44 – $3,947.38 |
| Adventhealth Port Charlotte | Port Charlotte | $7,811.03 | $2,039.19 – $3,853.47 |
| cleveland clinic florida weston hospital | Weston | $11,163.75 | $36.10 – $14,316.55 |
| martin north hospital | Stuart | $11,163.75 | $32.30 – $8,421.50 |
| Baptist Hospital | MIAMI | $3,412.50 | $173.17 – $4,184.10 |
| Bethesda Hospital East | BOYNTON BEACH | $3,412.50 | $353.09 – $4,184.10 |
| Boca Raton Regional Hospital | BOCA RATON | $4,941.30 | $468.00 – $5,650.04 |